Strategic Healthcare Finance Site Controller

Remote Jobs; United States; Remote; USD 90,000 - 125,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Tuition assistance

401(k) retirement package with company

Wellness programs

Career development opportunities

Job summary

Lifepoint Health seeks an experienced healthcare finance leader to manage the end-to-end general ledger close for a large health system. You’ll partner with hospital leadership, drive close optimization, and lead accounting process improvements across sites and entities.

You will perform P&L and balance sheet analyses, provide variance explanations, and serve as the primary accounting liaison during close and reporting cycles.

Qualifications

• Bachelor’s degree in accounting or finance.
• 7+ years of progressive healthcare finance/accounting experience, including recent hospital-based accounting leadership experience.
• Experience supporting complex, multi-facility healthcare systems, integrated delivery networks, or large hospital operations.
• Operate independently in a high-visibility environment with minimal onboarding and oversight.
• Partner with hospital CEOs, COOs, department directors, and operational leadership teams to drive financial performance and process improvement.
• Leading accounting process improvements, standardization initiatives, close optimization efforts, and change management within healthcare organizations.
• Expertise in P&L and balance sheet analysis, revenue valuation, and month-end close processes.
• Manage reconciliations, journal entries, and post-close reporting.
• Strong understanding of revenue recognition, project and capital accounting, and other key accounting processes.
• Experience with Oracle, EPM, and financial reporting tools; RCA and revenue accounting familiarity.
• Strong analytical, problem-solving, and communication skills.

Responsibilities

• Manages the end-to-end general ledger close process for designated sites and entities, ensuring completeness of close checklists and timely post-close review and analysis.
• Supports continuous improvement and accounting standardization initiatives across the organization.
• Performs P&L and balance sheet analysis, providing insightful commentary and variance explanations.
• Collaborates with hospital leadership to support post-close analysis, review, and reporting, including participation in hospital MORs and other operational reviews.
• Serves as the primary accounting liaison for assigned facilities during the close process.
• Interfaces with the LBS Technical Accounting team and hospital operations leaders to address complex accounting treatments and issues.
• Oversees the joint venture accounting, reporting, and distribution process for facilities with joint venture arrangements.
• Supports annual budgeting processes, ensuring accuracy, consistency, and alignment with organizational goals.
• Ensures internal controls are adequate to safeguard facility assets and maintain the integrity of accounting systems.
• Leads post-close review processes and periodic balance sheet reviews to ensure accurate and compliant financial reporting.
• Provides analysis and explanations for monthly, quarterly, and annual variances in general ledger accounts.
• Serves as liaison with external stakeholders to provide required financial reports and information.
• Maintains regular and reliable attendance and performs other duties as assigned.

Skills

Analytical skills

Problem solving

Communication skills

Leadership

Education

Bachelor's degree in accounting or finance

Tools

Oracle

EPM

Job description

Lifepoint Health seeks an experienced healthcare finance leader to manage the end-to-end general ledger close for a large health system. You’ll partner with hospital leadership, drive close optimization, and lead accounting process improvements across sites and entities.

You will perform P&L and balance sheet analyses, provide variance explanations, and serve as the primary accounting liaison during close and reporting cycles.