We are honored to share that all seven of our eligible hospitals have been named top performers in the 2025 Bernard A. Birnbaum, MD, Quality Leadership Rankings by Vizient Inc., a trusted national benchmark for hospital performance.
This year, five of our hospitals ranked in the top five of their …
Director Governmental Reporting
Location:
Corporate
8100 Greenbriar St., Houston TX, 77054
8100 Greenbriar St., Houston TX, 77054
- Job Ref:
- 2025-76808
- Talent Area:
- Leadership Management
- Job Shift:
- Day
- Job Type:
- Full Time
- Posted Date:
- Jan. 5, 2026
At Houston Methodist, the Director Governmental Reporting is responsible for ensuring that Houston Methodist meets all internal and external financial and governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal and State Charity Reporting, Federal tax reporting including income tax and payroll reporting and filings, and state 1115 waiver reporting. This position directs monthly net revenue and accounts receivable valuation and is also responsible for governmental policy review and research.
The Director position responsibilities include overseeing the activities of the department staff, ensuring quality, productivity, functional excellence and efficiency to accomplish strategic and operational objectives. In addition, this position is accountable for employee engagement, adequate staffing levels, budget development and compliance, staffing decisions such as hiring and terminating employment, coaching and counseling employees on work-related performance, and developing and implementing policies and procedures to ensure a safe and effective work environment. This position also ensures training, monitoring, and operations initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations.
FLSA STATUS
Exempt
QUALIFICATIONS
EDUCATION
EXPERIENCE
LICENSES AND CERTIFICATIONS
Required
SKILLS AND ABILITIES
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
SERVICE ESSENTIAL FUNCTIONS
QUALITY/SAFETY ESSENTIAL FUNCTIONS
FINANCE ESSENTIAL FUNCTIONS
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
SUPPLEMENTAL REQUIREMENTS
Exempt
QUALIFICATIONS
EDUCATION
- Bachelor’s degree in accounting
- Master’s degree preferred
EXPERIENCE
- Five years of progressively responsible experience in accounting, of which two years must have been in a people management role
- Healthcare experience preferred
LICENSES AND CERTIFICATIONS
Required
- CPA - Certified Public Accountant - State Licensure
SKILLS AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially about activities impacting patient or employee safety or security
- Demonstrates the ability to interact with others in a way that gives them confidence in one’s intentions and those of the organization
- Ability to use appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations and individuals involved
- Demonstrates leadership qualities and critical thinking through self-direction initiative and effective interpersonal skills and oral/written communication skills
- Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences
- Extensive knowledge of regulatory and accreditation agency requirements that impact department; stays abreast of industry changes
- Demonstrates highly effective communication skills—strong written communications and platform presentation abilities
- Ability to work effectively in a fast-paced environment
- Demonstrates flexibility and adaptability in the workplace
- Capable of leading teams/facilitating groups, building consensus and garnering highest confidence in professionalism and work product by senior leadership
- Ability to work under pressure and balance many competing priorities; highly responsive and solution/action oriented
- Proficiency in spreadsheet, word processing, and presentation software
- Maintains a positive and supportive attitude and demeanor
- Professional handling of exposure to confidential/sensitive information
- Ability to assimilate changes in federal and state regulations and apply appropriately
- Knowledge of medicare cost reporting and federal tax reporting preferred
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Directs, develops and implements strategic and operational/high-level projects and processes either through independent/highly autonomous work or through the facilitation of work teams to enable the effective and efficient completion of objectives.
- Oversees management of and ensures development for staff to meet overall objectives in terms of quality, service and cost-effectiveness. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Directs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees.
- Meets or exceeds threshold goal for department turnover and/or system metrics on employee engagement indicators.
- Provides leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies and procedures and operational matters, rounding on all employees, completing performance appraisals, conducting new hire feedback sessions, coaching/corrective counseling, and providing recognition/commendations to achieve desired outcomes.
- Identifies opportunities and takes action to build strategic relationships between one’s area and other areas, teams, departments, and units to achieve business goals. Drives the promotion of teamwork within and between departments; participates and/or leads and facilitates department process improvements as needed.
