Senior Treasury Accountant and Cash Manager
Salary range: $89,752 - $134,638 / year.
Remote or Remote/Hybrid in Approved States. Please not apply to this role unless you currently reside in one of these states: Arkansas, Arizona, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Tennessee, Utah, Wisconsin
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Senior Treasury Accountant and Cash Manager
REPORTS TO POSITION: Accounting Manager
DEPARTMENT: Financial Services
DATE LAST REVIEWED: October 2025
OUR VISION: Creating Americas healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring, Teamwork and Safety
DEPARTMENT SUMMARY: The Financial Services departments and functions provide many services to our multi-hospital and health care services organization including: Accounting, Finance, Accounts Payable, Payroll, Financial Planning, Capital Planning and Management, Treasury, Grant Management, Real Estate Management, and Enterprise Risk Analysis and Management.
POSITION OVERVIEW: The Senior Treasury Accountant and Cash Manager effectively works with Accounting, Treasury and Financial professionals to fulfill Accounting, Cash Manager, and Treasury Analyst functions. Responsibilities include overseeing (maintaining) daily banking operations and relationships, ensuring accurate month-end treasury close, cash flow modeling and reporting preparation, collaborating on financial planning and analysis, and leading and completing ad hoc projects. This position does not directly manage any other caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Acts as primary contact with the commercial banking community. Establishes strategy for bank relationship development and maintains corporate banking relationships. Keeps current on new products and services to obtain cost effective services.
Manages all corporate bank and custodial relationships and accounting including opening/closing and administration.
Demonstrates strong integrity by ensuring compliance with internal controls related to treasury systems, account access, and supporting documentation.
Creates and maintains short, medium, and long-term cash forecasts to support liquidity analysis and investment strategy.
Monitors daily cash activity to ensure sufficient liquidity and prevent overdrafts, maintaining positive cash balances across all accounts.
Oversees and recommends funds movements to manage SCHSs short term cash needs. Monitors cash availability projections to ensure appropriate liquidity and asset allocation.
Supports the Accounting Manager by researching and recording cash activity in the general ledger.
Participates in month-end and year-end close activities, including preparation of journal entries and completion of account reconciliations.
Partners with cross-functional teams to strengthen end-to-end cash processes, ensure compliance with treasury policies, and meet internal business needs. Develops recommendations on operational practices to enhance cash flow efficiency. Partners with Revenue Cycle leadership to ensure banking services meet all internal needs.
Responsible for all merchant services administration for the system, including review and alignment of payment flow processes, evaluation and standardization of processor/gateway relationships, partnering with IT/PCI security to achieve compliance across the system, work with outsourced vendors to streamline merchant account processes, analyze and reduce credit card fees.
Supports the VP Finance with the interfaces with investment banks, attorneys, consultants, and rating agencies with respect to new debt issuance and refinancings and maintenance of outstanding debt issuances. Supports and coordinates internal effort related to financing activities. Researches and analyzes strategies for access to capital markets as requested.
Manages and monitors compliance with all debt covenants and reports on status on a regular basis. Proactively monitors bond covenants and reports compliance on a quarterly basis, or as needed, to management and as required to bond holders.
Supports leadership with the preparation of investor communication strategies.
In collaboration with the Accounting Manager, ensures compliance with IRS reporting requirements related to outstanding tax-exempt bond issues and private use.
Leads benefit plan audits and ensures timely and accurate filing of the Form 5500.
Supports design and execution of SCHS insurance coverage. Supports placement of all insurance policies which transfer risk exposure from SCHS to an independent, financially viable third-party commercial insurer/reinsurer. Provides data and other support of broker relationships with respect to policy placements. Coordinates annual and periodic actuarial valuations related to periodic assessment of self-insurance reserves and risk retention.
Identifies, designs, and implements process improvements, automation initiatives, and system enhancements to improve efficiency and control.
Partners with Accounting team, providing insights; balance sheet oversight, reconciliations, and analytics; and financial statement disclosure support.
Partners with Finance team to model cash flow and liquidity projections.
Supports the vision, mission and values of the organization in all respects.
Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organizations corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION
Required : Bachelors degree in accounting or finance.
Preferred : Masters degree in business/finance.
LICENSURE/CERTIFICATION/REGISTRATION
Required : N/A
Preferred : Certified Treasury Professional, Certified Public Accountant. Certified Healthcare Financial Professional.
EXPERIENCE
Required : Seven (7) years of treasury, corporate accounting or public accounting work-related experience.
Preferred : Work-related experience in the Healthcare industry.
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
PHYSICAL REQUIREMENTS :
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/ pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%) : Stooping /kneeling/crouching, lifting, carrying, pushing or pulling 11- 2 5 pounds, operation of a motor vehicle.
Never (0%) : Climbing ladder/ step-stool , lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%) : Heat , cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40
Caregiver Type:
Regular
Shift:
First Shift (United States of America)
Is Exempt Position?
