Northern New England Job Bank

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Chief Accounting Officer (CAO)
Spartanburg Regional Healthcare System
Spartanburg, SC

Posted 1/18/2024

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Position Summary:

The Chief Accounting Officer (CAO) is a key financial leader, change agent, and close partner to the Chief Financial Officer (CFO) of Spartanburg Regional Healthcare System (SRHS). The CAO will be responsible for the vision, leadership, strategic direction, and performance of the accounting and treasury functions. The CAO will oversee the design and execution of the financial reporting, regulatory reporting, corporate accounting, tax, payroll, and accounts payable. CAO is responsible for development and implementation of related systems, controls, procedures, and policies for all SRHS business units and related corporations. The CAO will lead accounting policy and ensure compliance with U.S. Generally Accepted Accounting Principles (GAAP), the National Association of Insurance Commissioners’ Statutory Accounting Principles and other applicable rules and laws and will report on and review financial results with SRHS senior leadership. This leader will be responsible for leading a strong operational and business partner-oriented organization and will oversee all accounting data to support management decision-making, ensuring data is accurate and consistent. SRHS seeks a seasoned, hands-on finance executive with the ability to effectively lead and mentor accounting staff. The CAO will work closely with other finance leaders, external and internal auditors, internal customers of finance, and the audit team to develop and implement plans to achieve strong performance in all accounting functions.

Direct reports – Approximately 35 Employees, including an accounting leadership team of two supervisors, two managers, and two directors. The Accounting team includes general accounting, treasury, and net revenue analysts, as well as Payroll and Accounts Payable personnel.

Other key relationships: Executive Management Team Finance, Reimbursement, and Physician Compensation departments Senior Business Leaders External Auditors

Key Responsibilities:

Vision & Strategy Set the strategic direction for the development and deployment of financial and reporting processes that ensure compliance and rigor with U.S. GAAP, Statutory Accounting Principles, and any other local accounting standards and the regulatory environment, thereby mitigating risk for the system. Accounting & Controls Direct and oversee the development, deployment, and implementation of all company accounting methods, procedures, and practices to safeguard the enterprise’s assets and properly reflect its financial results. Be accountable for the accurate and timely interpretation of U.S. GAAP and the accurate incorporation of such interpretations into the company’s financial records. Oversee and control the general accounting activities for the enterprise, including recording company transactions, classifications, and reconciliation of account balances in accordance with U.S. GAAP, Statutory Accounting Principles and company policies. Accounting Operations Oversight of the Payroll and Accounts Payable areas, ensuring that all payroll related, trade payables, and other liabilities are paid accurately, on time, and in compliance with policies and procedures and any appropriate governmental regulations. Oversee the development and maintenance of appropriate internal controls related to accounts payable, payroll, fixed assets, and other disbursement transactions. Ensure applicable payroll and n-payroll tax reporting is handled timely as required by government regulations. Treasury Direct Cash Management and forecasting for SRHS. Ensure internal controls over the approval of wire transfers and other cash transactions. Plan and implement cash and investment policies to ensure the maximization of interest and investment gains. Oversight of the policies and procedures related to Investment Portfolio management. Audit Oversee and be accountable for planning and executing several annual audits for the enterprise, utilizing an external public accounting firm. Function as the enterprise subject matter expert and principal point of interpretation on all matters resulting from dealings with external accountants and auditors. Financial Reporting Be accountable for regulatory financial reporting. Accounting Policy Oversee and direct accounting questions and judgments for the enterprise; direct and control all accounting policies.

Candidate Profile:

The successful candidate will be an experienced, hands-on accounting executive with the excellent technical skills, business acumen and leadership capability to lead the accounting and treasury functions in a critical, high-visibility role. This person will have the agility, resourcefulness, multi-tasking ability and thoughtful presence to drive change and operate effectively across SRHS. This executive should have extremely strong reporting and accounting skills, exhibit a proven team leadership skillset, and be viewed as capable of supporting the continued growth of SRHS.

Minimum Requirements Education:

  • Bachelor’s Degree in Accounting or related field Experience
  • 15+ years of progressive accounting experience in a healthcare system or healthcare auditing firm.


  • CPA Preferred Requirements Preferred Experience
  • MBA or Master’s in Accountancy
  • 5+ years leading the accounting and treasury functions in a large healthcare system.


Mt Ascutney Hospital and Health Center
Windsor VT

Posted 1/3/2024

Position Description:

Work where every person matters. Every day, over 500 Mt. Ascutney Hospital and Health Center (MAHHC) colleagues come to work with one thing in common: improve the lives of those we serve. We invite you to become part of Vermont’s most engaged and well-run hospitals.

The Controller enjoys a varied scope of responsibilities with a wide array of stakeholders, often bridging the divide between clinical and financial worlds. This exciting and fulfilling role opens up the world of not-for –profit healthcare and a world where your contributions matter.

Enjoy an array of benefits at MAHHC including:

  • Competitive pay
  • Generous Earned Time Off policy (starting at 5 weeks)
  • Health, dental, life, and other supplementary insurance
  • 403(b) retirement plan – including employer contributions and matching contributions
  • Career development and educational reimbursement program
  • And many more!


  • Establishes and maintains an accounting system to meet hospital’s needs and provides complete and accurate records of hospital assets, liabilities, and financial transactions.
  • Assists in the preparation of the hospital’s budget, including documentation and narratives for the hospital’s yearly budget package.
  • Prepares budget variance analyses on general budget issues.
  • Analyzes the monthly revenue and expense reports and prepares a statement of budget versus actual variance.
  • Maintains departmental reports and records and collects statistical data for administrative and regulatory purposes.
  • Provides analysis of hospital income, expenditures, and capital asset values with comparisons to previous periods.
  • Makes recommendations concerning methods of reducing operating costs and increasing income.
  • Supervises, coordinates, and leads accounting staff, including but not limited to accounts receivable, accounts payable, payroll, grants, and general bookkeeping.
  • Maintains hospital’s investment program and performs duties relative to bonding programs.
  • Assembles necessary materials for regular audits and works with auditors.
  • Maintains adequate controls on financial process to ensure highest degree of financial integrity.
  • Participates in administrative staff meetings, attends meetings as assigned, and performs other related duties as requested.
  • Maintain confidentiality.


Associate Director
Montpelier, Vermont

Posted 9/29/2023

Position Description:

VPQHC is searching for a Director of Finance. Recently recognized as Vermont’s Community Star, VPQHC is a local nonprofit on a mission to improve the quality of healthcare for Vermonters. The Director of Finance is a full-time, senior-level position, and is an integral part of the team, managing the financial operations of the organization, and ensuring VPQHC’s financial health and sustainability. The position comes with excellent benefits, a flexible schedule, and hybrid work options. Learn more and apply:

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