Assistant Chief Financial Officer
Austin - City of Austin • Austin, Texas • Full Time
Posted on Wed, Oct 7, 2026
Introduction
Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for an Assistant Chief Financial Officer for our St. David's North Austin Medical Center team where excellence creates excellence.
Benefits
St. David's North Austin Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Assistant Chief Financial Officer role today!
Job Summary and Qualifications
The Chief Financial Officer directs the financial and other departmental activities in accordance with defined hospital policies and objectives. Responsibilities include management of all financial departments, allocation of resources, and preparation of the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care, Health Information, and Utilization Review. Functions at an executive level in an active leadership role. The Chief Financial Officer is responsible to the Hospital CEO, and maintains business relationships with the Division CFO, Hospital CEO, COO, and CNO.
What you will do in this role:
You will assume a lead role in analyzing and exploring means of reducing hospital operating costs and increasing revenues based on knowledge of market trends, financial reports, and operating procedures.
You will direct the preparation of internal financial reports and ensure that the reports reliably reflect the financial position of the hospital.
You will direct the timely submission of all financial data associated reports required by government and other regulated agencies including payroll tax reports, public disclosure reports, and third-party payor cost reports.
You will identify and report undesirable trends and potential business opportunities and make recommendations for action.
You will assist the CEO in the development of long- and short-range hospital operations plan which may include service demand analyses, resources availability analyses, productivity, and cost benefit analyses of proposed capital and staff expansions.
You will develop long and short range operational and capital budgets which are supported by the hospitals with long and short-range plans and objectives.
You will direct the preparation of hospital statistical reports, budgets, and financial reports.
You will administer the general accounting, patient business services, including third party reimbursement, financial, and statistical reporting functions of the hospital in accordance with established policies and accounting procedures.
You will provide informal direction in data processing, distributed systems, material management, and medical record functions. Monitoring performance to ensure fiscal responsibilities are fulfilled.
You will forecast the impact of business decisions and expected outcomes on all financial results.
You will monitor financial and economic information to identify trends and indicators that may impact business operations, planning, investments, and so forth.
You will communicate financial operational performance with all stakeholders, including senior administration, appropriate facility staff members, and Division Office.
You will review denials issues and trends for maximizing net reimbursement for Facility.
You will maintain accuracy of a charge master.
You will review contracts, purchase agreements, and other financial arrangements to ensure compatibility with business goals and expectations about profitability.
What qualifications you will need:
Bachelor's degree Accounting, Finance, or related field
Master's degree preferred
4+ years of experience in a Hospital Controller, Asst. CFO, or VP of Finance role preferred
Certified Public Accountant preferred
St. David’s North Austin Medical Center, part of St. David’s HealthCare, is a full-service medical center providing comprehensive medical care at two locations – St. David’s North Austin Medical Center and St. David’s Surgical Hospital.
St. David’s North Austin Medical Center is a 460+ bed, multi-specialty, acute care hospital. It provides advanced women’s health services, including maternity and newborn care with Level I, II, and III neonatal intensive care units (NICUs) at the nearby St. David’s Women’s Center of Texas. The hospital also offers minimally invasive gynecological surgery and comprehensive breast imaging through Solis Mammography, which is located on-site. Other services include a 24-hour emergency department, pediatric emergency care, and intensive care at St. David’s Children’s Hospital. The hospital also features the Texas Institute for Robotic Surgery, bariatric (weight loss) surgery, a Heart and Vascular Center, neurology and neurosurgery, a kidney transplant program, a Level IV Epilepsy Center, as well as inpatient and outpatient surgery and acute rehabilitation services for both inpatients and outpatients.
St. David’s Women’s Center of Texas, located at St. David's North Austin Medical Center, is recognized by the State of Texas as a Level IV Maternal Facility. This means it provides the highest level of care for pregnant and postpartum patients, especially those with serious or complex medical, surgical, or pregnancy-related conditions, including those at high risk for maternal morbidity or mortality. The center includes a 95+ bed Level III Neonatal Intensive Care Unit (NICU) with 30+ private rooms, 10+ rooms for very small babies, and 10+ beds for babies needing neurological care. It also has 35+ labor, delivery, and recovery rooms, including Central Texas’ first low-intervention birthing suites with tubs. There are 95+ postpartum beds, 20+ antepartum beds, and Cesarean section surgical suites. The facility offers 24/7 neonatology coverage, OB/GYN hospitalists, maternal-fetal medicine specialists, lactation consultants, and a midwifery program. It is part of the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network and TexasAIM, and it also provides a high-risk pregnancy navigation and support program.
St. David's Surgical Hospital is part of St. David’s North Austin Medical Center and is the first Level 4 Epilepsy Center in Central Texas for both adults and children. It has its own 24-hour emergency department, a medical-surgical inpatient unit, and a pediatric intensive care unit (PICU) for patients ages 17 and under. The hospital is staffed with pediatric emergency physicians, pediatric hospitalists, intensivists, and other specialists who are specially trained to care for children. It also includes certified child-life specialists who help kids feel more comfortable during their hospital stay. St. David’s Children’s Hospital offers many pediatric services, such as pediatric surgery, pediatric radiology (including imaging and interventional procedures), and pediatric anesthesia for surgical support. It also has a wide range of pediatric specialists available for consultation and treatment, including general surgery, ENT (ear, nose, and throat), craniofacial and plastic surgery, neurology, neurosurgery, urology, and cardiology, among others.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as an Assistant Chief Financial Officer. Unlock your leadership potential with HCA Healthcare.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $152,000–$262,000 per year (median ~$199,000). This is an AuditFriendly estimate, not an employer-provided figure.
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What the data says about this job
- Advertised pay for Chief Financial Officer: a median of $187,500 across 1,642 priced postings. Explore the market
Measured from employers' own postings and public filings. How we measure