System VP of Accounting
Experience: Director Management (Director/Head of Organization)
Education: Master's Degree
Category: Medical / Health
Industry: Healthcare / Other
Date Posted: 12/15/2025
Shortcut: http://the-healthcare-initiative.jobs.mrinetwork.com/KhQvQ7
System Vice President of Accounting
Location: Southern Market | Corporate Office | Not-for-Profit Healthcare System
A large, multi-entity not-for-profit healthcare system is seeking a Vice President of Accounting to lead enterprise-wide accounting operations and financial reporting. This is a highly technical, accounting-focused role with responsibility for internal controls, audits, compliance, and team development.
Key Responsibilities
- Lead all accounting functions across the system, ensuring accuracy, compliance, and timely reporting
- Oversee budgets, internal controls, audits, and operational standards
- Build and maintain a collaborative, high-performing culture
- Develop leaders, succession plans, and strengthen organizational accounting capabilities
- Partner with executive leadership on strategic initiatives and financial planning
Team & Scope
- Direct reports: 2 Directors, 2 Managers
- Total team: ~25–30 accounting professionals
- May oversee Accounts Payable and other system-wide accounting functions
Qualifications
- Master’s degree in Accounting required; CPA required
- Minimum 5 years of director-level (or above) experience managing multiple campuses
- Proven experience in large, complex accounting environments; Big Four or public accounting experience preferred
- Deep knowledge of nonprofit healthcare accounting, GAAP, internal controls, and audits
- Executive presence with ability to develop leaders of leaders and create accountability-driven teams
Compensation & Benefits
- Base salary range: $250,000–$270,000
- Bonus: 22% MIP
- PTO: 36 days
- Car allowance: $650/month
- Relocation assistance: up to $50,000
- Comprehensive benefits package
This role reports to the CFO and offers an opportunity to shape the accounting function, develop talent, and drive a culture of accountability and collaboration across a large healthcare system.
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