Yes
Job Family:
ACCOUNTANT
Scheduled Days of the Week:
Monday-Friday
Shift Start & End Time:
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Remote or Remote/Hybrid in Approved States. Please not apply to this role unless you currently reside in one of these states: Arkansas, Arizona, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Tennessee, Utah, Wisconsin
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: Senior Treasury Accountant and Cash Manager
REPORTS TO POSITION: Accounting Manager
DEPARTMENT: Financial Services
DATE LAST REVIEWED: October 2025
OUR VISION: Creating Americas healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring, Teamwork and Safety
DEPARTMENT SUMMARY: The Financial Services departments and functions provide many services to our multi-hospital and health care services organization including: Accounting, Finance, Accounts Payable, Payroll, Financial Planning, Capital Planning and Management, Treasury, Grant Management, Real Estate Management, and Enterprise Risk Analysis and Management.
POSITION OVERVIEW: The Senior Treasury Accountant and Cash Manager effectively works with Accounting, Treasury and Financial professionals to fulfill Accounting, Cash Manager, and Treasury Analyst functions. Responsibilities include overseeing (maintaining) daily banking operations and relationships, ensuring accurate month-end treasury close, cash flow modeling and reporting preparation, collaborating on financial planning and analysis, and leading and completing ad hoc projects. This position does not directly manage any other caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Acts as primary contact with the commercial banking community. Establishes strategy for bank relationship development and maintains corporate banking relationships. Keeps current on new products and services to obtain cost effective services.
Manages all corporate bank and custodial relationships and accounting including opening/closing and administration.
Demonstrates strong integrity by ensuring compliance with internal controls related to treasury systems, account access, and supporting documentation.
Creates and maintains short, medium, and long-term cash forecasts to support liquidity analysis and investment strategy.
Monitors daily cash activity to ensure sufficient liquidity and prevent overdrafts, maintaining positive cash balances across all accounts.
Oversees and recommends funds movements to manage SCHSs short term cash needs. Monitors cash availability projections to ensure appropriate liquidity and asset allocation.
Supports the Accounting Manager by researching and recording cash activity in the general ledger.
Participates in month-end and year-end close activities, including preparation of journal entries and completion of account reconciliations.
Partners with cross-functional teams to strengthen end-to-end cash processes, ensure compliance with treasury policies, and meet internal business needs. Develops recommendations on operational practices to enhance cash flow efficiency. Partners with Revenue Cycle leadership to ensure banking services meet all internal needs.
Responsible for all merchant services administration for the system, including review and alignment of payment flow processes, evaluation and standardization of processor/gateway relationships, partnering with IT/PCI security to achieve compliance across the system, work with outsourced vendors to streamline merchant account processes, analyze and reduce credit card fees.
Supports the VP Finance with the interfaces with investment banks, attorneys, consultants, and rating agencies with respect to new debt issuance and refinancings and maintenance of outstanding debt issuances. Supports and coordinates internal effort related to financing activities. Researches and analyzes strategies for access to capital markets as requested.
Manages and monitors compliance with all debt covenants and reports on status on a regular basis. Proactively monitors bond covenants and reports compliance on a quarterly basis, or as needed, to management and as required to bond holders.
Supports leadership with the preparation of investor communication strategies.
In collaboration with the Accounting Manager, ensures compliance with IRS reporting requirements related to outstanding tax-exempt bond issues and private use.
Leads benefit plan audits and ensures timely and accurate filing of the Form 5500.
Supports design and execution of SCHS insurance coverage. Supports placement of all insurance policies which transfer risk exposure from SCHS to an independent, financially viable third-party commercial insurer/reinsurer. Provides data and other support of broker relationships with respect to policy placements. Coordinates annual and periodic actuarial valuations related to periodic assessment of self-insurance reserves and risk retention.
Identifies, designs, and implements process improvements, automation initiatives, and system enhancements to improve efficiency and control.
Partners with Accounting team, providing insights; balance sheet oversight, reconciliations, and analytics; and financial statement disclosure support.
Partners with Finance team to model cash flow and liquidity projections.
Supports the vision, mission and values of the organization in all respects.
Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organizations corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION
Required : Bachelors degree in accounting or finance.
Preferred : Masters degree in business/finance.
LICENSURE/CERTIFICATION/REGISTRATION
Required : N/A
Preferred : Certified Treasury Professional, Certified Public Accountant. Certified Healthcare Financial Professional.
EXPERIENCE
Required : Seven (7) years of treasury, corporate accounting or public accounting work-related experience.
Preferred : Work-related experience in the Healthcare industry.
PERSONAL PROTECTIVE EQUIPMENT
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
PHYSICAL REQUIREMENTS :
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/ pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%) : Stooping /kneeling/crouching, lifting, carrying, pushing or pulling 11- 2 5 pounds, operation of a motor vehicle.
Never (0%) : Climbing ladder/ step-stool , lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%) : Heat , cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40
Caregiver Type:
Regular
Shift:
First Shift (United States of America)
Is Exempt Position?
Yes
Job Family:
ACCOUNTANT
Scheduled Days of the Week:
Monday-Friday
Shift Start & End Time:
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