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Empowering the Hands that Heal

Sr Director Accounting (Hybrid in Louisville)

Louisville, Kentucky

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Overview

ScionHealth strives to provide quality-driven, patient-centered acute and post-acute hospital solutions. The health system is focused on driving innovation, serving its communities, and investing in people and technology to deliver compassionate patient care and excellent health outcomes. Based in Louisville, ScionHealth operates 79 hospital campuses in 25 states – 61 long-term acute care hospitals and 18 community hospital campuses and associated health systems.

Success Profile

What do you need to be successful at ScionHealth? Here are the top traits we’re looking for:

  • Communicator
  • Creative
  • Deadline-oriented
  • Goal-oriented
  • Problem-solver
  • Strategic

Our Culture

  • Driven by quality: We believe that if we focus on delivering quality care, exceeding expectations related to customer service and supporting our people, our business results will follow.
  • We equip our hospitals and our people with the resources, technology and expertise they need to deliver the best possible care to patients.
  • We’re always looking to find better ways to support caregivers by improving what we do, sharing best practices, and responding to the changing needs of our people and the patients they serve.
Two doctors standing in hallway

Sr Director Accounting (Hybrid in Louisville)

Louisville, Kentucky
Facility ScionHealth Corporate Support Center
Req ID 559345 Post Date 10/02/2026 Category Accounting and Finance
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Description

At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

  • The Senior Director of Accounting oversees the day-to-day activities of the Hospital Division (HD) Accounting team, ensuring the accuracy and integrity of financial statements. This role serves as a key resource to both Corporate and Field personnel for all accounting-related matters and supports the Division Controller and CFO. The Senior Director leads the monthly close process, manages internal controls, supports audit readiness, and ensures adherence to finance policies and procedures across the division.

Essential Functions

  • Ensure accuracy and completeness of financial statements for hospitals within the division.
  • Maintain and oversee the General Ledger system, including resolving errors, setting up new accounts, and managing the reporting hierarchy.
  • Direct centralized accounting for Subacute and Acute Rehab Units.
  • Support and lead Revenue Cycle Accounting close processes.
  • Manage the Hospital Division Short Term Incentive Plan, including calculations and result communication.
  • Supervise and mentor staff and senior accountants review journal entries and reconciliations.
  • Reconcile bank accounts and balance sheets, resolving discrepancies in cash and ledger balances.
  • Analyze financial accounts and prepare schedules for senior management.
  • Manage accounting transitions for acquisitions, transfers, and facility dispositions, including closing out NCD Division entities.
  • Ensure compliance with partnership reporting and funding distribution requirements.
  • Coordinate and reconcile monthly inventory reports with Supply Chain.
  • Act as an accounting resource to field staff and departments provide training on monthly close procedures.
  • Liaise with Payroll, Accounts Payable, Treasury, Supply Chain, and Corporate Accounting to ensure accurate division-wide expense reporting.
  • Prepare audit schedules and support internal/external audits.
  • Provide financial analysis and reporting support to Division CFO and Controller.

Knowledge/Skills/Abilities/Expectations

  • Strong oral and written communication and interpersonal skills.
  • Advanced accounting and financial analysis capabilities.
  • Knowledge of healthcare reimbursement and accounts receivable systems.
  • Proficiency in Microsoft Office and financial systems (General Ledger, Patient Accounting).
  • Strong organizational and supervisory skills.
  • Knowledge of GAAP and healthcare financial standards.
  • Limited travel required (approximately 10%).

Qualifications

Education

  • Bachelor’s Degree in accounting or finance (Required) And
  • Master’s Degree in accounting or finance (Preferred)

Licenses/Certifications

  • Certified Public Accountant (CPA) Upon Hire (Preferred)

Experience

  • 5+ years prior management experience in a hospital or healthcare accounting setting (Required)
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Benefits

  • Career Development

    We support growth and development for all our employees through various means and in programs designed to foster inclusion.

  • Healthcare

    Your health is important to us. We offer a comprehensive benefits program and resources to support healthy lifestyles for you and your family.

  • Retirement Plan

    Employees can contribute to their retirement with plans that allow for pre-tax or after-tax contributions through payroll deductions.

  • Paid Time Off

    With paid holidays and PTO, you are encouraged to take the time you need to relax and recharge with family and friends.

  • Work-Life Balance

    Work-life balance is not just a perk, it is encouraged. We believe that our employees work their best when they’re allowed to be their best selves in and out of the office.

  • Miscellaneous Benefits

    Whether you’re looking for pet insurance, identity theft protection, or select discounts from hundreds of local and national merchants, we have a variety of benefits that help provide peace of mind.

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