Director of Physician and Behavioral Accounting

SUMMARY:

Under the general direction of the Vice President & Corporate Controller, Finance, lead and own accounting for Brown University Health ambulatory and behavioral organizations. Direct the monthly close, general ledger integrity, account reconciliations, entity reporting, variance analysis, intercompany activity, internal controls, and audit support. Develop standardized, scalable accounting practices that improve transparency, strengthen financial stewardship and accountability, produce accurate and timely results, and support the growth and integration of ambulatory and ambulatory operations through financial insight.

Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect and Excellence, as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

In addition, our leaders will demonstrate an aptitude for:

Ensure Accountability and Build Effective Teams
Drive Vision and Purpose and Optimize Work Processes

By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1.Lead accounting for ambulatory and behavioral organizations, ambulatory practices, professional corporations, and designated subsidiaries; own the completeness, accuracy, timeliness, and consistency of monthly, quarterly, and annual financial results.

2. Own the ambulatory and behavioral organizations close execution, including journal entries, accruals, estimates, subsystem interfaces, intercompany activity, balance-sheet reconciliations, variance review, and final management sign-off.

3. Develop and enforce standardized accounting policies, close calendar and related checklists, reconciliation standards, documentation requirements, and escalation protocols across entities.

4. Review and approve significant or judgmental journal entries, reconciliations, estimates, and account analyses; challenge unsupported balances and lead timely corrective action.

5. Lead monthly financial statement preparation and develop concise narratives explaining material budget, prior-year, volume, rate, labor, supply, and other operating variances.

6. Own general-ledger and subsystem integrity for ambulatory and behavioral organizations; monitor interface activities, identify data-quality issues, and coordinate resolution with system owners and operational departments.

7. Direct accounting for assigned subsidiaries and specialized accounting activities that arise through the normal course of business operations.

8. Lead intercompany accounting and settlement processes for ambulatory and behavioral entities; develop clear allocation methodologies, where applicable, service-agreement accounting, due-to/due-from reconciliation, and timely settlement protocols.

9. Develop entity-level reporting and analytics that explain performance including material financial variance drivers.

10. Own audit readiness for ambulatory and behavioral accounting; coordinate support, resolve findings, and lead remediation of control or documentation gaps.

11. Develop and lead integration plans for acquired practices, new entities, ambulatory transactions, service-line changes, and system conversions; establish opening balances, account mappings, controls, and close responsibilities.

12. Serve as the primary accounting advisor to ambulatory and behavioral enterprise and respective leaders; assess transaction structures, identify accounting and control implications, and recommend practical solutions.

Leadership and People Management

Lead, coach, and develop managers and staff by setting clear expectations, establishing measurable performance standards, and maintaining meaningful development plans.

Own workforce planning, recruitment, onboarding, succession planning, performance evaluation, and recommendations for personnel actions within the assigned function.

Build an inclusive, accountable team culture that promotes collaboration, customer service, continuous learning, and timely escalation of risks and issues.

Develop and monitor departmental goals, service-level expectations, productivity measures, and operating budgets; realign resources as priorities change.

Communicate priorities, decisions, and financial implications clearly to executives, operational leaders, clinicians, auditors, and other stakeholders.

Performance Standards

Own results and ensure assigned accounting and finance activities are accurate, complete, timely, well controlled, and supported by audit-ready documentation.

Develop scalable processes, standardize work across entities, and use technology and automation to shorten cycle times and improve data quality.

Lead with ethical judgment and ensure decisions, behaviors, and controls align with organizational values, policies, and applicable requirements.

Build trusted relationships and resolve issues through fact-based analysis, clear recommendations, and timely decisions.

Anticipate internal and external customer needs and deliver responsive, meaningful financial information and service.

Other Requirements

Maintain confidentiality and exercise sound judgment when handling sensitive financial, employee, patient, and business information.

Maintain quality assurance, safety, environmental, and infection-control practices in accordance with Brown University Health policies, procedures, and objectives.

Participate in administrative meetings, board or committee meetings, quality-improvement activities, and professional continuing education as assigned.

Perform other related duties and lead special projects as required.

This job description summarizes the primary responsibilities of the position and is not intended to be an exhaustive list of all duties.

EDUCATION:

Bachelor’s degree in Accounting or equivalent. CPA or MBA preferred.

Preferred: CPA or MBA; experience with Workday, Epic or comparable revenue-cycle systems, ambulatory compensation models, not-for-profit healthcare accounting and multi-entity consolidations.

EXPERIENCE:

At least seven years of progressively responsible accounting experience, including leadership experience and responsibility for complex entity accounting. Ambulatory, behavioral, and healthcare experience strongly preferred.

Technical Knowledge: Advanced knowledge of U.S. GAAP, multi-entity general accounting, provider compensation accounting support, close and reconciliation practices, financial statement analysis, and internal controls. Enterprise financial systems knowledge including Workday and EPIC preferred.

Leadership Skills: Demonstrated ability to lead multiple functions, establish common standards, resolve complex cross-functional issues, and communicate effectively with ambulatory, behavioral and system executives.

SUPERVISORY RESPONSIBILITY:

Direct and indirect supervision through ambulatory and behavioral managers and professional staff.

Lead ambulatory and behavioral organization accounting managers and professional staff. Partner closely with ambulatory and behavioral enterprise leadership, Operational Finance Leaders, Practice Operations, Corporate Department Functional Leaders, and external auditors.

Pay Range:

$147,784.00-$243,859.20

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903

Work Type:

M-F 8:00am-5:00pm

Work Shift:

Day

Daily Hours:

8 hours

Driving Required:

No