Manager, Financial Accounting – Community Health Controller

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 Manager of Financial Accounting to provide operational financial leadership for a multi-hospital community health organization within a large academic health system.

This position will serve as an operational backfill for an existing finance leader transitioning full-time to the organization’s Workday deployment. Although positioned at the Manager level, this individual will operate in a controller-type capacity supporting a consortium of three hospitals.

The successful candidate will bring a strong general accounting foundation combined with hands-on hospital financial operations experience. Prior hospital or health-system accounting experience is required.

What You Will Do:

• Provide controller-level accounting and financial operations support for a three-hospital organization.
• Oversee day-to-day general accounting activities.
• Coordinate monthly, quarterly, and annual financial close processes.
• Maintain the accuracy and integrity of general ledger activity.
• Review account reconciliations, journal entries, accruals, and supporting financial schedules.
• Support the preparation and analysis of financial statements and management reports.
• Investigate financial variances, unusual activity, and accounting discrepancies.
• Maintain appropriate accounting policies, procedures, and internal controls.
• Coordinate accounting activities across multiple hospitals and entities.
• Partner with hospital finance and operational leaders to resolve accounting and financial issues.
• Support audit requests and financial documentation requirements.
• Work across accounting and operational finance functions as needed.
• Identify opportunities to improve financial processes, consistency, controls, and efficiency.
• Maintain continuity of financial operations while existing leadership supports the Workday deployment.
• Work effectively within the organization’s current PeopleSoft financial environment.

You Will Be Successful If:

• You can independently manage multiple priorities and deadlines in a complex healthcare environment.
• You are comfortable operating across multiple hospitals, facilities, or entities.
• You can move effectively between detailed accounting activities and higher-level financial operations.
• You have strong analytical and financial problem-solving capabilities.
• You can partner effectively with hospital financial and operational leadership.
• You communicate clearly and professionally, both verbally and in writing.
• You have direct experience overseeing hospital close, general ledger integrity, financial reporting, internal controls, and multi-entity operations.
• You can maintain stable financial operations during an ERP implementation or enterprise transformation.

What You Will Bring:

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related discipline.
• Progressive general accounting and financial operations experience.
• Prior accounting experience within a hospital or health system.
• Previous experience as an Accounting Manager, Hospital Controller, Assistant Controller, Controller, or in a comparable role.
• Strong knowledge of general ledger accounting, financial close, account reconciliations, financial reporting, and internal controls.
• CPA, CPA-eligible status, or a comparable accounting background is preferred.
• PeopleSoft financial experience is preferred.
• Previous Hospital Controller or Assistant Controller experience is preferred.
• Multi-hospital or multi-entity accounting experience is preferred.
• Experience supporting community hospitals within a larger integrated health system is preferred.
• Experience maintaining financial operations during an ERP implementation or 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 is, and has always been, simple. First, think and act like the customers who need us. 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!