Full-Time

Director Governmental Reporting

Posted on 9/10/2026

Houston Methodist

Houston Methodist

10,001+ employees

Nonprofit academic medical center with hospitals

No salary listed

Houston, TX, USA

In Person

May require travel within and outside the Houston metropolitan area.

Bachelor's, Master's

Category
Accounting (1)

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Requirements
  • A bachelor's degree in accounting is required.
  • At least five years of progressively responsible accounting experience is required, including two years in a people-management role.
  • The ability to speak, read, and write English sufficiently to perform essential job functions is required.
  • Extensive knowledge of regulatory and accreditation agency requirements affecting the department is required.
  • Proficiency in spreadsheet, word processing, and presentation software is required.
  • The ability to assimilate changes in federal and state regulations and apply them appropriately is required.
  • Professional handling of confidential and sensitive information is required.
  • The ability to lead teams, facilitate groups, build consensus, and work effectively with senior leadership is required.
  • The ability to identify issues, compare data from different sources, draw conclusions, and develop appropriate solutions is required.
  • The ability to work effectively in a fast-paced environment, under pressure, and while balancing competing priorities is required.
Responsibilities
  • Ensure compliance with internal and external financial and governmental reporting requirements, including Medicare cost reports, federal tax returns, Health and Human Services and Centers for Medicare and Medicaid Services reporting, federal and state charity reporting, payroll tax reporting and filings, and state 1115 waiver reporting.
  • Direct monthly net revenue and accounts receivable valuation and review governmental policies and research.
  • Oversee department staff activities and ensure quality, productivity, functional excellence, and efficiency in achieving strategic and operational objectives.
  • Manage employee engagement, staffing levels, budget development and compliance, hiring and termination decisions, and employee coaching and counseling.
  • Develop and implement policies and procedures that support a safe and effective work environment and ensure compliance with ethical, legal, accreditation, regulatory, and governmental requirements.
  • Direct, develop, and implement strategic and operational projects and processes independently or through facilitated work teams.
  • Oversee staff development and direct employee selection, scheduling, supervision, retention, and evaluation.
  • Conduct department meetings, employee rounding, performance appraisals, new-hire feedback sessions, coaching and corrective counseling, and employee recognition activities.
  • Build strategic relationships across departments and partner with internal and external parties.
  • Oversee department operations, projects, schedules, and activities; set priorities and functional standards; and provide direction to staff.
  • Prepare the annual budget for presentation to the system Board of Directors.
  • File federal tax returns and manage tax-related matters and charity reporting.
  • Monitor and revise department safety plans and required accreditation and regulatory safety guidelines.
  • Monitor and improve department workflow and operations, including process improvements using lean principles.
  • Ensure employee compliance with policies, procedures, licenses, certifications, competencies, and applicable employment requirements.
  • Recommend standard information systems and improvements for accumulating, sharing, and summarizing budget data.
  • Direct preparation of monthly contractual allowance reserves for all hospitals to ensure proper valuation of patient accounts receivable.
  • Develop and manage departmental operational and capital budgets, approvals, and ongoing maintenance.
  • Plan capital needs, staffing plans, and schedules while maintaining cost-effective operations.
  • Develop department strategies for financial targets and staffing needs by optimizing productivity and resource efficiency.
  • Direct coordination, review, and filing of corporate income, information, unrelated business income, state, and payroll tax returns.
  • Direct and review federal and state charity reports.
  • Direct coordination, review, and filing of Medicare and Medicaid cost reports, associated fiscal intermediary audits, reopening requests, and appeals.
  • Direct coordination, review, and filing of state 1115 waiver requirements.
  • Lead innovative solutions, unit projects, task forces, committees, and department or system initiatives.
  • Stay current on federal and state regulations and advise Houston Methodist on their operational impact.
  • Serve as a subject-matter expert regarding the financial impact of operational initiatives.
  • Travel within and outside the Houston metropolitan area as required.
Desired Qualifications
  • A master's degree is preferred.
  • Healthcare experience is preferred.
  • A Certified Public Accountant license is preferred.
  • Knowledge of Medicare cost reporting and federal tax reporting is preferred.

Houston Methodist operates a nonprofit academic medical center and a system of eight hospitals in the Greater Houston area. It delivers fee-for-service medical care across specialties such as cancer, heart and vascular care, organ transplantation, neurosciences, orthopedics, and digestive disorders, including care for thousands of international patients. The system combines patient care with research and education through the Houston Methodist Research Institute and a supporting foundation, and it partners with Weill Cornell Medicine, Texas A&M University, and Rice University to run joint programs like EnMed and a broad clinical trials program. Its goal is to improve patient outcomes by providing high-quality medical care while expanding research, education, and clinical trials through collaborations and shared expertise.

