Remote Director of Accounting Operations | GAAP & Growth

Children's Health; Dallas (TX); On-site; USD 160,000 - 210,000; Full time

Benefits offered by this job

Medical premium coverage after tenure

Savings plan match 4-10%

Parental Leave

Caregiver Leave

Adoption reimbursement

Job summary

Children's Health is seeking a Director of Accounting Operations to lead the health system's accounting operations, ensuring GAAP compliance, month-end close, and balance sheet integrity across affiliate and foundation entities. This leader will drive close processes, reconciliations, and accurate reporting in a complex nonprofit healthcare setting.

The role oversees receivables, fixed assets, and audit readiness, partnering with systems and finance leadership.

Qualifications

• At least 10 years in accounting and financial reporting; either public accounting or a mix of public and industry experience.
• At least 3 years in non-profit or foundation accounting (ASC958), including investment accounting and fair value measurement (ASC 820); exposure to ASC 946 preferred
• At least 3 years with captive insurance accounting, including premium/reserve accounting, and regulatory/reporting requirements preferred
• At least 2 years in healthcare setting preferred

Responsibilities

• Lead monthly, quarterly, and annual close processes, including calendar management, journal entry oversight, and general ledger close to ensure timely and accurate financial data
• Ensure integrity of the trial balance through standardized reconciliations, review of high-risk accounts, and timely resolution of reconciling items with audit-ready support
• Lead and oversee end-to-end accounting for affiliate and foundation entities, including patient accounts receivable across multiple systems and net revenue models, foundation donations and investments, and captive insurance/TTRAC, ensuring accurate and compliant reporting in alignment with corporate accounting leadership.
• Direct non-patient accounts receivable activities, including oversight of billing, collections, aging, and allowance methodologies
• Oversee fixed assets and lease accounting processes, including capitalization, depreciation, disposals, and compliance with applicable accounting standards
• Serve as primary owner of audit support (PBC) for operational accounting areas and maintain a strong internal control environment, addressing findings and ensuring compliance with GAAP
• Provide accurate and timely financial data, schedules, and operational-level variance analysis to support internal and external reporting
• Drive process improvements and system optimization, partnering with the financial systems analyst to enhance automation, data integrity, and scalability, including governance of chart of accounts usage and approval of system-related changes
• Lead and develop accounting teams, establishing clear expectations, accountability, and a culture of continuous improvement and collaboration
• Support special projects and ad hoc requests, providing financial data and analysis while taking ownership of issues impacting the accuracy and timeliness of financial information across functions

Education

Bachelor's Degree -Required

Job description

Children's Health is seeking a Director of Accounting Operations to lead the health system's accounting operations, ensuring GAAP compliance, month-end close, and balance sheet integrity across affiliate and foundation entities. This leader will drive close processes, reconciliations, and accurate reporting in a complex nonprofit healthcare setting.

The role oversees receivables, fixed assets, and audit readiness, partnering with systems and finance leadership.