Job Description

Accounting Analyst Sr.
Job CategoryProfessional
ScheduleFull time
Shift1 - Day Shift


Performs complex accounting processes, creates budgets and pro formas for designated high volume/variable Tucson Medical Center and Affiliates (TMCH) areas.  Analyzes contracts to determine appropriate accounting processes including equipment leases (operating vs. capital), physician contracts, and service contracts.  Evaluates processes and provides recommendations regarding internal control or process efficiency.  Understands complex accounting issues and can make recommendations regarding correct Generally Accepted Accounting Principles (GAAP) treatment.  Analyzes business operations and provides consultation for optimum system utilization. Creates consistency in approach, leverages expertise, and effectively manage the cost of the services being proposed.  Accounting Analyst Senior will assist senior management with oversight and support of Accounting Analyst team members, while facilitating standards of work.



Works effectively with all levels within the organization; acts as a liaison with staff to assess their needs and provide information and support as needed.


Advise and support team members to set priorities and utilize problem-solving techniques with minimal direction and appropriate collaboration.

Analyzes, interprets, and reconciles financial data and compiles associated reporting.  This includes, but is not limited to the following:

  • Analyzes, reconciles, and coordinates activity related to the balance sheet accounts and prepares documentation per policy.

  • Prepares financial data and prepares reporting on current financial operations, ensures adherence to financial policies, and assists in implementation of significant organization development.

  • Assists senior management with problem resolution, defining efficient and cost effective ways to address issues as they arise, and assists in assessing requirements to meet goals and scheduled deadlines.

  • Implements and modifies test plans for information technology systems including unit and system testing.

  • Creates systems for and maintains record of volume statistics, payroll and other information used for ad hoc reporting.

  • Develops and maintains proper documentation that supports external reporting.


Responsible for the development of processes, procedures, and preparation of data related, but not limited to the following:       

  • Oversees financial affairs for Tucson Medical Center and Affiliates (TMCHC) including the preparation of annual budgets, financial reporting, and supporting documentation using actual performance, previous budgets, estimations of revenues and expenses, and other factors.

  • Serves as consultant regarding TMCHC financial affairs, development of operating policies and procedures, department needs/problems, financial system requirements and budgets.

  • Serves as a resource to all TMCHC financial statement users; performs high level analysis and troubleshooting functions as needed.

  • Prepares financial presentations for board and senior management presentations.

  • Prepares monthly financial statements at either company or subsidiary level including trial balance preparation and organization of monthly journal entries.

  • Prepares sufficient documentation and narratives for TMCHC’s yearly budget package and other financial reporting. Meets with customers frequently and provides frequent written status updates to customers, team members, and department management.

  • Prepares, identifies, analyzes and resolves accounting issues including: budget variance analysis on general budget issues, cost-benefit data analysis, statistical reports, and other fiscally related duties assigned.

  • Create, analyze, and update TMCHC pro formas to support the financial decisions made related to new or expanding services.

  • Analyzes and interprets TMCHC operating results; makes specific recommendations which will result in cost reduction and profit improvements, adapts programs to changing needs, and maintains related documentation.

  • Analyzes the monthly revenue and expense reports and prepares a statement of budget vs. actual variance.

  • Utilizes current, or develops new, proper internal controls for assigned account categories in order to audit various accounting functions inside the department and across the company.

  • Interacts with outside auditors, participates in occasional auditing projects, prepares audit schedules, and provides other required data when requested.

  • Participates in testing and recording of financial transactions to assist in meeting Sarbanes-Oxley requirements.

  • Leads and directs the work of others; conducts and assists in the presentation of educational sessions as assigned and when deemed necessary.

  • Collaborates and coordinates with TMCHC in shared business processes as requested including but not limited to Purchasing, Human Resources, Business Office, and Information Services.

  • Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff.

  • Understands systems interfacing between general ledger and budget/reporting and can monitor interface to ensure accuracy of data.

  • Performs related duties as assigned.


EDUCATION:  Bachelor’s degree in Accounting or Finance.

EXPERIENCE:  Five (5) years hospital accounting, analysis and/or auditing experience.



Ability to create, interpret, and work with financial data that includes, but is not limited to:

  • Prepares financial forecasts and budgets while meeting required deadlines.

  • Understands an extensive variety of technical instructions in mathematical or diagram form, abstract and concrete variables, concepts such as fractions, percentages, ratios and proportions.

  • Analyzes positive or negative variances against expected outcomes, applying mathematical operations to solve or analyze job-related situations.

  • Prepare ROIs and detailed reports for presentation to management.


Ability to define problems, draw valid conclusions, and present resolution utilizing, but not limited to the following:

  • Establishing facts in response to inquiries or complaints from employees, patients, and/or their representatives.

  • Collection and analysis of data needed to provide resolution.

  • Present and utilize independent judgement in establishing the accuracy and reasonableness of information.

Knowledge of and ability to improve processes and policy when determined necessary to include, but not limited to the following:

  • Apply Generally Accepted Accounting Principles (GAAP) when preparing hospital financial data.

  • Provide accurate assistance for all levels of management in analyzing financial performance related to hospital operations.

  • Utilize appropriate project management practices and procedures as it relates to audit, monthly financial close and reporting, balance sheet reconciliation, intra- and inter- department process improvement.

Display advanced skills including, but not limited to the following:

  • Organizing tasks to provide a full range of financial analysis, budgeting and forecasting.

  • Providing written and verbal communication to ensure complete understanding to stakeholders.

  • Researching records and reports utilizing necessary TMCH resources, and when necessary have the ability to make reasonable estimates when actual data not available.

  • Use of computer applications and systems to include: Word, EXCEL, Outlook and accounting software.To work with internal resources to gain understanding of other software needed for data retrieval in order to provide accurate financial data and analysis.

Application Instructions

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