Company Size

10,001+

Company Stage

N/A

Total Funding

N/A

Headquarters

Houston, Texas

Founded

2008

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Simplify Jobs

Simplify's Take

What believers are saying

  • U.S. News ranked Houston Methodist Hospital No. 1 in Texas on August 4, 2026.
  • Cypress Hospital announced a $100 million expansion on March 27, 2026.
  • Houston Methodist broadened BioButton monitoring across inpatient care in 2026.

What critics are saying

  • A July 2026 stabbing lawsuit targets Texas Medical Center security after an employee attack.
  • Memorial Hermann and Baylor St. Luke’s crowd Houston’s rankings, compressing market share.
  • A catastrophic patient-safety or security failure breaks referral trust across Texas Medical Center.

What makes Houston Methodist unique

  • Weill Cornell Medicine remains Houston Methodist’s primary academic affiliate in 2026.
  • EnMed with Texas A&M blends MD and engineering training inside the Texas Medical Center.
  • Its research engine supports 1,900-plus protocols and active clinical trials as of September 2026.

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Company News

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Aug 5th, 2026
Houston Methodist Hospital recognized among country's best in U.S. News & World Report Honor Roll.

Houston Methodist Hospital recognized among country's best in U.S. News & World Report Honor Roll. Posted on Aug 5, 2026 in NEWSWORTHY Named No. 1 hospital in Texas for 15th year; 5 community hospitals achieve statewide rankings Houston Methodist Hospital was named to U.S. News & World Report's Honor Roll (best hospitals in the country) for the 10th time and is the No. 1 hospital in Texas, marking the 15th consecutive year at the top. This also is the 34th year in a row that Houston Methodist Hospital was ranked in at least one specialty. "This recognition reflects the remarkable dedication of our physicians and employees and their tireless focus on delivering unparalleled care to our patients," said Marc L. Boom, M.D., president and CEO of Houston Methodist. "While we are honored by this recognition, its true significance lies in what it represents - an unwavering commitment to putting patients first." Houston Methodist Hospital is ranked in 11 specialties - 10 nationally and one regionally (rehab), including six specialties nationally ranked in the top 20. The nationally ranked specialties include gastroenterology/GI surgery (5); obstetrics and gynecology (7); cardiology, heart and vascular surgery (10); pulmonology and lung surgery (11); neurology/neurosurgery (13); cancer (19); orthopedics (21, tie); diabetes and endocrinology (23, tie); geriatrics (24); and urology (43). In addition, five community hospitals achieved 2026-27 U.S. News & World Report statewide rankings. They also achieved their best showing in the rankings to date by medical specialties. * Houston Methodist Sugar Land Hospital is No. 3 (tied) in Texas and No. 2 in the Houston metro area. It is ranked in six specialties, with five nationally ranked and one regionally ranked. * Houston Methodist The Woodlands Hospital is No. 7 in Texas and No. 5 in the Houston metro area. It is ranked in two specialties, with one nationally ranked and one regionally ranked. * Houston Methodist Willowbrook Hospital is No. 9 in Texas and No. 6 in the Houston metro area. It is ranked in two specialties, with one nationally ranked and one regionally ranked. * Houston Methodist Baytown Hospital is No. 14 in Texas and No. 8 in the Houston metro area. * Houston Methodist Clear Lake Hospital is No. 21 (tied) in Texas and No. 10 (tied) in the Houston metro area. Michael Garcia, CEO of Houston Methodist Sugar Land Hospital and senior vice president of Houston Methodist. "To be recognized as the No. 2 hospital in Houston and tied for the No. 3 hospital in Texas is an incredible accomplishment and our highest ranking to date," said Michael Garcia, CEO of Houston Methodist Sugar Land Hospital and senior vice president of Houston Methodist. "That recognition belongs to our physicians, nurses and employees, whose dedication to providing unparalleled safety, quality and service is the reason we've reached this milestone. I'm incredibly proud of this team and grateful for the excellent care they provide and the compassion they show to our patients and our community."

Click2Houston
Aug 4th, 2026
Houston Methodist named No. 1 hospital in Texas for 15th straight year by U.S. News.

