Director of Financial Accounting
Impresiv Health • Remote • Contractor
Posted on Mon, Sep 7, 2026
Engagement: Long-Term Contract
Location: Remote
Anticipated Term: September 1, 2026 – March 31, 2028
Schedule: Full-Time
Industry: Hospital / Health System
Current ERP: PeopleSoft
Description:
Impresiv Health is seeking an experienced Director of Financial Accounting to support a large academic health system during a major enterprise transformation.
In this operational backfill role, you will assume key responsibilities currently held by a Director of Financial Accounting, allowing existing finance leadership to focus full-time on the organization’s Workday deployment.
This hands-on leadership position is responsible for people management and financial accounting operations. You will maintain continuity across financial close, reporting, internal controls, technical accounting, and daily accounting activities.
The successful candidate must have previous financial accounting experience within a hospital or health system and be prepared to quickly assume responsibility within a large, complex finance organization.
What You Will Do:
- Lead and oversee day-to-day financial accounting operations.
- Manage, mentor, and develop accounting team members and associated workflows.
- Oversee monthly, quarterly, and annual financial close activities.
- Maintain the accuracy, integrity, and timeliness of financial reporting.
- Oversee general ledger accounting, account reconciliations, journal entries, accruals, and related accounting activities.
- Maintain and strengthen internal controls and accounting procedures.
- Research and resolve complex accounting and financial issues.
- Apply technical accounting expertise to transactions, reporting matters, and operational challenges.
- Partner with finance and operational leaders to develop practical solutions to financial accounting issues.
- Support audit activities and financial documentation requirements.
- Maintain effective accounting processes and identify opportunities to improve efficiency, consistency, and control.
- Provide leadership continuity while existing finance leaders support the Workday implementation.
- Work effectively within the organization’s current PeopleSoft financial environment.
You Will Be Successful If:
- You can quickly establish credibility with finance, operational, and executive stakeholders.
- You are comfortable stepping into an established finance organization and taking ownership of critical accounting functions.
- You can lead an existing team while minimizing disruption to daily operations.
- You combine strong technical accounting expertise with exceptional people leadership.
- You can independently identify issues, evaluate alternatives, and implement practical solutions.
- You can maintain the accuracy and timeliness of financial operations during a major enterprise transformation.
- You thrive in a large, complex hospital or health-system environment.
What You Will Bring:
- A bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
- Significant progressive financial accounting experience, including leadership at the Director, Controller, Assistant Controller, or comparable level.
- Previous financial accounting experience within a hospital or health system. This is required.
- Demonstrated responsibility for financial close and financial reporting.
- Strong knowledge of GAAP, internal controls, general ledger accounting, and financial accounting processes.
- Experience managing and developing accounting professionals.
- Strong technical accounting and problem-solving capabilities.
- Demonstrated ability to identify issues, evaluate alternatives, and develop practical solutions.
- Excellent interpersonal, communication, and leadership skills.
- The ability to assume responsibility for an established operation with limited disruption.
- CPA certification is preferred.
- PeopleSoft Financials experience is preferred.
- Experience within a large integrated health system or academic medical center is preferred.
- Previous Controller or Assistant Controller experience within a hospital or health system is preferred.
- Experience maintaining financial operations during an ERP implementation or another major enterprise transformation is preferred.
About Impresiv Health:
Impresiv Health is a healthcare consulting partner specializing in clinical and operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.
Our approach has always been simple: think and act like the customers who need us and, most importantly, deliver what larger organizations cannot: tangible results that add immediate value at a rate that cannot be beaten. Your success matters, and we know it.
That’s Impresiv!
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 $145,000–$199,000 per year (median ~$166,000). This is an AuditFriendly estimate, not an employer-provided figure.
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