Manager Financial Accounting - Budget

Houston Methodist • Texas, United States • Full Time

Posted on Sat, Oct 3, 2026

At Houston Methodist, the Manager Financial Accounting position is responsible for the coordination and preparation of the monthly consolidated financial statements for Houston Methodist (HM) and its corporations. This position is responsible for the timely and accurate review of journal entries, general ledger analysis, analytical review of account balances, maintenance of the fixed asset subsidiary system, financial statement trends and budget variance analysis. Coordinates and consolidates annual budget as assigned. May also perform general review and filing of tax returns and medicare cost reports. Also responsible for internal and external reporting. Interacts regularly across the system with operational department management, entity executives and external parties, including financial auditors, Medicare auditors, Internal Revenue Service (IRS) auditors, Federal Emergency Management Agency (FEMA) and Texas Division of Emergency Management (TDEM) personnel.
The manager position responsibilities include managing the daily work activities of the work unit/department staff, ensuring quality, productivity, functional excellence and efficiency while assisting management in accomplishing strategic and operational objectives. In addition, this position provides guidance to staff and is responsible for staffing, budget compliance, contributing to staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and assisting in the development and implementation of policies and procedures to ensure a safe and effective work environment. This position also implements training, monitoring and operations initiatives that secure compliance with ethical and legal business practices and accreditation/regulatory/ government regulations.

FLSA STATUS
Exempt
QUALIFICATIONS
EDUCATION

Bachelor’s degree in accounting, finance or related field

EXPERIENCE

Five years of experience in accounting, of which one year must have been in a people management role; for internal employees, four years of experience in accounting with HM performance that demonstrates leadership responsibility

LICENSES AND CERTIFICATIONS
Preferred

CPA - Certified Public Accountant - State Licensure

SKILLS AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate through a variety of channels with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles; engages the recipient(s) and helps them understand and retain the message
Demonstrates the ability to interact with others in a way that gives them confidence in one’s intentions and those of the organization
Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations and individuals involved
Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
Ability to work effectively in a fast paced environment
Demonstrates flexibility and adaptability in the workplace
Thorough understanding of the system of internal control and general ledger interfaces and ability to trouble shoot issues
Strong knowledge of general software applications
Knowledge of generally accepted accounting principles
Advanced knowledge of hospital operations and systems
Strong accuracy, attention to detail and time management skills
Strong knowledge of general ledger applications
Proficient in personal computer based spreadsheet and software applications
Excellent oral and written communication skills and ability to communicate with all levels of the organization
Strong analytical and research skills
Strong project management skills

ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS

Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Meets or exceeds threshold goal for department turnover. Develops direct reports to perform these same functions.
Provides fair and consistent leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
Facilitates and promotes effective team dynamics and teambuilding strategies within and between departments; participates and/or leads and facilitates department process improvements as needed.
Meets or exceeds threshold goal for department and/or system metrics on employee engagement indicators.
Participates in meetings with hospital and entity executives and provides input to financial results discussions.

SERVICE ESSENTIAL FUNCTIONS

Plans and organizes day-to-day department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.
Performs one or more of the following as assigned: • Ensures accurate financial and consolidated financial statements free of audit adjustments. • Ensures accurate annual budget statement. • Prepares executive and HM Board actual or budget presentations.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines, including infection control principles. Monitors and confirms staff maintain their required credentials that demonstrate competency per accrediting agency or department guidelines as applicable.
Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions.
Employs a proactive approach in the optimization of safe outcomes by monitoring and improving the department workflow, using peer-to-peer accountability, reporting accidents, near misses, and/or adverse events immediately per department protocol and identifying solutions via collaboration. Adopts lean principles in driving process improvements. Role models situational awareness, using teachable moments to improve safety.
Monitors self and employee compliance with policies, procedures, and System HR Standards of Practice and performs associated actions upon non-compliance (i.e., focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
Ensures accurate balances for monthly and year-end closings through ongoing review and analysis of general ledger accounts.
Ensures the timely and accurate processing of one or more of the following: • Capital invoices into the fixed asset subsidiary systems for appropriate useful life, receiving timely notification of completed projects, reviewing the roll forward of property, plant and equipment and ensuring timely payment of advalorem taxes. • Timely and accurately filing of annual and quarterly tax returns and deposits. • Leads the coordination and completion of various surveys.
Researches governmental regulations including Financial Accounting Standards Board (FASB), IRS, Centers for Medicare and Medicaid Services (CMS), Health and Human Services (HHS), FEMA rules to resolve complex issues

FINANCE ESSENTIAL FUNCTIONS

Assists in the development of department budget and ensures that the department operates in a cost effective manner. Manages/audits department expenses within approved budget parameters, ensuring that the department meets the budgeted/flex revenue and/or expense targets on a monthly and annual basis. Develops staffing plans and schedules to meet department/patient needs that reflect understanding of the importance of cost-effectiveness.
Implements department strategies to achieve financial target and staffing needs, developing others to do the same, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
Ensures account reconciliations adhere to internal deadlines and monitors internal and external compliance with general ledger closing schedule.
Updates and reviews interim cash reconciliation procedures and ensures timely clearance of reconciliation items according to policy.
Supports the coordination of external audits and review of audit schedules to ensure optimal efficiency.
Performs timely and accurate hospital Medicare cost report filing and serves as subject matter expert of certain Medicare reimbursement area.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

Identifies and implements innovative solutions for practice or workflow changes to improve department operations or other department-specific measures by leading unit projects and/or other department/system directed/shared governance activities. Supports change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures.
Proactively evaluates processes; recommends and implements action plan(s) for change; follows through to ensure effective, sustainable change. Participates in the development and implementation of new procedures and the review and revision of existing procedures.
Identifies opportunities and takes action to build strategic relationships between one’s area and other areas, teams, departments, and units to achieve business goals.
Seeks opportunities to identify developmental needs of self and staff and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates My Development Plan (MDP) on an on-going basis. Conducts conversations with staff on their development.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

Uniform: No
Scrubs: No
Business professional: Yes
Other (department approved): No

ON-CALL*

*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.

On Call* No

TRAVEL**

**Travel specifications may vary by department**

May require travel within the Houston Metropolitan area Yes
May require travel outside Houston Metropolitan area Yes

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 $100,000–$135,000 per year (median ~$118,000). This is an AuditFriendly estimate, not an employer-provided figure.

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