Senior Financial Construction Accountant in Nashville, Tennessee, United States
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HCA Healthcare

Senior Financial Construction Accountant

Nashville, TN, United States
Full-time • No Weekends
Finance Accounting Billing Claims and Revenue   Job ID: 837490
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Do you want to join an organization that invests in you as a Senior Accountant? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.


HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Senior Accountant like you to be a part of our team.

Job Summary and Qualifications

*This is a hyrbid position, that will have both onsite and remote work. 

This position is responsible for tracking and reporting phased project costs, maintaining and reporting project dates and other key project data, and collection of data related to various Capital Deployment initiatives. This position will coordinate closely with all design and construction personnel as well as Corporate Accounting and CAMS personnel to ensure projects are broken into the appropriate components and phases, thus ensuring costs are tracked, managed and reported accurately and in compliance with Company accounting policies. Must have a keen understanding of GAAP and internal control processes and procedures.

A major portion of this role also includes serving as system administrator for e-Builder, our project management system. This position will lead change for business process improvement and innovative process reengineering. The individual must be self-motivated with the ability to self-direct, track, measure and document within a professional multi-tasking, multi-priority environment. This role must manage complex projects under limited oversight.

What you will do:

  • Work with Construction Managers, Equipment Managers, IT&S and Corporate Accounting personnel to delineate, track and report project costs by phase and component. This will include serving as the primary liaison between Capital Deployment and Corporate Accounting to ensure Corporate Accounting is provided with project cost data that is accurate and timely.
  • Work with Corporate Accounting and CAMS to ensure project dates are reported accurately so costs can be reported to facilities on a timely basis (to ensure compliance with SOX key controls).
  • Gather and report on data related to various D&C initiatives, such as contractor and architect diversity statistics, project recycling, etc.
  • Develop cost management tools and reporting metrics to assist Design, Construction, and Equipment Managers to better manage project schedules and costs.
  • Coordinate with other Capital Deployment personnel and Internal Audit personnel to provide documents and data needed for Contractor and Architect audits, SOX reviews, etc.
  • Serve as e-Builder system administrator and ensure proper system access controls are maintained at all times. This will include building and maintaining structured workflow processes within the system, building reports and dashboards, building system templates, and working to troubleshoot and correct system issues as they arise.
  • Monitor transmission of data between e-Builder and Lawson (HCA’s accounting system) to ensure data is being transmitted in accordance with established protocols.
  • Create reporting and workflow processes based on translating various business requirements from Capital Deployment personnel, CAMS and partner advocates.
  • Provide prompt and accurate responses to requests for information from all Corporate departments and other field operations.
  • Serve as e-Builder subject matter expert to provide guidance on departmental initiatives, process improvements and reporting.
  • Perform various special projects and ad-hoc analyses as needed.

Education & Experience:

  • Bachelor’s degree required (degree in Accounting or Business Administration preferred)
  • 5+ years of relevant work experience required
  • Prior audit and/or construction accounting experience preferred
  • MBA or CPA preferred
  • This job may require travel from time-to-time, but not on a regular basis.

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Senior Accountant opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


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Full-time • No Weekends

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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