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

Posted 1/16/2024

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.


Wellspan Health

Posted 1/11/2023


Under the general supervision of the Senior Director-Reimbursement and Financial Analysis, is responsible for all cost reporting functions, preparation of monthly reserves entries, and analyses of other regulatory reports as assigned. Positively impacts the accuracy of Medicare and Medicaid cost report filings and the standardization of accounts receivable valuation and net revenue reporting using Crowe RCA. Contributes to ensuring the overall continued financial success of the System in the continuous pursuit of the fulfillment of its Mission.

Job Description:

Responsible for detailed preparation and submission of annual Medicare and Medicaid cost reports and various other regulatory filings that may be required on behalf of the System. Plans, prepare, and review monthly third-party settlement estimates and accounts receivable reserves. Serve as the Administrator and subject matter expert of Crowe RCA software to ensure standardization of accounts receivable and net revenue accounting. Manages cost report audits as well as external financial audits surrounding third-party settlements and accounts receivable hindsight analyses. Supports financial planning and budget process with development of annual net revenue budgets and assist with forecasting for net revenue projections. Keeps abreast of current regulatory guidelines and assist with development of reimbursement strategies to maximize revenue. Serve as a resource on reimbursement matters to hospital leaders on topics, including but not limited to 340B drug savings, graduate medical education, special designations and provider-based status reimbursement. Supervises and guides Reimbursement Analyst/ Accountant.

Required Qualifications:

Minimum Education:

  • Bachelor’s Degree Education Master’s Degree or CPA preferred

Minimum Experience:

  • 5 years in Healthcare/Finance field Experience in Medicaid, Medicare, Tricare cost reports
  • Experience with Net Revenue software(CROWE-Kodiak)
  • Previous Supervisory/Mgmt experience preferred
  • Strong collaboration/communication skills
  • Min Field Of Expertise Healthcare or Business Administration


Excellent communication, interpersonal, managerial and computer skills; Able to work well in a team environment as a member and/or leader; Able to accept responsibility; Thorough knowledge of relevant specialty areas; Analytical and logical approach to solving problems

Instructions for Resume Submission:

Please submit application in the link below:

Vascular Institute of Virginia

Posted 1/2/2024


The Vascular Institute of Virginia (VIV) is a multi-specialty practice with state-of-the-art locations in Woodbridge, VA, Fredericksburg, VA, Fairfax, VA, and a partner facility in Waldorf, Maryland. We provide treatments for many conditions including men’s and women’s health, vascular disease, kidney failure, and oncology. Our unique practice has multi-specialty Vascular & Interventional experts that provide a comprehensive plan of care. The vision for our organization is to provide world-class care for our patients in a convenient, outpatient setting. Our clinical expertise, knowledgeable staff, and team-driven work environment sets us apart from other healthcare providers and leads to both career enrichment and advancement opportunities for our employees. We currently have 80+ staff members between our three Virginia locations.

Position Summary:

Reporting to the Chief Operating Officer (COO), the Controller will be a key team member ensuring the provision of financial services to enable the Vascular Institute of Virginia and its related entities to achieve its operational and strategic goals. The Controller will assume primary day-to-day responsibility for planning, implementing, and managing all financial-related activities of the company. This encompasses establishing and maintaining appropriate accounting systems to provide complete, timely, and accurate financial information. The Controller will provide financial analysis to identify areas for revenue enhancement, cost reduction, and improved cash flow. The Controller will provide direct oversight of accounting, finance, budgeting, revenue cycle management, and productivity reporting. Communication skills must include the ability to provide advice and assistance to the Executive Team in analyzing and interpreting financial data and reports.

