System Finance Director

Essentia Health; United States; Remote; USD 148,000 - 222,000; Full time

Benefits offered by this job

Medical, dental, vision, life, and ADP

401(k) plan with employer contribution

Tuition reimbursement

Flexible scheduling

Generous time off and wellness

Job summary

Essentia Health is seeking a System Finance Director to provide system-level leadership for healthcare accounting, focusing on Accounts Receivable/Net Revenue Analytics and Government Reimbursement. You will lead high-risk estimates and collaborate with senior finance leaders, auditors, and operations to ensure accuracy and strategic insight.

The role requires strong GAAP knowledge in healthcare revenue recognition, experience leading specialized teams, and the ability to present complex data to

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field is required.
• Healthcare accounting or finance experience with exposure to net revenue estimation or government reimbursement.
• Experience leading specialized teams within a complex or matrixed organization.
• Strong working knowledge of GAAP-based healthcare revenue recognition.

Responsibilities

• Provide strategic and operational leadership for net revenue estimation, A/R valuation, and government reimbursement functions within the Controller organization.
• Oversee managers responsible for contract-based and bad debt allowance methodologies in accordance with GAAP.
• Lead net revenue modeling, variance analysis, and government reimbursement reporting.
• Present complex financial estimates and variances to senior leadership including the CFO.
• Partner with internal and external auditors on revenue recognition, reimbursement, and compliance.
• Drive continuous improvement across net revenue and reimbursement processes, tools, and reporting.
• Support acquisitions, divestitures, and organizational changes with net revenue and reimbursement considerations.

Skills

GAAP healthcare revenue recognition

Analytical thinking

Communication skills

Problem-solving

Executive-level presentation

Education

Bachelor’s degree in Accounting, Finance, or related field

CPA designation (preferred, not required)

Job description

Job Description:

The System Finance Director provides system-level leadership for highly specialized healthcare accounting functions, with primary responsibility for Accounts Receivable / Net Revenue Analytics and Government Reimbursement. This role oversees complex, high-risk financial estimates central to healthcare revenue recognition and partners closely with senior finance leadership, auditors, and operational stakeholders to ensure accuracy, compliance, and strategic insight.

Education Qualifications:

Key Responsibilities:

• Provide strategic and operational leadership for net revenue estimation, A/R valuation, and government reimbursement functions within the Controller organization
• Oversee managers responsible for:
• Contractual and bad debt allowance methodologies in accordance with GAAP
• Net revenue modeling, hindsight lookback analysis, and variance analysis
• Government reimbursement and cost reporting, including third-party payer dynamics
• Ensure consistency, rigor, and integrity of methodologies supporting some of the largest and highest-risk financial estimates on the balance sheet
• Partner with internal and external auditors related to revenue recognition, reimbursement, and compliance activities
• Present and explain complex financial estimates, trends, and variances to senior finance and system leadership, including the CFO
• Lead continuous improvement efforts across net revenue and reimbursement processes, tools, and reporting
• Provide guidance related to net revenue and reimbursement considerations for acquisitions, divestitures, and organizational changes

Required Qualifications:

• Bachelor’s degree in Accounting, Finance, or related field
• Progressive healthcare accounting or finance experience, with direct exposure to:
• Net revenue estimation and A/R valuation or
• Government reimbursement and cost reporting
• Demonstrated experience leading specialized teams within a complex or matrixed organization
• Strong working knowledge of GAAP-based healthcare revenue recognition

Preferred Qualifications:

• Experience with net revenue or reimbursement modeling tools (e.g., Crowe/Kodiak RCA or similar platforms)
• Public accounting background with healthcare audit or cost report consulting experience
• CPA designation (preferred, not required)
• Ability to operate comfortably with system-level visibility and executive audiences
• Strong analytical, communication, and problem-solving skills, with the ability to translate technical concepts for non-technical leaders

Scope Clarifications:

This role is not focused on Financial Planning & Analysis (FP&A) or operational revenue cycle management. Candidates whose experience is primarily FP&A or revenue cycle–focused may not find this role aligned with their background.

Remote Work Considerations

This position is fully remote, supporting teams distributed across multiple states, however, candidates must reside in states where Essentia is authorized to employ. We cannot employ candidates residing in California, Washington, Oregon, Idaho, Massachusetts, New York, or New Jersey. Preference may be given to candidates located within our existing service regions to ensure alignment with Essentia’s operations and time zones.

Employee Benefits at Essentia Health:

At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at [phone].

Job Location: Business Service Center

Shift Rotation: Day Rotation (United States of America)

Shift Start/End: 8:00am/5:00pm

Hours Per Pay Period: 80

Compensation Range: $148200 - $222310 / year

Union:

FTE: 1

Weekends:

Call Obligations:

Sign On Bonus: