FP&A Manager
October 6, 2026AP Specalist
October 7, 202611036
The Opportunity: Controller (Surgical Hospital)
Location: Dallas, TX (On-site)
The Mission
A Dallas-based surgical hospital—acquired out of foreclosure in June 2026 and now in rapid growth mode—is seeking its first senior financial hire. The group includes the hospital operating company, a parent management company, a newly launched physician practice, and a real estate holding company.
The primary mission is to give leadership the accurate data they need to run the hospital, moving the books from a basic post-acquisition state to an audit-ready financial foundation built for scaling and bundled surgical pricing.
Core Deliverables (First 90 Days)
- Financial Foundations: Accelerate the monthly close to a 7-to-10-day cycle and prepare the organization for a clean year-end audit.
- System Migration: Select a new enterprise accounting system, design the new general ledger structure, and plan the migration off QuickBooks within 30 days.
- Revenue Strategy: Document a net revenue and patient accounts receivable methodology across complex payers (including personal injury and workers’ comp).
- Budgeting & Cash: Draft the 2027 operating, capital, and cash budgets, and partner with the CEO on a vendor payment plan.
Key Areas of Ownership
- System Stack: Oversee the accounting system migration and collaborate with the data team on a new Electronic Medical Records (EMR) implementation.
- Cost Mastery: Build automated, granular cost-reporting down to the exact procedure, service line, and department level to drive down healthcare costs for patients.
- Team & Revenue: Manage and scale the financial and revenue cycle teams, ensuring payers pay contracted rates and recovering what is owed.
- Cash Management: Maintain a rolling 13-week cash forecast to protect cash flow and eliminate surprises for lenders and investors.
Who You Are
- Credentials: Active CPA license with public accounting audit experience (healthcare clients preferred).
- Industry Expertise: Strong background in hospital, surgical hospital, or ambulatory surgery center (ASC) accounting.
- Technical Background: Proven experience migrating off QuickBooks and implementing a new accounting system/EMR stack.
- Revenue Fluency: Hands-on command of hospital net revenue accounting and the end-to-end revenue cycle (registration through collections).
- Modern Toolkit: Demonstrated, current proficiency in using AI and automation tools to speed up accounting work.
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