Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval® from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community. 

Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City’s Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities’ pressing health and social needs.

Position Summary:

Responsible for the direction, control and coordination of all financial activities of the District.  Directs the Patient Financial Services, Finance/Accounting, Admitting/Service Representatives, Supply Chain and Medical Records functions.  Responsible for planning and developing the District’s basic systems of accounting and financial control and coordination and cooperation of the Districts annual independent external audit.   Oversees financial reporting and responsible as the primary liaison with the external financial community.

Major Position Responsibilities:

The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.

• Maintains a safe, clean working environment, including unit based safety and infection control requirements.
• Evaluates, develops, and administers accounting systems and practices that comply with GAAP, FASB, GASB rulings, regulations, and laws.
• Establishes, maintains, and monitors internal accounting control systems in order to ensure safe/sound operations, accurate accounting records for the statement of the institution’s financial condition, and timely, accurate report data for regulators and management.
• Supervises the preparation of all regulatory reports and monitors compliance.
• Provide direction in the preparation and presentation of the company’s financial forecasts.
• Establish the company’s system of budgetary control; provide for the interpretation of financial results against planned performance.
• Develop and monitor capital expenditure budgeting considering project cost, financing costs, cash flow and return on investment.  Also, review existing capital investments to justify viability.
• Work with independent auditors in the preparation of the annual Financial Statements.
• Work with the Trustee bank to supply all reporting required in the debt agreements and insure compliance of all debt covenants.
• As a member of the Information Systems Steering Committee, develop the objectives which meet the informational needs of the company.
• Develop and maintain cost information which can be used to guide decisions to support the company’s goals, objectives and strategies.
• Develop and maintain an internal control structure which insures that the integrity of information is maintained in the areas of receivables, payables, treasury, revenues, inventory, fixed assets and financial reporting.
• Develop a timely and accurate process of monitoring cash flow to insure internal control and maximize the return on cash assets.
• Directs the Patient Financial Services, Finance/Accounting, Admitting/Service Representatives, Supply Chain and Medical Records functions. 

Qualifications:

• Minimum of 10 years hospital financial management experience, required.
• Preferred minimum hospital financial and demographic scope of experience: 390 licensed beds, 75,000 ER visits, 60,000 Outpatient visits, $300 million net revenue, $44 million net AR. 
• Possess strong analytical, quantitative, problem solving, technical and communication skills.
• Have the ability to effectively interface with senior management and governance.
• Ability to communicate with auditors, analysts, legal counsel, stakeholders, governance and all levels of personnel within the District in an effective and professional manner.
• Applies broad knowledge and seasoned experience when addressing complex issues; defines strategic issues clearly despite ambiguity; takes all critical information into account when making decisions; makes timely, tough decisions.
• Understands the meaning and implications of key financial indicators; manages overall financial performance (income statement and balance sheet); uses financial analysis to evaluate strategic options and opportunities.
• Promotes ideas and proposals persuasively; shapes stakeholder opinions; projects a positive image; works through conflicts; negotiates win/win solutions.
• Sets and pursues aggressive goals; drives for results; demonstrates a strong commitment to organizational success; works to do what is best for all stakeholders (customers, physicians, employees, etc).
• Establishes open, candid, trusting relationships; treats all individuals fairly and with respect; behaves in accord with expressed beliefs and commitments; maintains high standards of integrity.
• Assigns clear authority and accountability; directs change while maintaining operating effectiveness; integrates efforts across units and functions; monitors results; tackles problems directly and with dispatch.

Education: 

• Bachelor’s degree from an accredited university in Accounting/Finance or similar, required. 
• MBA, preferred. 

Licenses:

• CPA, preferred.

Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.

*Salary/Hourly Wage range based on experience.

TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.