Regional Finance and Accounting Director

We are looking for a strategic finance leader to oversee accounting and financial performance across regional healthcare operations in Nashville, Tennessee. This role works closely with clinical and operational stakeholders to guide budgeting, forecasting, reporting, and compliance while supporting informed business decisions. The position is also responsible for strengthening financial processes, improving visibility into performance, and promoting disciplined fiscal management across multiple service areas.

Responsibilities:

• Lead regional budgeting, forecasting, and long-range financial planning activities to support operational and strategic goals.
• Partner with senior leaders to interpret financial results, identify trends, and recommend actions that improve performance.
• Oversee core accounting activities, including general ledger management, journal entries, reconciliations, month-end close, and expense monitoring.
• Direct accounts payable and accounts receivable functions to maintain accuracy, timely processing, and effective cash collection.
• Prepare and review financial reports and statements, ensuring leadership receives clear, timely, and decision-ready analysis.
• Maintain strong internal controls and support compliance with organizational standards, regulatory expectations, and audit requirements.
• Coordinate documentation, testing, and follow-up activities for internal and external financial statement audits and control reviews.
• Manage financial systems and related reporting tools to preserve data accuracy, system reliability, and meaningful performance insights.
• Collaborate on payroll and benefits-related financial coordination to ensure proper reporting and compliance.
• Identify and implement process improvements that increase efficiency, strengthen accountability, and enhance financial operations across the region.