VP, Finance

Job Description

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.

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.