Director of Finance & Accounting

POSITION OVERVIEW & JOB SUMMARY

Directs all financial and fiscal activities of Ascension DePaul Services of San Antonio (ADSSA). Serves as a key strategic partner and advisor to the President/CEO, COO, Board of Directors, and Senior Leadership Team (SLT) on all operational, financial, and growth strategies. Responsible for total fiscal and budgetary control, strategic financial planning, accounting operations, analytics and reporting, and financial policy implementation across all organizational service lines. Ensures strict compliance with internal controls, statutory regulations, and federal grant guidelines while continuously optimizing operational performance, cost efficiency, and long‑term financial sustainability.

CORE RESPONSIBILITIES & ESSENTIAL FUNCTIONS

Executive Leadership & Strategic Advisory

• Mission Alignment: Understand and manifest the mission, vision, and core values of Ascension DePaul Services (ADSSA).
• Executive Leadership: Serve on the Senior Leadership Team (SLT) and advise the CEO/President, COO, Directors, Board of Directors, and System leaders/Liaisons on operational, fiscal, and financial policy matters.
• Governance & Board Relations: Attend Board and Audit/Finance Committee meetings; prepare and present comprehensive financial forecasts, business activity summaries, and strategic models.
• Strategic Alignment: Collaborate with leadership on proposed program expansions and strategic initiatives to ensure seamless alignment of operational goals with financial projections.
• Fiscal Policy & Priorities: Recommend and establish financial strategies, annual benchmarks, long‑term priorities, and organizational financial and investment policies.

Financial Operations, Budgeting & Practice Analytics

• Financial Stewardship: Actively manage direct day‑to‑day accounting and financial operations, ensuring internal controls and adherence to accepted accounting principles.
• Budgetary Control: Direct the preparation, review, and consolidation of annual operational budgets, ensuring financial alignment across all departments and business lines.
• Operational Accounting & Grant Compliance: Oversee core financial functions—including Billing, Accounts Receivable (AR), Accounts Payable (AP), Treasury, and General Ledger—and ensure the seamless integration of EHR clinical data with accounting systems. Manage complex grant reimbursement processes, including cost‑reimbursement billing, federal drawdowns, grant revenue recognition, and expenditure tracking.
• Practice Management Analytics: Lead the development of complex financial and statistical reporting for medical and dental practice management analytics; conduct ongoing operational assessments to drive target achievement.
• Performance Monitoring & Variance Analysis: Monitor and analyze monthly operating results against budgets, identify trends in key metrics, conduct monthly reviews.

Process Improvement & Systems Automation

• Workflow Optimization & Scalability: Assess/realign core accounting processes and operational workflows to eliminate manual bottlenecks, reduce cycle times, and improve financial reporting accuracy across the department.
• Financial Automation: Oversee the evaluation, implementation, and integration of modern financial tools (ERP, automated reconciliations, expense management) to streamline routine tasks and build a scalable finance function.
• Operational & Vendor Cost Optimization: Conduct systematic reviews of key operational vendor contracts, subscriptions, and administrative expenses to drive cost efficiencies and negotiate favorable terms without compromising operational quality.
• Internal Controls & Data Integrity: Establish standardized digital workflows and audit‑ready procedures to enhance risk mitigation, ensure compliance, and improve real‑time financial transparency.

Grant Management, Revenue Strategy & Compliance

• Federal Grant Governance: Oversee federal, state, and local grant financial management, ensuring strict compliance with OMB Circulars, pre‑and post‑award reporting (including A‑133 requirements), and timely drawdown execution and reporting.
• Grant Collaboration: Partner with leadership/staff on grant writing, revenue‑generating strategies, and grant budget preparations.
• Revenue Diversification: Direct strategies to enhance revenue across all service lines, including expanding billable services, optimizing insurance acceptance, and managing restricted revenue and spending policies.
• Capital & Banking Relations: Maintain external banking, lender, and financial partner relationships; direct cash management, debt structuring, and capital investment controls.
• Audit & Regulatory Compliance: Ensure total compliance with statutory, legal, regulatory, and administrative requirements; serve as the primary liaison with external auditors and oversee implementation of audit recommendations.

