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Job description
Job Description
Shape the Financial Future of Healthcare Excellence
As Vice President, Chief Accounting Officer (CAO) at Henry Ford Health, you'll be the architect of financial integrity and governance for one of the nation's leading integrated healthcare systems. This is more than a compliance role—it's a strategic leadership position where your decisions directly impact patient care, research innovation, and organizational sustainability. You'll partner with executive leadership to transform complex financial challenges into competitive advantages while building a world-class accounting organization.
The Vice President, Chief Accounting Officer (CAO) is responsible for the integrity, accuracy, and timeliness of Henry Ford Health's accounting, financial reporting, fund accounting and control environment. The CAO ensures compliance with GAAP, regulatory standards, and internal controls while enabling system strategy, growth, and financial sustainability.
This role serves as a key advisor to the CFO, executive leadership and partners across finance, treasury, tax, legal, research, and operations to ensure strong financial governance and decision support across a complex, integrated healthcare system. The role will report to the SVP, Corporate Financial Services
KEY RESPONSIBILITIES
Lead all system-wide accounting functions, including general accounting, consolidation, and financial close
Ensure timely and accurate financial statements in compliance with GAAP and regulatory standards
Establish and maintain a strong internal control environment and financial governance processes
Oversee external audit activities and regulatory filings
Oversee funding accounting including research grants, community grants and restricted/unrestricted donor funds
Serve as a key financial partner to HFH's research enterprise, including the partnership with Michigan State University, ensuring appropriate accounting, compliance, and financial oversight
Provide strategic leadership of tax, including planning, compliance, and optimization across a complex healthcare system
Provide technical accounting leadership for complex transactions, including M&A, joint ventures, and system integration
Partner with FP&A, treasury, tax, and operational finance to support enterprise performance and decision-making
Lead accounting's role in ERP implementation, including: Driving people, process, and workflow transformation
Ensuring alignment of accounting structures, controls, and reporting within the ERP
Standardizing and simplifying processes to enable scalability and efficiency
Partnering with IT and operational leaders to support successful deployment and adoption
Drive standardization, automation, and continuous improvement across accounting operations
Ensure compliance with federal, state, and local regulations and reporting requirements
Serve as a strategic advisor to the CFO and executive leadership on accounting, reporting, and risk considerations
LEADERSHIP & CULTURE
Model HFH mission, vision, and values in leadership behaviors and decisions
Build and lead a high-performing accounting organization, including talent development and succession planning
Promote a culture of accountability, continuous improvement, and operational excellence
Lead change effectively across large-scale transformation initiatives (e.g., ERP, integration)
Collaborate across corporate, clinical, and market leadership to advance system priorities
Qualifications:
Qualifications
EDUCATION & EXPERIENCE
Bachelor’s degree in Accounting or Finance required; Master’s preferred
CPA required
15+ years of progressive accounting/finance leadership experience in a complex, multi-entity environment (healthcare preferred
Deep expertise in financial reporting, internal controls, and regulatory compliance
Experience with internal/external audit, funding structures, tax strategy, ERP implementation, and research funding environments strongly preferred
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Worksite address
detroit, MI, 48228, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.