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Assistant Chief Financial Officer Acfo Jobs (NOW HIRING)

Chief Financial Officer

Portland, OR · On-site

$170K - $185K/yr

Consulting CFO | Portland, Oregon$170,000 to $185,000 Base Salary DOE NOW CFO is seeking an experienced Consulting CFO to join our Portland team. This full time role is ideal for a hands on financial ...

Consulting CFO | Portland, Oregon $170,000 to $185,000 Base Salary DOE NOW CFO is seeking an experienced Consulting CFO to join our Portland team. This full time role is ideal for a hands on ...

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Assistant Chief Financial Officer Acfo information

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$38.5K

$105.9K

$158.5K

How much do assistant chief financial officer acfo jobs pay per year?

As of Sep 2, 2026, the average yearly pay for assistant chief financial officer acfo in the United States is $105,903.00, according to ZipRecruiter salary data. Most workers in this role earn between $84,500.00 and $122,500.00 per year, depending on experience, location, and employer.

What is an assistant chief financial officer ACFO?

An Assistant Chief Financial Officer (ACFO) is a senior executive who supports the Chief Financial Officer (CFO) in managing an organization's financial operations. The ACFO helps oversee financial planning, budgeting, reporting, and compliance with regulations. They may also supervise accounting teams, assist with audits, and contribute to strategic decision-making. The ACFO often acts as a deputy to the CFO, stepping in when the CFO is unavailable and ensuring financial processes run smoothly.

How does an assistant chief financial officer ACFO typically collaborate with other departments to support organizational goals?

An Assistant Chief Financial Officer (ACFO) regularly works cross-functionally with leaders in departments such as operations, human resources, and IT to align financial planning with broader organizational objectives. They often participate in strategic meetings, provide financial insights for decision-making, and ensure that budgetary considerations are integrated into project planning. Effective communication and relationship-building are crucial, as the ACFO helps translate financial data into actionable strategies that support the entire organization. This collaborative approach not only strengthens financial stewardship but also fosters a culture of transparency and teamwork.

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 (ACFO), you need expertise in financial management, accounting principles, and strategic planning, typically supported by a degree in finance or accounting and often a CPA or CMA certification. Familiarity with ERP systems, advanced Excel, and financial modeling tools are commonly required in this role. Strong leadership, analytical thinking, and effective communication skills are crucial for managing teams and collaborating with stakeholders. These skills and qualities ensure sound financial decision-making, regulatory compliance, and alignment of financial strategies with organizational goals.

What is the difference between Assistant Chief Financial Officer Acfo vs Financial Analyst?

AspectAssistant Chief Financial Officer AcfoFinancial Analyst
CredentialsBachelor's degree in finance, accounting, or related field; often an MBA or CPABachelor's degree in finance, accounting, economics, or related field; certifications like CFA are common
Work EnvironmentExecutive-level, strategic planning, overseeing finance departmentsAnalytical, research-focused, supporting decision-making with data
Employer & Industry UsageUsed in corporate finance departments, large organizations, and industries requiring financial leadershipUsed across industries for financial analysis, budgeting, and forecasting roles

The Assistant Chief Financial Officer Acfo holds a senior leadership role focused on strategic financial management, while a Financial Analyst primarily conducts data analysis to support financial decisions. The Acfo has broader responsibilities, including oversight and leadership, whereas the Financial Analyst specializes in detailed financial analysis and reporting.

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Infographic showing various Assistant Chief Financial Officer Acfo job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $105,903 per year, or $50.9 per hour.

Assistant Chief Financial Officer

St. David's North Austin Medical Center

Round Rock, TX • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 24 days ago


St. David's HealthCare rating

7.1

Company rating: 7.1 out of 10

Based on 88 frontline employees who took The Breakroom Quiz

378th of 898 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 St. David's North Austin Medical Center team where excellence creates excellence.

Benefits

St. David's North Austin Medical 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 Chief Financial Officer directs the financial and other departmental activities in accordance with defined hospital policies and objectives. Responsibilities include management of all financial departments, allocation of resources, and preparation of the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care, Health Information, and Utilization Review. Functions at an executive level in an active leadership role. The Chief Financial Officer is responsible to the Hospital CEO, and maintains business relationships with the Division CFO, Hospital CEO, COO, and CNO. 


What you will do in this role: 


  • You will assume a lead role in analyzing and exploring means of reducing hospital operating costs and increasing revenues based on knowledge of market trends, financial reports, and operating procedures.  


  • You will direct the preparation of internal financial reports and ensure that the reports reliably reflect the financial position of the hospital.  