Team Leadership & Talent Development

• Staff Direction & Coaching: Direct, manage, and evaluate finance and accounting personnel, including work assignment, coaching, performance reviews, hiring, and staff development.
• Collaborative Culture: Foster management practices that promote collegiality, teamwork, accountability, and collaborative decision‑making across all organizational departments.

REQUIRED QUALIFICATIONS

• Education: Bachelor’s Degree in Accounting or Finance. Master’s Degree in Finance/Accounting preferred.
• Experience: Minimum of five years of documented finance/accounting leadership experience, preferably in health and human services.
• Accounting Standards & Compliance: Extensive working knowledge and experience with Financial Accounting Standards Board (FASB) and Generally Accepted Accounting Principles (GAAP) Standards.
• Technical Competencies: Documented expertise in OMB Circulars (federal grant reporting), billing and collections, reimbursement mechanisms, budgeting/forecasting models, practice management analytics, audits, and advanced proficiency with Google Workspace (Gmail, Calendar, Sheets, Slides, Docs) or similar tools.
• Licensure / Certifications: Valid Class C Driver License required. Certified Public Accountant (CPA) preferred.

CORE LEADERSHIP COMPETENCIES

• Financial Acumen, Revenue Optimization & Sector Governance: Leverages a strong background in financial management to navigate complex funder compliance, indirect cost recovery, and evolving funding streams. Translates operational metrics and program‑level economics into clear financial strategy, driving departmental efficiency, audit readiness, and sustainable growth across multi‑funder service models.
• Fiscal Stewardship & Grant Governance: Demonstrates rigorous command of GAAP, FASB, OMB Uniform Guidance, and statutory compliance. Effectively balances restricted/unrestricted funding, oversees investment strategies, and maintains impeccable internal controls to safeguard organizational integrity and public trust.
• Mission‑Driven & Authentic Leadership: Embodies the mission, vision, and core values of Ascension DePaul Services. Leads with humility, empathy, and high ethical standards, ensuring financial decisions align with community mission, vision, and values.
• Drives Performance & Operational Excellence: Establishes clear accountability, key performance indicators (KPIs), and operational benchmarks. Leverages workflow automation, medical/dental practice analytics, and process improvement methodologies to optimize resource utilization without sacrificing quality of care.
• Executive Presence & Stakeholder Engagement: Communicates complex financial concepts with clarity, transparency, and executive presence to diverse internal and external audiences—including the Board of Directors, grantors, institutional donors, auditors, and clinical/program leadership. Designs and delivers compelling financial dashboards, narrative board reports, and donor‑facing impact metrics that translate dense fund accounting, operational performance, and long‑term forecasts into accessible, actionable insights.
• Talent Development & High‑Performing Culture: Cultivates a high‑trust, collaborative environment. Invests in mentoring, continuous professional development, and succession planning, building a cohesive, resilient, and high‑functioning finance team.
• Agile Problem‑Solving & Risk Management: Navigates regulatory changes, healthcare reimbursement shifts, and macroeconomic pressures with sound judgment, proactive risk mitigation, and decisive action in fast‑paced healthcare environments.
• Executive Communication: Exceptional verbal and written presentation skills for board, executive, and donor stakeholders.

Strategic Problem Solving & Financial Leadership: Demonstrates agile, sound decision‑making under tight timelines and changing regulatory conditions. Synthesizes competing operational priorities, cross‑functional input, and complex financial data into practical, high‑impact strategies that mitigate risk and streamline organizational performance.

Benefits:

• Medical, Dental, & Vision
• Company Matching 403(b)
• PTO
• Short Term & Long Term Disability
• Life Insurance
• Employee Assistance Program
• Virtual Spiritual Care