1

Acfo Jobs (NOW HIRING)

Accountant

Denver, CO · On-site +1

$106K - $158K/yr

Position(s) are to be filled in following area(s): CFO Chief Financial Officer, Deputy CFO, Senior ACFO Financial Management, ACFO Corporate Accounting, Financial Reporting Analysis REVIEW THE ...

Position(s) are to be filled in following area(s): CFO Chief Financial Officer, Deputy CFO, Senior ACFO Financial Management, ACFO Corporate Accounting, Financial Reporting Analysis REVIEW THE ...

Accountant

Orlando, FL · On-site

$106K/yr

Position(s) are to be filled in following area(s): CFO Chief Financial Officer, Deputy CFO, Senior ACFO Financial Management, ACFO Corporate Accounting, Financial Reporting Analysis REVIEW THE ...

Accountant

Denver, CO · On-site

$106K/yr

Position(s) are to be filled in following area(s): CFO Chief Financial Officer, Deputy CFO, Senior ACFO Financial Management, ACFO Corporate Accounting, Financial Reporting Analysis REVIEW THE ...

Accountant

Washington, DC · On-site

$106K/yr

Position(s) are to be filled in following area(s): CFO Chief Financial Officer, Deputy CFO, Senior ACFO Financial Management, ACFO Corporate Accounting, Financial Reporting Analysis REVIEW THE ...

Position(s) are to be filled in following area(s): CFO Chief Financial Officer, Deputy CFO, Senior ACFO Financial Management, ACFO Corporate Accounting, Financial Reporting Analysis REVIEW THE ...

next page

Showing results 1-20

Acfo information

See salary details

$5

$15

$19

How much do acfo jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for acfo in the United States is $15.35, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $16.35 per hour, depending on experience, location, and employer.

What is the difference between Acfo vs CPA?

AspectAcfoCPA
CredentialsTypically requires an advanced degree in finance or accounting, with some certifications like CMA or CFARequires passing the CPA exam, state licensure, and often a degree in accounting
Work EnvironmentOften in corporate finance, strategic planning, or executive roles within companiesPrimarily in public accounting firms, auditing, tax preparation, or consulting
Industry UsageCommon in corporate finance, banking, and large organizationsWidely used in accounting firms, government agencies, and small to medium businesses

While both Acfo and CPA professionals work in finance and accounting, Acfo typically refers to a Chief Financial Officer or senior financial executive, often with broader strategic responsibilities. CPA is a certification for accountants focusing on auditing, tax, and accounting services. The choice depends on career focus: strategic leadership versus technical accounting expertise.

What are the key skills and qualifications needed to thrive as an Assistant Chief Financial Officer (ACFO), and why are they important?

To thrive as an Assistant Chief Financial Officer, you need expertise in financial management, accounting principles, and strategic planning, typically supported by a bachelor’s or master’s degree in finance or accounting and relevant certifications such as CPA or CMA. Familiarity with financial reporting systems, ERP software like SAP or Oracle, and advanced Excel skills are commonly required. Strong leadership, analytical thinking, and communication skills help manage teams and convey complex financial information to stakeholders. These skills ensure accurate financial oversight, effective decision-making, and compliance with regulations, which are critical for organizational success.

What are some typical challenges an Assistant Chief Financial Officer (ACFO) faces when supporting organizational financial strategy?

An Assistant Chief Financial Officer (ACFO) often navigates challenges such as balancing short-term financial pressures with long-term strategic goals, ensuring regulatory compliance, and managing cross-departmental communication. ACFOs are regularly tasked with implementing new financial systems or processes, which can require change management and stakeholder buy-in. They also play a pivotal role in mentoring finance team members and collaborating with operational leaders to align budgets with organizational priorities.

What are ACFOs?

ACFO stands for Assistant Chief Financial Officer. An ACFO is a senior financial executive responsible for supporting the chief financial officer (CFO) in managing an organization’s financial operations, including budgeting, financial planning, reporting, and compliance. They play a key role in strategic decision-making and often oversee various finance teams. ACFOs are found in both public and private sector organizations, and their responsibilities may vary depending on the size and complexity of the organization. They often step in for the CFO when necessary and ensure financial best practices are followed across the company.
More about Acfo jobs
What states have the most Acfo jobs? States with the most job openings for Acfo jobs include:
Infographic showing various Acfo job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 75% Physical, and 25% Remote job distribution, with an average salary of $31,919 per year, or $15.3 per hour.
ACFO Urgent Care Operations

ACFO Urgent Care Operations

HCA Healthcare

Brentwood, TN

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday


HCA Healthcare rating

6.4

Company rating: 6.4 out of 10

Based on 2,190 frontline employees who took The Breakroom Quiz

632nd of 870 rated healthcare providers


Job description

This position is incentive eligible.
Introduction

Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for an Assistant Chief Financial Officer of Urgent Care Operations for our Urgent Care Atlantic Group, where excellence creates excellence.  This position will base in Brentwood, TN.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Assistant Chief Financial Officer of Urgent Care Operations role today!

