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Acfo Hospital Jobs (NOW HIRING)

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 ...

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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 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 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 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.
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Infographic showing various Acfo Hospital job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.
Assistant Chief Financial Officer

Assistant Chief Financial Officer

Methodist Hospital Metropolitan

New Braunfels, TX • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago


Methodist Healthcare System rating

7.2

Company rating: 7.2 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

327th of 886 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 for our Methodist Hospital Metropolitan team where excellence creates excellence.

Benefits

Methodist Hospital Metropolitan, 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 


Methodist Hospital Metropolitan houses 370 beds. We house the largest emergency room in downtown San Antonio. Our women’s pavilion is the only freestanding, center city facility dedicated to the health of women and their newborn babies. We welcome nearly 3,000 newborns into the world each year. We are home to the Methodist Weight Loss Center. We have been designated an American Society for Metabolic Surgery Bariatric Surgery Center of Excellence®.

Our hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare. We are the first hospital in San Antonio to achieve Pathway to Excellence designation. Methodist Hospital Metropolitan has been recognized by Leapfrog for focus on safety and quality. We received a Grade A Hospital Safety Score for 8 consecutive rating periods. We are proud to be an Accredited Chest Pain Center by the American College of Cardiology and Primary Stroke Center by the Joint Commission. We were the premier Texas hospital to earn a Gold Seal of Approval for Sepsis Certification. Join our accredited team today.


"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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