Chief Accounting Officer

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Role Purpose

As a member of the BJC executive leadership team, the Chief Accounting Officer will direct the accounting and financial reporting for BJC HealthCare (24 hospitals, 8 foundations, and corporate Shared Services organization) system-wide ($11B in net revenue). Drives consistency, compliance, and data integrity in all financial and accounting initiatives. Partners with system CFO, hospital / other healthcare service organization Presidents, and leadership to develop and manage to short and long-term financial objectives. The Chief Accounting Officer has 5 Direct Reports : VP—Accounting; VP—Reimbursement; VP—Disbursements; Director of Finance ERP and Director of Finance—Foundations and Grants.

This is a remote position; however, the individual must live in Kansas City or Saint Louis.

Essential Accountabilities

• Oversee the accounting for all of BJC Health System.
• Coordinate the external audit of the System, as well as the critical access hospitals, retirement plans, captive insurance companies, and other audit services.
• Produce monthly internal financial statements for management – ensure the integrity, accuracy, and timely preparation of financial statements.
• Provide support for the tax team to ensure accurate information in all tax filings.
• Provide staff support for the Audit and Finance & Planning committees of the BJC Board.
• Work closely with Hospital and Corporate finance teams to support forecasting and budgeting based on the actual results.
• Manage and monitor all agreements with Washington University School of Medicine, including the System Affiliation agreement.
• Oversee revenue recognition for the System.
• Ensure the revenue recognition and Accounts receivable reserves are appropriate.
• Support the forecasting and budgeting process.
• Oversee Government Reimbursement team, including preparation of all applicable cost reports for Medicare, Medicaid, and other plans.
• Identify reimbursement risks and opportunities based on new and changing CMS and Medicaid rules.
• Support the forecasting and budgeting process as it relates to government reimbursement.
• Oversee Disbursements team, including Accounts payable and payroll processes – ensuring integrity and internal controls of payments.
• Oversee the Finance support for the Foundations and the Uniform Guidance audit.
• Produce monthly internal financial statements for management – ensure the integrity, accuracy, and timely preparation of financial statements.
• Oversee the UG audit and BJC’s compliance with federal grants and financial implications of Foundation Grants.

Position Responsibilities

Position Requirements

Ideal Candidate Profile

The successful candidate will possess a unique combination of skills, abilities, and experiences, including :

Seniority level

Employment type

Job function

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