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Acfo Hospital Jobs in Virginia (NOW HIRING)

Controller

Salem, VA · On-site

$96K - $153K/yr

Also ensures Hospital is compliant with all areas of HCA Sarbanes Oxley 404 requirements. Ensures ... Assists with and helps coordinate with CFO/ACFO on the budget preparation. Ensures timely ...

Controller

Richmond, VA · On-site

$110K - $176K/yr

... hospital management. * Facilitates completion of budgets, cost report workpapers, and ad hoc reports under the direction of the ACFO/CFO. * Prepares and coordinates internal and external audits.

Controller

Richmond, VA · On-site

$110K - $176K/yr

... hospital management. Facilitates completion of budgets, cost report workpapers, and ad hoc reports under the direction of the ACFO/CFO. Prepares and coordinates internal and external audits.

Controller

Mechanicsville, VA · On-site

$110K - $176K/yr

... hospital management. * Facilitates completion of budgets, cost report workpapers, and ad hoc reports under the direction of the ACFO/CFO. * Prepares and coordinates internal and external audits.

Controller

Tuckahoe, VA · On-site

$110K - $176K/yr

... hospital management. * Facilitates completion of budgets, cost report workpapers, and ad hoc reports under the direction of the ACFO/CFO. * Prepares and coordinates internal and external audits.

Controller

Tuckahoe, VA · On-site

$110K - $176K/yr

... hospital management. Facilitates completion of budgets, cost report workpapers, and ad hoc reports under the direction of the ACFO/CFO. Prepares and coordinates internal and external audits.

Controller

Mechanicsville, VA · On-site

$110K - $176K/yr

... hospital management. Facilitates completion of budgets, cost report workpapers, and ad hoc reports under the direction of the ACFO/CFO. Prepares and coordinates internal and external audits.

Acfo Hospital information

What does an ACFO do in a hospital?

An ACFO, or Assistant Chief Financial Officer, in a hospital is responsible for assisting the CFO in managing the hospital's financial operations. This includes overseeing budgeting, financial planning, accounting, and reporting processes. The ACFO helps ensure the hospital remains financially healthy by analyzing financial data, implementing cost-saving initiatives, and ensuring compliance with healthcare regulations. They often collaborate with department heads to align financial goals with the hospital's mission and patient care objectives.

What are some common challenges an ACFO faces when managing hospital finances, and how can they be effectively addressed?

An ACFO (Assistant Chief Financial Officer) in a hospital often encounters challenges such as balancing cost control with the need to maintain high-quality patient care, navigating complex regulations, and managing diverse revenue streams. Effective solutions include fostering strong collaboration with clinical and administrative leaders, implementing robust financial reporting systems, and staying updated on healthcare compliance requirements. Leveraging data analytics to identify cost-saving opportunities while supporting essential services can also help ACFOs succeed in this dynamic environment.

What are the key skills and qualifications needed to thrive as an assistant chief financial officer (ACFO) in a hospital, and why are they important?

To excel as an ACFO in a hospital, you need strong financial management skills, a background in accounting or finance (often with a CPA or MBA), and experience in healthcare finance. Familiarity with hospital budgeting systems, financial reporting software, and regulatory compliance tools is typically required. Outstanding analytical thinking, leadership, and communication skills help drive financial strategies and support collaboration with clinical and administrative teams. These competencies ensure effective financial oversight, regulatory compliance, and the fiscal health of the healthcare organization.

What is the difference between Acfo Hospital vs Medical Director?

AspectAcfo HospitalMedical Director
CredentialsMedical degree, hospital administration experience, relevant certificationsMedical degree, board certification in specialty, leadership experience
Work EnvironmentHospital administration, operational oversightClinical oversight, medical staff management
Employer & Industry UsageHospitals, healthcare organizationsHospitals, clinics, healthcare systems

While both roles are integral to hospital operations, the Acfo Hospital focuses on administrative and operational management, whereas the Medical Director emphasizes clinical leadership and medical oversight. Understanding these differences helps in choosing the right career path or hiring focus within healthcare institutions.

What are popular job titles related to Acfo Hospital jobs in Virginia?

For Acfo Hospital jobs in Virginia, the most frequently searched job titles are:

Infographic showing various Acfo Hospital job openings in Virginia as of August 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 70% Full Time, 18% Part Time, and 8% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Assistant Chief Financial Officer

Reston, VA • On-site

Reston Hospital Center
Health Care and Social Assistance • 1 - 5K employees

$127K - $203K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago


Job description

This position is incentive eligible.
Salary Estimate: $127129.60 - $203403.20 / year
Learn more about the benefits offered for this job.

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

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 for our Reston Hospital Center team where excellence creates excellence.

Benefits

Reston Hospital Center, 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 role today!

Job Summary and Qualifications

The Assistant Chief Financial Officer (ACFO) is a critical financial leadership pipeline role that serves as a direct tributary into the hospital Chief Financial Officer (CFO) role. This position manages the Financial Accounting and Reporting Department to ensure that it is providing effective and efficient service.  


 
What you will do in this role: 


  • You will demonstrate understanding of application of healthcare finance to impact clinical and financial results 


  • You will execute HCA Healthcare’s capital asset management process 


  • You will demonstrate knowledge of HIM and Case Management/Care Coordination functions 


  • You will establish expertise in productivity, staffing and scheduling 


  • You will demonstrate competence in hospital accounting, internal control environment and compliance requirements 


  • You will establish executive presence (temperament, competencies and skills across situations) 


What qualifications you will need: 


  • Bachelors in Finance, Accounting, or other related area required 


  • Master’s degree in related field preferred 


  • Minimum of three years in finance/accounting or public accounting/audit experience 


  • Experience as a hospital Controller preferred 


  • Previous supervisory experience preferred 


  • CPA preferred 


Reston Hospital Center has provided quality healthcare services since 1986. We give patient's access to trained physicians and advanced technology. Our 230+ bed hospital is one of the region's leading acute care facilities in Reston and the growing Northern Virginia region. We offer a full range of medical services, including 24-hour emergency care. Our hospital specializes in maternal/child health, surgical services on both an inpatient and extensive outpatient basis. We offer urological services including lithotripsy. Our cancer care offers state-of-the-art radiation therapy, rehabilitation therapy programs and a wide array of diagnostic imaging capabilities. Reston Hospital Center is a certified Stroke Center, certified Total Joint Center and the only accredited Chest Pain Center in Northern Virginia. We are the only Hospital in Northern Virginia to receive Joint Commission designation as a Top Performer on Key Quality measures for multiple consecutive years.

At Reston Hospital Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

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 cost 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 Assistant Chief Financial Officer. 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.

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