Director - Financial Reporting & Technical Accounting

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This is a Stanford Health Care job.
A Brief Overview
The Director of Financial Reporting & Technical Accounting is responsible for performing a variety of duties including, but not limited to, overseeing all enterprise-wide financial reporting activities and serves as the organization's foremost authority on the application of U.S. GAAP to complex and evolving accounting matters. This role ensures the accuracy, integrity, and compliance of financial statements while leading the end-to-end financial data lifecycle.
This Director is responsible for managing accounting policies, regulatory reporting, financial close processes, and internal controls - driving operational efficiency and supporting strategic decision-making through high-quality financial insights. You will lead the assessment, documentation, and operationalization of complex accounting matters across a broad range of GAAP topics, partnering closely with cross-functional leaders to maintain strong governance, optimize reporting capabilities, and support the organization's financial health and long-term objectives.
This is a high-impact, highly visible role suited for a technically excellent accounting leader who brings intellectual rigor and a talent for translating complexity into clarity.
Locations
Stanford Health Care
What you will do

• Enterprise Financial Reporting & External Compliance:

• Oversee the preparation, review, and delivery of monthly, quarterly, and annual financial statements in conformity with U.S. GAAP and applicable non-profit reporting standards, managing the reporting calendar to ensure timely, accurate, and transparent communication with internal stakeholders, regulators, and auditors.

• Oversee all financial statement footnote disclosures, ensuring completeness, accuracy, and alignment with technical accounting conclusions and organizational narrative.

• Serve as the primary point of contact for external auditors on technical accounting and reporting matters; lead preparation and coordination of the annual financial audit.

• Provide support for bond offerings, debt covenant compliance reporting, remarketing, and other financing activities.

• Leverage financial storytelling to communicate insights at the appropriate level - translating complex accounting outcomes into clear, decision-relevant narratives for operational teams and executive leadership.

• Technical Accounting & Accounting Policy:

• Evaluate complex and non-routine transactions and document accounting conclusions under U.S. GAAP, including the preparation of technical accounting memoranda and position papers for management and external auditors.

• Translate technical conclusions into practical guidance for accounting operations, including journal entries, close support, footnote disclosures, and control considerations.

• Maintain and continuously enhance the organization’s technical accounting framework, including policies, interpretive guidance, and documentation for recurring and non-recurring accounting matters.

• Monitor new and proposed accounting standards, assess organizational impact, and lead implementation efforts with clarity and minimal disruption.

• Advise on complex accounting areas including revenue recognition, leases, grants and contributions, investments, debt, business combinations, consolidations, and other non-standard arrangements unique to a non-profit academic health system.

• Internal Controls, Governance & Risk Management:

• Champion internal controls and risk mitigation strategies, ensuring robust governance and operational excellence across the financial reporting lifecycle.

• Design, implement, and maintain a strong internal controls framework over financial reporting - appropriate to the non-profit healthcare environment.

• Identify control gaps, recommend and implement remediation activities, and partner with operational finance teams to sustain improvements over time.

• Provide guidance on the financial reporting and control implications of process changes, new system implementations, and organizational restructurings.

• Strategic Business Partnership & Decision Support:

• Partner with Tax, Legal, FP&A, Treasury, and other cross-functional teams to assess the accounting implications of new products, commercial arrangements, strategic transactions, and business initiatives—early and proactively.

• Lead scenario planning and critical analysis to assess the financial implications of business initiatives and regulatory changes, surfacing risk and opportunity for senior leadership.

• Collaborate across finance and enterprise teams to align reporting with strategic objectives and organizational impact.

• Assist with preparation of the department’s annual budget and support other strategic financial initiatives as needed.

• Answer questions from departments and senior management with a courteous, solutions-oriented approach - resolving accounting and reporting issues thoughtfully and efficiently.

• Reporting Transformation, Systems & Analytics:

• Drive continuous improvement in reporting systems and processes by leveraging technology to enhance efficiency, scalability, and data integrity, fostering a culture of innovation, creative thinking, and proactive problem-solving.

• Oversee and enhance finance analytics capabilities within the Controller’s Office, developing dashboards, trend analyses, and management reporting packages that drive insight and decision-making.

• Partner with both the Finance Systems, Service, and Transformation team and Technology Digital Solutions (TDS) on financial systems projects, data integrity, and the transmission and validation of financial data.

• Leadership, Team Development & Communication:

• Inspire and develop a high-performing team of accounting and reporting professionals by articulating a compelling vision for the future of financial data, fostering a culture of accountability, curiosity, and collaboration.

• Use influence to build consensus and drive transformative outcomes - guiding staff on non-routine policy interpretations, complex transactions, and career development.

• Perform supervisory functions including interviewing, selecting, and training new staff; evaluating performance; hearing and resolving employee concerns; and taking appropriate personnel actions.

Education Qualifications

• Bachelor’s degree in in Accounting, Finance, or Business Administration required.

Experience Qualifications

• Eight (8) or more years of progressively responsible and directly related work experience, including previous management responsibility.

• Significant experience researching and documenting complex U.S. GAAP positions, including preparation of technical accounting memoranda.

• Prior experience in a complex healthcare organization, academic medical center, or non-profit entity strongly preferred.

• Public accounting experience (Big 4 or large regional firm) preferred.

Required Knowledge, Skills and Abilities

• Deep expertise in U.S. GAAP, including non-profit accounting standards (ASC 958, ASC 954), with strong working knowledge of revenue recognition (ASC 606), leases (ASC 842), investments, debt, and business combinations.

• Demonstrated ability to research, analyze, and clearly document conclusions on complex and non-routine accounting matters, and to translate those conclusions into actionable operational guidance.

• Exceptional written and verbal communication skills, including the ability to deliver financial storytelling that resonates across audiences.

• Ability to partner in the development and achievement of goals, vision, and strategic direction of the Controller’s Office and the broader finance function.

• Strong interpersonal and customer service skills; able to build trust and articulate complex guidance clearly and respectfully across all levels of the organization.

• Ability to drive a culture of proactive, integrated, high-quality financial analysis and to foster innovation and continuous improvement within the team.

• Health industry knowledge and context - understanding of a non-profit Academic Medical Center’s financial structure, mission, and accounting complexities.

• Demonstrated leadership skills to motivate cross-departmental performance, manage through influence, and develop future finance leaders.

• Proficient in Excel, PowerPoint, Word, and financial reporting systems; familiarity with ERP platforms (e.g., Workday).

• Knowledge of hospital information systems, including Epic.

• Experience pulling and joining large data sets and performing analysis using tools such as Tableau, Alteryx, Power BI and Power Automate.

Licenses and Certifications

• CPA - Certified Public Accountant

These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family’s perspective:

• Know Me: Anticipate my needs and status to deliver effective care

• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

• Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.