SVP Chief Accounting Officer

Posted:
9/16/2025, 12:48:57 AM

Location(s):
Ohio, United States ⋅ Cleveland, Ohio, United States

Experience Level(s):
Expert or higher ⋅ Senior

Field(s):
Finance & Banking

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job Title

SVP Chief Accounting Officer

                        

Location

Cleveland

                    

Facility

Cleveland Clinic Main Campus

                     

Department

Finance Administration-Finance

                      

Job Code

T97579

                     

Shift

Days

                       

Schedule

8:00am-5:00am

                       

Job Summary

Reporting to the Executive Vice President Chief Financial Officer of the enterprise, the Senior Vice President Chief Accounting Officer (SVP CAO) is responsible for overseeing all financial reporting/accounting functions, all financial planning/budgeting functions, capital planning and capital allocation, government reimbursement programs, international finance, decision support and financial analytics, tax planning, and the full suite of transactional services (including accounts payable, payroll) of Cleveland Clinic. The SVP CAO is tasked with ensuring the accuracy, integrity and timeliness of financial reporting and compliance with regulatory requirements and is the responsible executive to Independent Auditors for the quarterly and annual financial reporting (and independent audit) for the enterprise. The SVP CAO also oversees corporate financial operations to ensure alignment with the mission, values and objectives of the organization and department. This includes the tactical development and oversight of financial reporting, centralized financial services, cost accounting, financial data analytics, planning and forecasting, budgeting, capital planning, and global tax compliance. The SVP CAO works closely with the Executive Team and leadership to support strategic planning and decision-making, driving financial performance and organizational growth, and is the go-to financial executive when needed to step-in for the EVP CFO of the enterprise. The SVP CAO is also a corporate officer for the Cleveland Clinic Foundation.

                         

Job Details

Job Responsibilities:

  • Oversees the preparation, distribution, and public filings of all financial statements, ensuring compliance with GAAP and other relevant accounting standards.
  • Manages annual audits for Cleveland Clinic Health System and affiliate organizations.
  • Safeguards assets and ensures accurate and timely reporting of transactions according to GAAP; is a standing member of the Finance Committee and Audit Committee of the Board of Directors.
  • Analyzes financial results and provides insightful commentary and recommendations to executive management and various committees of the board.
  • Architects and coordinates the annual budgeting process, including concurrent forecasting and variance analysis.
  • Leads the development of the annual and long-term financial and capital plans of the enterprise.
  • Leads the development and implementation of financial reporting systems and processes to enhance accuracy and efficiency.
  • Ensures compliance with all regulatory requirements and other statutory reporting.
  • Monitors changes in accounting standards and regulations, assessing their impact on the organization and implementing necessary changes.
  • Maintains strong relationships with external auditors, facilitating timely and efficient audit processes.
  • Leads the enterprise Internal Control Effectiveness (ICE) program to develop and enforce internal controls in accordance with Sarbanes-Oxley principles, to safeguard company assets and ensure financial integrity.
  • Collaborates with the enterprise CEO, CFO, and other senior executives to develop and execute the company’s strategic plan.
  • Provides financial insights and analysis to support decision-making and drive business growth.
  • Directs a team that supports organizational assessments and decisions on mergers and acquisitions and joint ventures.
  • Mentors and develops teams fostering a culture of continuous improvement, caregiver engagement and professional growth.
  • Leads the International Finance division for the enterprise.
  • Oversees day-to-day accounting operations, including accounts payable, nonpatient accounts receivable, payroll, and general ledger functions.
  • Directs revenue and reimbursement functions including revenue recognition, and all required public filings (i.e.: Medicare and Medicaid Cost Reports).
  • Responsible for service line performance management and producing accurate and accessible patient level reporting, cost accounting, and key metrics and measures.
  • Partners with Market and Network Services in modeling payer contracts and value-based outcomes.
  • Directs financial management of Academic Affairs and Clinic research accounting.
  • Communicates financial performance to executive management, Cleveland Clinic Board of Directors and Committees and external stakeholders.
  • Partners with Cleveland Clinic Innovations to identify, assess, and realize new business opportunities and revenue streams.
  • Collaborates with international operations and strategy to identify and operationalize new ventures and strategic partnerships internationally. Develops policies, practices, and procedures that have a significant impact on the organization.
  • Other duties as assigned.

Education:

  • Bachelor's degree required. Major in Accounting and/or Finance preferred.
  • Master's degree preferred.

Languages:

  • English.

Certifications:

  • Certified Public Accountant (CPA), Chartered Accountant (CA), Certified Management Accountant (CMA) or equivalent certification preferred.

Complexity of Work:

  • Requires staff management, strong communication skills, critical thinking skills, analytical and interpretative skills, decisive judgment, and the ability to work with minimal guidance.
  • Leads or actively engages with senior-most levels of financial management of the enterprise in concert with the EVP CFO.

Work Experience:

  • A minimum of 15 years of experience in healthcare and/or accounting.
  • Strong financial management and leadership experience with large, complex health sector organizations.
  • Financial consolidation of multi-entry systems and joint venture/affiliation.

Physical Requirements:

  • Ability to communicate and exchange accurate information.
  • Ability to perform work in a stationary position for extended periods.
  • Ability to work with physical records or operate a computer or other office equipment.
  • In some locations, ability to travel throughout the hospital system.
  • In some locations ability to move up to 25 lbs.
  • Lengthy and frequent national and international travel.

Personal Protective Equipment:

  • Follow standard precautions using personal protective equipment as required. 

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities