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Job Title & Specialty Area: Director Accounting Operations

Department: Accounting & Finance

Location: Dallas

Shift: Mon-Fri 8 am-5 pm

Job Type: Remote

Why Children's Health?

At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.

Summary:

The Director of Accounting Operations will be responsible for leading the health system's accounting operations to ensure the accuracy, integrity, and timeliness of the general ledger and all supporting subledgers. This role oversees month-end close execution, affiliates and foundation accounting, non-patient accounts receivable, and fixed assets, while maintaining a strong internal control environment and audit-ready financial data. The Director serves as the primary owner of balance sheet integrity and operational accounting processes, providing reliable financial information to support internal and external reporting.

Responsibilities:
* Lead monthly, quarterly, and annual close processes, including calendar management, journal entry oversight, and general ledger close to ensure timely and accurate financial data
* Ensure integrity of the trial balance through standardized reconciliations, review of high-risk accounts, and timely resolution of reconciling items with audit-ready support
* Lead and oversee end-to-end accounting for affiliate and foundation entities, including patient accounts receivable across multiple systems and net revenue models, foundation donations and investments, and captive insurance/TTRAC, ensuring accurate and compliant reporting in alignment with corporate accounting leadership.
* Direct non-patient accounts receivable activities, including oversight of billing, collections, aging, and allowance methodologies
* Oversee fixed assets and lease accounting processes, including capitalization, depreciation, disposals, and compliance with applicable accounting standards
* Serve as primary owner of audit support (PBC) for operational accounting areas and maintain a strong internal control environment, addressing findings and ensuring compliance with GAAP
* Provide accurate and timely financial data, schedules, and operational-level variance analysis to support internal and external reporting
* Drive process improvements and system optimization, partnering with the financial systems analyst to enhance automation, data integrity, and scalability, including governance of chart of accounts usage and approval of system-related changes
* Lead and develop accounting teams, establishing clear expectations, accountability, and a culture of continuous improvement and collaboration
* Support special projects and ad hoc requests, providing financial data and analysis while taking ownership of issues impacting the accuracy and timeliness of financial information across functions

How You'll Be Successful:

WORK EXPERIENCE
* At least 10 years in accounting and financial reporting; either public accounting or a mix of public and industry experience Required
* At least 3 years in non-profit or foundation accounting (ASC958), including investment accounting and fair value measurement (ASC 820); exposure to ASC 946 preferred Preferred
* At least 3 years with captive insurance accounting, including premium/reserve accounting, and regulatory/reporting requirements Preferred
* At least 2 years in healthcare setting Preferred
EDUCATION
* Bachelors Degree -Required
LICENSES AND CERTIFICATIONS
* Certified Public Accountant (CPA)-Preferred

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Holistic Benefits - How We'll Care for You:

Employee portion of medical plan premiums are covered after 3 years.

4%-10% employee savings plan match based on tenure

Paid Parental Leave (up to 12 weeks)

Caregiver Leave

Adoption and surrogacy reimbursement

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.