Director Cash Management Jobs (NOW HIRING)

Reports to the Controller. The Director of Cash Management is responsible for leading enterprise-wide cash operations across the health system. This role oversees liquidity strategy, centralized cash application for patient accounts, and comprehensive cash reconciliation processes across hospitals, physician groups, ambulatory entities, and system affiliates.

A key priority of this role is driving automation and technology-enabled efficiencies within cash posting and reconciliation workflows to improve accuracy, reduce manual touchpoints, accelerate posting timelines, and enhance working capital performance.

The Director partners closely with Revenue Cycle, Treasury, Accounting, IT, and Operational Finance leadership to optimize liquidity, strengthen internal controls, and ensure timely and accurate financial reporting.

MISSION, VALUES and SERVICE GOALS

• MISSION: We deliver outstanding care, inspire health, and connect with heart.
• VALUES: Trust. Respect. Integrity. Compassion.
• SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Directs the following key areas:

Enterprise Liquidity Management

• Oversee daily cash positioning across all health system entities.
• Develop short- and long-term cash flow forecasts incorporating patient revenue, governmental payments, managed care remittances, grants, and capital funding needs.
• Optimize cash concentration structures and intercompany funding strategies.
• Manage banking relationships, merchant services, and lockbox arrangements.
• Support capital planning and debt compliance through accurate liquidity reporting.

Patient Cash Application & Automation

• Direct centralized cash posting operations across hospitals, physician practices, and outpatient settings.
• Lead strategic initiatives to automate cash posting processes, including maximizing ERA auto-posting rates, leveraging AI-driven payment matching tools, and reducing manual payment application.
• Evaluate and implement technology solutions to streamline EFT, lockbox, credit card, patient portal, and manual payment workflows.
• Monitor and improve key metrics such as auto-post rates, posting lag days, unapplied cash, and credit balance trends.
• Partner with Revenue Cycle and IT to build system edits, controls, and workflow enhancements that reduce downstream denials and rework.
• Drive continuous process standardization across all entities within the health system.

Cash Reconciliation & Financial Integrity

• Ensure timely reconciliation of all payment sources to bank accounts, clearing accounts, sub-ledgers, and the general ledger.
• Oversee daily and monthly close processes related to cash.
• Investigate and resolve discrepancies, including takebacks, recoupments, and payer offsets.
• Strengthen internal controls over cash handling and reconciliation activities.
• Maintain documentation supporting audit readiness and regulatory compliance.

Process Optimization & Systems Leadership

• Champion automation, robotics, and system-enabled controls to reduce manual intervention.
• Establish enterprise KPIs and dashboards focused on working capital improvement and cash cycle reduction.
• Partner with IT and system vendors to optimize patient accounting and ERP system functionality to drive improvement in cash management and cash posting teams
• Lead cross-functional initiatives to modernize cash operations infrastructure.

Leadership & Governance

• Lead and develop cash management working closely with the Director of  cash posting teams.
• Create accountability structures and performance standards aligned with automation and accuracy goals.
• Provide executive reporting on liquidity, posting efficiency, and reconciliation performance.
• Foster a culture of innovation, accountability, and continuous improvement.

Recommends and implements projects which will enhance the organization's performance in efficiency and accuracy for functions under the Finance Department's control by:

• Identifying potential improvements.
• Seeking approval on large projects, as appropriate.
• Assuming a lead role by recruiting key customers to participate in the planning, testing and implementation of projects.
• Ensuring implementation of the project.
• Provides challenges and growth opportunities to enhance leadership skill development to direct reports.

Supports the Finance Department by:

• Conducting educational/informational programs as part of orientation or as requested.
• Troubleshooting software problems and assists the staff in determining the corrective actions to take to resolve the problem.
• Leading the department in the development of testing plans and the testing as software is upgraded or implemented.
• Seeking possible opportunities to more effectively utilize computer capabilities; also communicating with the Controller regarding these possible opportunities.
• Acting as a liaison and facilitator with other departments. Also communicating with appropriate management personnel from various departments regarding their business needs. Takes proactive steps to ensure customer's needs are met.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

• Completing other job-related assignments and special projects as directed.
• Implements initiatives in strategic plan.

Leadership Competencies

• Drives Results - Consistently achieving results, even under tough circumstances.
• Customer Focus - Building strong customer relationships and delivering customer-centric solutions.
• Instills Trust - Gaining the confidence and trust of others through honesty, integrity, and authenticity.
• Collaborates - Building partnerships and working collaboratively with others to meet shared objectives.
• Communicates Effectively - Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and continuously.

Education and Experience

• The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a Bachelor's degree in Finance, Accounting, Business Administration or related field. A minimum of eight years of progressively more responsible and relevant experience in healthcare, finance, treasury or revenue cycle operations in a multi-entity health system is required. Supervisory experience is desired. Certified Public Accountant's license is strongly preferred, prior experience with PeopleSoft and Cerner applications is strongly preferred.

Knowledge & Skills

• Enterprise liquidity management
• Revenue cycle automation strategy
• Working capital optimization
• Internal controls & audit readiness
• Technology-enabled process transformation
• Cross-functional leadership
• Requires the administrative and supervisory skills necessary to organize and direct assigned areas of responsibility.
• Requires the analytical skills necessary to develop, evaluate and administer policies, procedures and staffing levels.
• Requires the organization, planning and problem-solving skills necessary to plan and estimate project activities and time lines and identify and resolve problems and deliver viable solutions.
• Demonstrates the interpersonal and communication skills (both verbal and written) necessary to interact effectively with management, department staff and other individuals and organizations outside the System. Also requires the ability to develop and maintain effective working relationships.
• Requires advanced knowledge of computer systems and the ability to work effectively with the Information Systems department staff as necessary.

Working Conditions

• Works in an office environment.

Physical Demands

• Requires the physical ability and stamina to perform the essential functions of the position.