VP, Finance

Vice President of Finance

UofL Health is a not-for-profit, fully integrated regional academic health system with seven hospitals, three medical centers, more than 250 physician practice locations, and more than 1,200 providers in Louisville and the surrounding counties, including southern Indiana. Affiliated with the University of Louisville School of Medicine, UofL Health is committed to providing patients with access to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 14,000 team members –UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.The Vice President of Finance is a senior financial leader responsible for the integrity, accuracy, and timeliness of all accounting, financial reporting, and compliance activities across UofL Health. This role provides enterprise-wide leadership for system accounting, ensuring adherence to GAAP, healthcare regulatory standards, and internal financial controls.With a strong emphasis on technical accounting, financial reporting, and audit readiness, the VP, Finance partners closely with the CFO, executive leadership, clinical operations, and external auditors to support strategic decision-making while maintaining the highest standards of financial stewardship in a complex, academic healthcare environment.

Accounting & Financial Reporting Leadership

• Provide executive oversight of all accounting functions, including general ledger, month-end and year-end close, consolidations, revenue recognition, and financial statement preparation.
• Ensure accurate and timely preparation of monthly, quarterly, and annual financial statements in accordance with U.S. GAAP, healthcare accounting standards, and regulatory requirements.
• Lead system-wide financial close processes, driving consistency, efficiency, and continuous improvement across hospitals, physician practices, and affiliated entities.
• Oversee accounting for complex healthcare transactions, including provider-based entities, physician compensation models, leases, debt, joint ventures, academic affiliations and grant accounting.

Compliance, Audit, & Internal Controls

• Serve as the executive lead for external audits, including financial statement audits, single audits, and regulatory reviews; act as the primary liaison with external auditors.
• Maintain and strengthen internal control frameworks to ensure compliance with organizational policies, GAAP, and applicable federal and state regulations.
• Partner with Compliance, Legal, and Risk Management to support enterprise risk mitigation related to financial reporting and controls.

Strategic Financial Partnership

• Partner with the CFO and executive leaders to provide financial insights that support organizational strategy, growth initiatives, and operational performance.
• Support business planning, capital planning, and financial modeling through accurate historical data, strong forecasts, and accounting expertise.
• Translate complex accounting concepts into clear, actionable information for non-financial leaders.

Leadership & Talent Development

• Lead, mentor, and develop a high-performing accounting organization, fostering a culture of accountability, collaboration, and continuous improvement.
• Ensure appropriate staffing, training, and succession planning within accounting and finance functions.
• Promote standardization of best practices, policies, and procedures across the health system.

Systems & Process Optimization

• Provide executive oversight of financial systems impacting accounting and reporting, including ERP and related sub-ledgers.
• Lead or support system implementations, upgrades, and optimization efforts with a focus on data integrity, automation, and reporting efficiency.

Drive process improvements to reduce close timelines, increase transparency, and enhance data quality.

Job Requirements

(Education, Experience, Licensure and Certification)

• Bachelor's degree in Accounting or Finance (Master's degree preferred).
• CPA highly preferred.
• Minimum of 10+ years of progressive accounting and financial leadership experience, with significant experience in complex healthcare systems, academic medical centers, or large organizations.
• Deep technical knowledge of U.S. GAAP, healthcare accounting, and financial reporting standards.
• Demonstrated experience leading audits, managing external auditors, and overseeing internal control environments.
• Proven ability to lead large teams, manage change, and operate effectively in a matrixed healthcare environment.