- Partners effectively with internal and external parties.
SERVICE ESSENTIAL FUNCTIONS
- Oversees department operations, designated projects, schedules and activities as needed to ensure that goals or objectives are accomplished within the prescribed time frame. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service and high customer/patient satisfaction.
- Drives department service standards and activities to impact department and/or system score for patient/customer-based satisfaction, through role modeling and fostering accountability. Serves and actively participates on various entity committees as a voice for the department.
- Prepares the annual budget for presentation to the system Board of Directors.
- Responsible for Federal Tax Return filing, and all tax related matters as well as charity reporting and understanding charity reporting regulations.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Ensures a safe and effective working environment; monitors and/or revises the department safety plan and/or any specific accreditation/regulatory required safety guidelines. Responsible for staff maintenance of credentials and competencies, per accrediting/licensing agency and/or department guidelines as applicable.
- Employs a proactive approach in the optimization of safe outcomes and information systems by monitoring and improving the department workflow and enhancing operations, using peer-to-peer accountability and identifying solutions via collaboration. Implements process improvements utilizing tools such as lean principles. Role models situational awareness, using teachable moments to improve safety.
- Responsible for employee compliance to policies and procedures and performs associated actions upon non-compliance (i.e., licensure/certification compliance, focal point review requirements, disaster plan, in-services, influenza immunization, wage and hour, standard hours, timely termination submission, timely timecard approval, etc.).
- Identifies and makes recommendations for standard information systems and improvements by which all budget data will be accumulated, shared and summarized.
- Directs the preparation of monthly contractual allowance reserves for all hospitals to ensure proper valuation of patient accounts receivable.
FINANCE ESSENTIAL FUNCTIONS
- Develops and manages department operational and capital budgets, approvals, and ongoing maintenance of the department(s), ensuring operation in a cost-effective manner. Proactively identifies and plans for capital needs related to current equipment and future department projects. Ensures staffing plans and schedules meet department needs that reflect understanding of the importance of cost-effectiveness.
- Creates department strategies to achieve financial target and staffing needs, through optimizing productivity, supply/resource efficiency, minimizing incidental overtime and overtime percentage, and other areas according to department specifications.
- Directs the coordination, review and filing of corporate income tax returns, corporate information returns, unrelated business income tax returns, corporate state tax returns and corporate payroll tax returns.
- Directs and reviews the filing of Federal and State Charity Report.
- Directs the coordination, review and filing of Medicare and Medicaid cost reports and associated audits by the fiscal inter-mediatry. Also directs re-opening requests and appeals.
- Directs the coordination, review and filing of state 1115 waiver requirements.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Identifies and implements innovative solutions for practice or workflow changes to improve department, entity or system operations by leading unit projects and/or other department/system-directed activities. Proactively leads task forces and committees. May represent HM at assigned community or professional organization meetings.
- Drives change initiatives, maintaining effectiveness when experiencing major changes in work responsibilities or environment; adjusts effectively to work within new work structures, processes, requirements or cultures. Partners effectively with stakeholders as appropriate.
- Ensures own career discussions occur with appropriate management. Completes and updates My Development Plan (MDP) on an ongoing basis. Conducts conversations with staff on their development and MDP.
- Stays up to date and makes recommendations regarding federal and state regulations and the impact on Houston Methodist. Serves as subject matter expert regarding financial impact to operational initiatives.
SUPPLEMENTAL REQUIREMENTS
- WORK ATTIRE
- Uniform: No
- Scrubs: No
- Business professional: Yes
- Other (department approved): No
- On Call* Yes
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes
ON-CALL*
*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
TRAVEL**
**Travel specifications may vary by department**
Company Profile:
Houston Methodist is one of the nation’s leading health systems and academic medical centers. Houston Methodist consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the heart of the Texas Medical Center, and seven community hospitals throughout the greater Houston area. Houston Methodist also includes an academic institute, a comprehensive residency program, a global business division, numerous physician practices and several free-standing emergency rooms and outpatient facilities. Overall, Houston Methodist employs more than 27,000 employees and is supported by a wide variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care.
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