Houston Methodist named No. 1 hospital in Texas for 15th straight year by U.S. News. HOUSTON - Houston Methodist Hospital has once again been named the No. 1 hospital in Texas, marking the 15th consecutive year it has earned the top statewide ranking from U.S. News & World Report. The hospital also secured a spot on the publication's prestigious Honor Roll for the 10th time, recognizing it among the nation's top-performing hospitals. Recommended Videos Keep Watching The annual Best Hospitals rankings evaluate thousands of hospitals across the country based on factors including patient outcomes, quality of care, patient experience and hospital reputation. This year's rankings reviewed 4,494 hospitals nationwide. Houston Methodist was ranked in 11 specialties, including 10 nationally and one regionally. Six specialties placed in the nation's top 20, while three earned top-10 rankings. The nationally ranked specialties include: * Cancer * Cardiology, Heart & Vascular Surgery * Diabetes & Endocrinology * Gastroenterology & GI Surgery * Geriatrics * Neurology & Neurosurgery * Obstetrics & Gynecology * Orthopedics * Pulmonology & Lung Surgery * Urology In addition to its specialty rankings, Houston Methodist was rated high performing in 21 of 23 common conditions and procedures evaluated by U.S. News. The designation is awarded to hospitals that perform significantly better than the national average in treating specific conditions and procedures. Hospital leaders said the recognition reflects more than a century of commitment to patient care, safety and clinical excellence. According to Houston Methodist, the health system prioritizes keeping patients at the center of every decision while continuing to invest in advanced technology and high-quality care.

Houston Methodist
Aug 4th, 2026
Houston Methodist named one of America's Best Employers for Women by Forbes 2026.

Houston Methodist named one of America's Best Employers for Women by Forbes 2026. Published Aug. 4, 2026 Houston Methodist is proud to be recognized by Forbes as one of America's Best Employers for Women in 2026. This national honor reflects our commitment to fostering a workplace where women can grow their careers, develop as leaders and make a meaningful impact. At Houston Methodist, women contribute to every part of our organization, from delivering exceptional patient care to advancing innovation, research and operational excellence. We enable their success through professional development opportunities, leadership pathways and a supportive culture built. The Forbes ranking is based on feedback from women working at large organizations across the country and evaluates key factors including workplace culture, career advancement opportunities and leadership representation. As a top-ranked health system and a recognized employer of choice, Houston Methodist is committed to creating an environment where talented professionals can thrive while leading medicine. We are honored by this recognition and grateful to the women across our organization whose expertise, dedication and leadership help make Houston Methodist an exceptional place to work.

Houston Methodist
Jul 15th, 2026
Four Houston Methodist hospitals named 2026 Healthgrades Triple Crown recipients.

Four Houston Methodist hospitals named 2026 Healthgrades Triple Crown recipients. Published July 15, 2026 At Houston Methodist, leading medicine means delivering safe, compassionate, high-quality care across every hospital in our system. That commitment just earned national recognition from Healthgrades. Four of our community hospitals were named to the 2026 Healthgrades Triple Crown list, making Houston Methodist one of the most recognized systems on Healthgrades' national list of just 16 Triple Crown hospitals: * Houston Methodist Baytown Hospital * Houston Methodist Clear Lake Hospital * Houston Methodist Sugar Land Hospital * Houston Methodist The Woodlands Hospital The Triple Crown is Healthgrades' highest hospital honor, awarded to facilities that excel in three areas at the same time: * Outstanding Patient Experience, based on the highest HCAHPS scores across 10 measures, including communication, cleanliness and pain management * Patient Safety Excellence, for the lowest rates of preventable safety events, placing them in the top 10% nationally * America's Best Hospitals, for superior clinical outcomes across more than 30 procedures and conditions Recognition like this reflects the expertise, integrity and heart of our physicians, nurses and support teams who put patients first every day. Are you ready to build your career with a nationally recognized health care leader? Come lead with us! Explore Houston Methodist careers.

Houston Methodist
Jun 10th, 2026
Houston Methodist named one of America's Greatest Workplaces 2026 by Newsweek.

Houston Methodist named one of America's Greatest Workplaces 2026 by Newsweek. Published June 10, 2026 Houston Methodist has been recognized on Newsweek's America's Greatest Workplaces 2026 list, earning a 4.5-star rating. This ranking is one of the largest independent employee studies in the nation, based on more than 2.7 million company reviews, extensive third-party data and over 37 million data points across 120+ key performance indicators. Companies were evaluated on 10 dimensions of worker satisfaction, including leadership, compensation, integrity and work-life balance. Only employers that met strict ethical and workplace standards were eligible for recognition. What this means for Houston Methodist: * Independent validation. Rankings are based entirely on independent research, not sponsorship or paid placement. This recognition reflects what employees actually experience. * Culture that delivers. Engaged teams drive stronger outcomes. At Houston Methodist, investing in our people is how we continue leading medicine. * A workplace built on values. Integrity, compassion, accountability, respect and excellence aren't just words here. They shape how we work and how we care for each other. In today's competitive health care landscape, workplace culture is a deciding factor for top talent. Houston Methodist continues to stand out as a destination for health care professionals who want to grow, contribute and be valued. Are you ready to join a top-ranked team recognized for excellence? Come lead with us! Explore careers at houstonmethodistcareers.org/jobs