  • You will direct the timely submission of all financial data associated reports required by government and other regulated agencies including payroll tax reports, public disclosure reports, and third-party payor cost reports. 


  • You will identify and report undesirable trends and potential business opportunities and make recommendations for action. 


  • You will assist the CEO in the development of long- and short-range hospital operations plan which may include service demand analyses, resources availability analyses, productivity, and cost benefit analyses of proposed capital and staff expansions.  


  • You will develop long and short range operational and capital budgets which are supported by the hospitals with long and short-range plans and objectives.  


  • You will direct the preparation of hospital statistical reports, budgets, and financial reports.  


  • You will administer the general accounting, patient business services, including third party reimbursement, financial, and statistical reporting functions of the hospital in accordance with established policies and accounting procedures.  


  • You will provide informal direction in data processing, distributed systems, material management, and medical record functions. Monitoring performance to ensure fiscal responsibilities are fulfilled.  


  • You will forecast the impact of business decisions and expected outcomes on all financial results.  


  • You will monitor financial and economic information to identify trends and indicators that may impact business operations, planning, investments, and so forth.  


  • You will communicate financial operational performance with all stakeholders, including senior administration, appropriate facility staff members, and Division Office. 


  • You will review denials issues and trends for maximizing net reimbursement for Facility.  
    You will maintain accuracy of a charge master. 


  • You will review contracts, purchase agreements, and other financial arrangements to ensure compatibility with business goals and expectations about profitability.  


What qualifications you will need:  


  • Bachelor's degree Accounting, Finance, or related field required 


  • Master's degree preferred 


  • 4+ years of experience in a Hospital Controller, Asst. CFO, or VP of Finance role preferred 


  • Certified Public Accountant preferred 
     

St. David’s North Austin Medical Center, part of St. David’s HealthCare, is a full-service medical center providing comprehensive medical care at two locations – St. David’s North Austin Medical Center and St. David’s Surgical Hospital.
St. David’s North Austin Medical Center is a 460+ bed, multi-specialty, acute care hospital. It provides advanced women’s health services, including maternity and newborn care with Level I, II, and III neonatal intensive care units (NICUs) at the nearby St. David’s Women’s Center of Texas. The hospital also offers minimally invasive gynecological surgery and comprehensive breast imaging through Solis Mammography, which is located on-site. Other services include a 24-hour emergency department, pediatric emergency care, and intensive care at St. David’s Children’s Hospital. The hospital also features the Texas Institute for Robotic Surgery, bariatric (weight loss) surgery, a Heart and Vascular Center, neurology and neurosurgery, a kidney transplant program, a Level IV Epilepsy Center, as well as inpatient and outpatient surgery and acute rehabilitation services for both inpatients and outpatients.

St. David’s Women’s Center of Texas, located at St. David's North Austin Medical Center, is recognized by the State of Texas as a Level IV Maternal Facility. This means it provides the highest level of care for pregnant and postpartum patients, especially those with serious or complex medical, surgical, or pregnancy-related conditions, including those at high risk for maternal morbidity or mortality. The center includes a 95+ bed Level III Neonatal Intensive Care Unit (NICU) with 30+ private rooms, 10+ rooms for very small babies, and 10+ beds for babies needing neurological care. It also has 35+ labor, delivery, and recovery rooms, including Central Texas’ first low-intervention birthing suites with tubs. There are 95+ postpartum beds, 20+ antepartum beds, and Cesarean section surgical suites. The facility offers 24/7 neonatology coverage, OB/GYN hospitalists, maternal-fetal medicine specialists, lactation consultants, and a midwifery program. It is part of the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network and TexasAIM, and it also provides a high-risk pregnancy navigation and support program.

St. David's Surgical Hospital is part of St. David’s North Austin Medical Center and is the first Level 4 Epilepsy Center in Central Texas for both adults and children. It has its own 24-hour emergency department, a medical-surgical inpatient unit, and a pediatric intensive care unit (PICU) for patients ages 17 and under. The hospital is staffed with pediatric emergency physicians, pediatric hospitalists, intensivists, and other specialists who are specially trained to care for children. It also includes certified child-life specialists who help kids feel more comfortable during their hospital stay. St. David’s Children’s Hospital offers many pediatric services, such as pediatric surgery, pediatric radiology (including imaging and interventional procedures), and pediatric anesthesia for surgical support. It also has a wide range of pediatric specialists available for consultation and treatment, including general surgery, ENT (ear, nose, and throat), craniofacial and plastic surgery, neurology, neurosurgery, urology, and cardiology, among others.
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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