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Acfo Jobs (NOW HIRING)

A minimum of five years financial management experience (CFO, ACFO, Director of Finance, Controller) in a healthcare setting is required. * Previous Behavioral healthcare experience highly preferred.

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. * Accurately reconciles ...

Provides direction and mentoring to ACFO and Director-level staff for areas of responsibility. (15%) * Directs all accounting functions, including production of timely and accurate monthly financial ...

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Acfo information

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$5

$15

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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.
Assistant CFO of Practice Operations

Assistant CFO of Practice Operations

HCA Healthcare

Richmond, VA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


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 Practice Operations for our Capital Division, where excellence creates excellence.  This position will base in Richmond, VA.

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 Practice Operations role today!

Job Summary and Qualifications

The Assistant Chief Financial Officer (ACFO) of Practice Operations serves as the Capital Division’s Financial Leader and Strategic Partner for Physician Operation’s Leadership team. Interprets financial performance/results to identify opportunities to strengthen performance. Leads interactions and MORs for Division and Hospital Leadership. Responsible for the oversight of the Director of Revenue, Assistant Controller, and Financial Analysts. Responsible for the creation and/or validation of proformas related to acquisitions, provider recruitment, and new program development. Provides strategic guidance and insight for projections, forecasting and budgeting. 

  • Reports to the Capital Division Vice President of Practice Operations with a dotted line to the Group CFO of Practice Operations
  • Will have seven (7) direct reports
  • Supports 750+ providers and 175+ multi-specialty practice locations

DUTIES INCLUDE BUT NOT LIMITED TO: 

• Partner with and provide strategic guidance to Division, hospitals and operational management through financial analysis, ad hoc reports, proformas and forecasts – including establishment of performance targets and operational execution to achieve targeted performance 

• Assist finance team with presentation and analysis of monthly financial results, including leadership of MOR presentations, for Group, Division and hospital leadership. The focus of these presentation is to identify and drive strategies for operational improvement based upon analysis of run rate performance and/or forecasts that identify variation from budgets or trend.

 • Strategically focus operational actions through projecting, forecasting and budgeting financial results, while also working with operational leadership and management to implement strategies and tactics to improve forecasted results • Interface with shared service functions with respect to reporting and financial issues to provide resolution recommendations. This includes and is not limited to CBO, Accounting, Reporting & Analytics, Parallon/CBO, Coding, Physician Compensation, Purchasing/Capital. 

• Manage and evaluate operational performance to ensure quality of services and maintain technical expertise of workgroup personnel. 

• Actively engage in training and leadership to operational management. To include training re: context and insight relative to strategies, operational processes and internal control requirements/timing. 

• Support implementation and tracking of strategies, special projects and other duties as assigned 

• Responsible for the leadership and development of all direct reports. 

• Drive timeliness, accuracy and completeness of financial reports to meet specified deadlines. 

• Supervise preparation and coordination reports or returns required by regulatory agencies.  Coordinate operational adherence with internal compliance audits as required. 

• Maintain strictest confidentiality to ensure that privileged and/or proprietary information is adequately safeguarded against disclosure. Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”. 

• Perform other duties as needed 

EDUCATION: 

  • Bachelor of Arts or Science Degree in accounting or other business-related field required 
  • Masters preferred. 

EXPERIENCE: 

  • Minimum five years of progressive accounting/financial experience required; preferably seven years’ experience. 
  • Three years in a physician practice management highly preferred.
  • Experience in healthcare-related environment and supervisory experience needed.

CERTIFICATION/LICENSE: 

  • CPA preferred.

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

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 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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