Essential Functions:

  1. Manages, plans, and organizes the financial operations including revenue management, reimbursement, resource allocation, budgeting and analysis, financial and statistical reporting, benchmarking, cost accounting, and others as designated.
  2. Improves efficiency and appropriate revenue recognition, lowers costs, eliminates waste, creates value, and promotes best practices through financial leadership and operational partnership.
  3. Recommends appropriate measures to respond to projected economic trends and/or regulatory changes. Interprets government regulations to assess the financial impact of regulations on the organization; communicates regulations to appropriate levels of management.
  4. Understands and ensures compliance with funding source rules and regulations relative to accounting and financial functions; possesses knowledge and experience with Generally Accepted Accounting Principles (GAAP) and Financial Accounting Standards Board (FASB) rules and regulations as they pertain to health care providers.
  5. Ensures compliance with: AAAHC accreditation requirements, government regulatory agency requirements, third-party reimbursement guidelines, VIV policies and procedures, and all Federal, State and Local Laws.
  6. Well versed in all aspects of financial management including: the monthly close process, financial statement preparation and reporting, financial analysis, accounts receivable, reimbursement, accounts payable, purchase orders payroll processing, employee expense reports, corporate credit cards and corporate payroll tax compliance.
  7. Coordinates and performs routine cash management.
  8. Coordinates with tax preparer to ensure compliance, accuracy, and timely completion of all business income tax returns.
  9. Assist in all phases of lender, banking, and insurance relationships.
  10. Ensures confidentiality and integrity of all proprietary information; ensures confidentiality and complies with organizational policies related to patient and family privacy.
  11. Develops and directs assigned personnel in the performance of their duties and responsibilities.
    • Assists with recruiting, hiring, orientating, and training new staff.
    • Continuously assesses employee performance, documenting significant achievements and/or deficiencies, and coaching or counseling, as appropriate, to maximize employee capabilities and performance.
    • Ensures the quality and timeliness of services provided by assigned personnel, by intervening as appropriate to adjust staffing or assignments, reorganize priorities or resolves operational issues.
    • Routinely provides appreciation, support, and recognition, and celebrates accomplishments to encourage the staff and provide a friendly working environment.
  12. Effectively Communicates, coordinates and/or collaborates with Executive Management, other management and staff, physicians, peers, outside officials, vendors, and consultants ensuring that actions/communications are clear, accurate and timely, and that goodwill is maintained.:
    • Promotes relationships of mutual trust, cooperation, and respect through example.
    • Dedicated to improving Patient, Physician and Employee Satisfaction.
  13. Performs miscellaneous duties, as needed.
    • Performs special projects as requested.
    • Participates in other support activities such as disaster plan and other emergency situations which require stand-by and re-call at times

Required Qualifications:

  • Minimum of 8 years of relevant experience in health care financial leadership experience.
  • Minimum of 3 years of supervisory experience.
  • Demonstrated competency in accounting/finance processes and software packages including QuickBooks, Payroll systems, and Word Processing. Strong mastery of excel; proficient with MS software; and advanced skills for database applications required.
  • Experience with third-party reimbursement and health information management.
  • Commitment to excellence and high standards.
  • Excellent written and oral communication skills.
  • Strong organizational, problem-solving, and analytical skills. Acute attention to detail.
  • Good judgment with the ability to make timely and sound decisions.
  • Strong communication skills (verbal/written).
  • Ability to work and present analysis and recommendations to executive leadership, as needed.

Education Qualifications:

  • Bachelor’s degree in accounting, finance or related fields is required.
  • Master’s degree or post graduate certification (CPA, MBA, etc.) preferred.

Compensation/ Benefits:

VIV offers a comprehensive benefits package including medical (3 different deductible/premium options with one being 100% company paid for employee+any dependents), dental, vision, short term disability, long term disability, critical illness, FSA/HSA, and company paid AD&D, Employee Assistance Program, and life insurance (with the ability to purchase additional life insurance). VIV also offers unlimited PTO for all management positions as well as 6 paid company holidays and 3 floating holidays. Compensation is dependent on experience but will be around the $150,000 range.

Instructions for Resume Submission:

To be considered for this position, please submit a resume to Samantha Roberts, Human Resources Manager, at [email protected] with “Controller” in the email subject line. Cover letter is optional.

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