Job Summary and Qualifications

The Urgent Care Assistant Chief Financial Officer (ACFO) provides executive leadership by directing the overall financial operations of a portfolio of clinics within the Urgent Care Service Line. The ACFO works under the direction of the operations executive leading the portfolio of clinics and in alignment with the Urgent Care Service Line CFO. The ACFO plans, organizes, directs, controls and evaluates the financial resources, systems and assets required to meet the business objectives of the service line. 

 DUTIES INCLUDE BUT NOT LIMITED TO: 

• Provides overall financial leadership and direction for a portfolio of urgent care clinics for the divisions that make up the Atlantic Group

• Support the leadership team in achieving strategic and financial goals, proactively identify and implement required systems and processes to support rapid business growth while managing stakeholder engagement, driving planning, procurement and implementation of systems to support the business 

• Oversees all strategic and tactical initiatives relating to budget management, cost analysis and forecasting while institutionalizing a metrics-based culture, transparency and business clarity across all functions of the business 

• Engages and manages shared services departments to support objectives of the business unit including but not limited to: accounting, financial reporting, payor contracting, information technology and revenue cycle management 

• Monitors, interprets and analyzes financial performance, benchmarks “best practices” and supports team to execute established plans and objectives for business unit 

• Prepares and presents monthly operating reviews and reports to key stakeholders 

• Builds strategic alliances internally and outside the organization to create business opportunities and support the execution of business strategies 

• Focuses on identifying and subsequently partnering with operational leadership to increase revenues and mitigate operational expenses based on knowledge of market trends and analysis of financial and operational information 

• Ensure timeliness, accuracy and completeness of financial reports to meet specified deadlines. • Assist with internal compliance audits as required. 

 KNOWLEDGE, SKILLS AND ABILITIES: 

• In depth knowledge of healthcare financial administration, Generally Accepted Accounting Principles, state and federal guidelines, regulations and standards 

• Understanding of certain accounting functions including healthcare revenue recognition, multi-entity consolidations, balance sheet reconciliations, month end / year end closing processes, budgeting, forecasting, payroll and until level reporting 

• Expertise in negotiation, strategic planning, leading change management, business skills and financial acumen 

• Project Management: Skilled in project planning, task prioritization, effectively manages resources, outcomes measurement, and tracking. Takes initiative and exercises good judgment. 

• Effective problem-solving skills to include data analysis and judgment to make effective decisions • High Impact Communication - Effective oral and written communication skills 

• Effective change leadership knowledge and skills 

• PC Skills – Proficient in Microsoft Office applications and others as required, specifically excel and other financial reporting tools 

• Maintains high level of confidentiality at all times. 

• Ability to build trust and gain respect through effective team leadership and participation skills. 

• Ability to work under minimal direct supervision but maintain a high degree of communication of current work activity with supervisors. 

EDUCATION

  • Bachelor’s Degree Required
  • Masters Degree Preferred

EXPERIENCE

  • Minimum 5-years relevant experience. 
  • Experience in healthcare necessary
  • Experience in Urgent Care or Ambulatory Care setting highly preferred 

CERTIFICATION/LICENSE: 

  • CPA preferred

As the largest and fastest growing provider of urgent care in Florida, MD Now© urgent care is seeking bright, talented individuals who share in our commitment to making a positive difference for patients in our communities. MD Now urgent care's physician-led team of healthcare professionals provides high-quality healthcare through a comprehensive lineup of urgent care and occupational health services during convenient hours. MD Now is owned and operated by HCA Healthcare, one of the nation's leading providers of healthcare services, comprised of 183 hospitals and more than 2,300 sites of care, in 20 states and the United Kingdom. Our more than 283,000 HCA colleagues are connected by a single purpose - to give patients healthier tomorrows. MD Now urgent care is proud to be affiliated with HCA Florida Healthcare, the state's largest provider of healthcare services, which allows us to access expertise across many medical specialties beyond the patient's urgent care visit, should they need it. If you're passionate about providing compassionate, high-quality care, growing your career within a company with a large support network and vast growth possibilities, and have an enthusiastic, collaborative spirit, we'd love to meet you!

HCA Healthcare has been recognized as one of the World's Most Ethical Companies© by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as an ACFO Urgent Care Operations. Unlock your leadership potential with HCA Healthcare.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

#LI-exec

#PSGLeadership 


What HCA Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom