Chief Accounting Officer

Vice President, Chief Accounting Officer

Executive Leadership $10B+ Integrated Health System Confidential Search

About the Organization:

A nationally recognized not-for-profit healthcare system serving millions of patients across a large, integrated network of hospitals, clinics, and care services. With a century-long legacy, over 50,000 employees, and thousands of affiliated physicians, this system is committed to delivering exceptional patient care, advancing innovation, and maintaining financial strength to support its mission.

The Opportunity:

A highly visible executive leadership position is available for an experienced Vice President, Chief Accounting Officer (CAO). Reporting directly to the Senior Vice President and Chief Financial Officer, the CAO will lead all aspects of financial reporting, audits, regulatory compliance, tax functions, and serve as the primary liaison with external audit partners. This role interfaces regularly with executive leadership, board committees, and physician leadership, playing a critical role in ensuring financial integrity, transparency, and long-term financial sustainability for a multi-billion-dollar integrated healthcare system.

Key Responsibilities:

• Lead enterprise-wide financial reporting, audits, regulatory compliance, and tax operations.
• Serve as primary management contact for external auditors and Board audit committees.
• Ensure the accuracy, transparency, and compliance of all financial statements under U.S. GAAP specific to not-for-profit healthcare.
• Collaborate with executive and physician leadership on financial strategy and operations.
• Develop, mentor, and lead high-performing financial and accounting teams.
• Continuously improve financial processes, controls, and reporting systems to support growth and operational excellence.

Qualifications:

• Bachelor’s degree in Accounting, Finance, or related field required; active CPA license strongly preferred.
• 20+ years of progressive financial leadership experience, preferably within large not-for-profit healthcare systems or advisory firms supporting complex healthcare organizations with annual revenues of $10B+.
• Experience with large audit and consulting experience a plus.
• Extensive expertise in healthcare finance, reimbursement, capitation, and multi-entity healthcare structures.
• Proven ability to lead financial reporting, budgeting, forecasting, organizational development, and board-level financial reporting.
• Strong track record of executive leadership, talent development, and change management.
• Deep understanding of healthcare industry regulations, reimbursement models, and evolving market dynamics.

Key Advantages of This Role:

• Join a financially healthy organization that is growing and thriving in this complex financial environment.
• Executive-level leadership position within a large, financially stable, mission-driven healthcare system.
• Direct collaboration with senior executives, physician leadership, and board committees.
• Opportunity to lead transformative financial operations in one of the nation's most complex healthcare environments.
• Competitive executive compensation package with full benefits.

Confidential Inquiries Welcome

Interested candidates are encouraged to apply to explore this unique executive leadership opportunity.

For prompt and confidential consideration, please apply to the link below:

Click here to apply online