Job Description

USPI Foundation Surgical Hospital of San Antonio is seeking a motivated Controller to join our team. We have 20 private suites and 5 OR rooms. We perform outpatient surgical procedures in Bariatric, Orthopedic, General, Neuro/Spine, ENT, Pain, Urology.

Job Summary:  The Senior Controller is responsible for financial reporting at Foundation Surgical Hospital of San Antonio, in support of the hospital mission, vision, and facility goals. They are responsible for General Ledger accuracy as well as the accuracy of the Financial Statements for FSH, assisting the CEO and BOM with data metrics, analytics, and deep dives into hospital cost controls. Responsible for the Fixed Assets accounting, assisting with contract review and approval, CER’s for capital acquisition of medical/hospital equipment. The Senior Controller researches special projects and creates databases and reporting tools for monitoring, tracking and trending volumes, costs, revenues etc. The Senior Controller is responsible for timely completion of projects, including creating timelines for development and maintenance of data collection and presenting reports. This position establishes effective working relationships with all constituencies including patients, physicians, employees, fellow directors, volunteers and vendors. The Senior Controller identifies and remedies through continuous customer satisfaction data and employee involvement. This person is part of Senior Leadership and critical to the support of the hospital data analytics needs and monthly operations reports and presentations. Other duties as assigned.

• Analyze the profitability of existing lines of business including but not limited to trending over twelve months, what if scenarios for possible changes
• Prepare quarterly Board, MEC and UR/UM- Denial reports as needed
• Report weekly the case volumes and payer mix for current month compared to budget and prior year
• Prepares proformas showing the profitability of proposed new business lines
• Creates financial and operational reports and shares this information with the MEC, Board and Department Leaders
• Participates in the facility's long term and short term financial plan
• Work closely with the home office accounting department regarding issues regarding financial disclosures
• Co-Chair the Utilization Review/ Utilization Management Committee
• Prepare and maintain a monthly Budget to Actual financial statement by department beginning with salaries and wages
• Prepare and maintain a monthly projection of Net Revenue and volume
• Track and report the profitability of new service lines
• Monitors month end close and reports issues to the CEO/ BOM
• Develops Policies and Procedures as needed
• Approves the AP registers and reviews all invoices to ensure contractual requirements are met for stated payments
• Reviews the AP process including but not limited to 1099's, Unrecorded Liability, Reviews Statements, invoice holds
• Works closely with Materials Management regarding the cost of items purchased
• Prepares the month processes including but not limited to the accrual of estimated Net Revenue, Accrual of expenses, scrubbing the General Ledger when accounts appear over or under stated.
• Maintains good peer relationships

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Qualifications:

• Bachelor's degree in accounting or finance, or in the process of completing a degree in one of these areas, CPA highly preferred
• Minimum 3-5 years’ experience in a hospital setting as CFO, Assistant CFO, Sr. Accountant or similar experience, surgical services required
• Excellent MS Office product knowledge (including Excel, PowerPoint, Access and Word) is required.
• Ability to assess, condense and analyze complex data.
• Regulatory expertise in all areas for meeting TJC/ and or DNV accreditation
• Strong knowledge of all accounting functions and related internal controls, including accounts receivable, accounts payable, fixed assets and inventory
• Able to communicate complex data in an effective manner to all levels of the organization
• Must be proficient in compiling data, creating reports and presenting information, including expertise in
• report writing tools
• Ability to utilize Electronic Health Care Record for patient documentation, query for data and condense information in order to support data decision support

USPI complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law. 

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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