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System Executive Director Treasury and Cash Management

Job ID: 8176
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job

Did you know UNC Health has Ranked #2 Most Trusted Healthcare Brand in the U.S.? The UNC Health brand was ranked as the #4 healthcare brand in the United States overall and the #2 most trusted healthcare brand, just after Johns Hopkins and before Mass General. Join our One-Great-Team!

Job Description


Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.


The Executive Director Treasury and Cash Management will report to the Vice President of Finance and Corporate Controller and will assess, monitor, plan and manage the efficient utilization of cash and financial services in a manner consistent with the objectives of UNC Health Care. This includes managing system business investments, corporate banking relationships, lines of credit, as well as cash holdings for the UNC Health Care System. This position will develop system wide treasury policies and cash/capital budgets as needed. Additionally, this position will be responsible for ensuring compliance with debt covenants and federal, state and other industry regulations. Determine self-insurance needs based on analysis of the actuarial reports for medical malpractice and health insurance. 


1. Treasury - Direct the forecasting of cash flow positions, related borrowing needs, and available funds for investment. Direct the forecasting of daily cash requirements and execute daily financing decisions within policy limitations. Ensure that sufficient funds are available to meet ongoing operational and capital investment requirements. Maintain banking and credit rating agency relationships and communications. Direct the creation and maintenance of a system approach to credit card processing and PCI compliance issues. Arrange for equity and debt financing. Develop and manage the leasing policies and process for the system, including the development of lease vs buy analysis and recommendations. Manage all aspects of In-house investment portfolios including determining investment goals while maintaining/managing to the system’s risk profile. Monitor and manage the activities of third parties handling outsourced treasury functions on behalf of the system including actuarial reporting and auditing needs. Advise senior leadership on the liquidity aspects of its short and long-range planning. Direct and manage long-term and short-term investment strategies. Direct the preparation or monitor company’s various cash flow forecasts and perform financial modeling. Develop and maintain for the entire system policies and procedures that impose an adequate level of control over centralized treasury and cash management activities.

2. Leading People - Leads people toward meeting the organization's vision, mission, and goals. Provides an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts. Treats sensitive or confidential information appropriately. Works to improve and reinforce performance of others. Delegates assignments, clarifies expectations and holds others accountable for achieving results related to their area of responsibility. Encourages workforce engagement by building a commitment to excellence. Works collaboratively toward solutions that accomplish organizational objectives.

3. Leading Change - Initiates and manages the change process, taking steps to remove barriers or accelerate its pace. Communicates a compelling vision and need for change that generates excitement, enthusiasm, and commitment to the process. Clearly communicates the direction, required performance, and challenges of change to all involved parties. Identifies and enlists the support of key individuals and groups to move the change forward. Obtains and provides resources to implement change initiatives. Serves as a role model by demonstrating commitment to innovation and continuous improvement in organizational performance.

4. Results Driven - Exceeds departmental and organizational goals and customer expectations. Makes decisions that produce high-quality results by applying knowledge, analyzing problems, and calculating risks. Delivers high-quality services and is committed to continuous improvement. Understands the overall financial performance of the organization and applies financial concepts and practices to establish and maintain realistic budgets. Uses financial information to monitor overall financial status of operations.

Other Responsibilities: 

Develop and report out on performance benchmarks and recommend changes when warranted. Review and recommend changes to the investment policies based on the market conditions. Prepare or monitor company’s various cash flow forecasts and perform financial modeling. Evaluate, develop and implement cash management systems to optimize efficiencies. Understand and manage appropriate accounting procedures and processes including the management of the reconciliation process. Monitor bank service fees and address quality issues. Manage, direct, and develop staff. Recommend, implement and maintain process improvements. Provide technical and other support for mergers and acquisitions and other projects as needed. Provide reporting and monitoring to ensure systems is within its debt covenants. Serve as Treasurer for UNC Liability Insurance Trust Fund and provide LITF Council and Committee reports as necessary. Support the completion of Federal and State tax reporting requirements including income, property, sales and use, payroll and other local taxes, insurance reports and other reports required by government regulation. Assist Risk Management Department in assessing operational risks for UNC HCS entities and evaluating the appropriate use of commercial insurance and self-insurance coverage options. Evaluate funding and required assessments necessary to ensure funding levels are maintained for Liability Insurance Trust Fund and HCS Health Insurance Plan. Assist the Legal and Risk Management Departments as needed to develop policies and provider ongoing reporting to senior leadership and the UNC HCS Board. Performs other duties as assigned.

Other Information

Other information:
Education Requirements:
● Bachelor’s degree in Business Administration, Accounting, Finance or Economics.
Licensure/Certification Requirements:
● Certified Public Accountant or Certified Management Accountant designation preferred.
Professional Experience Requirements:
● Ten (10) years of related experience, with at least seven (7) years of management experience in Treasury, Cash Management or Finance.
Knowledge/Skills/and Abilities Requirements:
● Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise. Position requires critical analytical thinking, strong attention to detail and time management skills to meet deadlines, in addition to the ability to manage multiple priorities and guide the system’s treasury and cash management policies and financial operating procedures responsibly and profitably. This position requires the ability to provide solid risk analysis, people management, cash flow modeling, accounting, and financial reporting to support the system’s cash management functions. Excellent written and communication skills are also required as well as a thorough understanding of healthcare institutional balance sheet and management of assets and liabilities associated with debt, pensions and reserves for incurred but not reported claims. 

Job Details

Legal Employer: NC Health

Entity: Shared Services

Organization Unit: System Accounting 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: Yes

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care. This is not a State employed position.

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care. This is not a State employed position.
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Diversity Statement

The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

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