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Director, Debt & Treasury Operations

Adventist Health
United Statesfull_timeVerifiedPosted 16 Feb 2026

About the role

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Oversees enterprise-wide treasury operations, liquidity management, debt and lease administration, financial risk activities, and balance sheet forecasting to support Adventist Health's strategic and operational objectives. Provides leadership for treasury systems, cash forecasting, banking architecture, and balance sheet analytics while ensuring compliance with regulatory, covenant, and rating-agency requirements. Acts as a key partner to senior leadership on capital structure, liquidity planning, and treasury-related strategy.

Job Requirements:

Education and Work Experience:

  • Bachelor's Degree in finance, accounting, business administration or a related field: Required
  • Master's Degree or Master of Business Administration: Preferred
  • Demonstrated experience leading treasury staff and cross-functional initiatives: Required
  • Eight years' of progressively responsible treasury, corporate finance, or capital markets experience and within a large not-for-profit health system or similarly complex organization: Preferred
  • One year leadership experience: Preferred

Licenses/Certifications:

  • Certified Public Accountant (CPA): Preferred

Essential Functions:

  • Leads enterprise-wide cash management operations, including bank account administration, cash processing, liquidity planning, and issue resolution. Oversees daily and strategic cash positioning to ensure adequate liquidity for operations, capital deployment, and debt service. Leads the implementation, governance, and continuous improvement of treasury management systems and cash management platforms. Establishes and maintains optimal banking architecture across all business units. Leads the development and integration of comprehensive balance sheet model and liquidity models, including short-, mid-, and long-term cash forecasting and scenario analysis integrated with long range financial planning working closely with senior executives.
  • Oversees debt issuance, ongoing debt portfolio management, and compliance with all related financial, legal, and covenant obligations. Prepares quarterly debt-related reporting and supports rating-agency requests. Leads lease accounting and financing strategy for equipment and real estate, ensuring compliance with applicable accounting standards and alignment with capital policy. Establishes and administers an enterprise leasing program. Tracks private business use related to tax-exempt financed assets and ensures compliance with applicable tax and regulatory requirements.
  • Facilitates settlements and investment-related cash flows in accordance with internal policies, investment guidelines, and authorization controls. Analyzes investment data and performs daily and monthly reconciliations between internal records, banks, custodians, and investment managers to ensure accuracy, completeness, and strong internal controls.
  • Oversees administration and accounting for self-insurance programs, investments, debt, SWAP and other long-term liabilities. Prepares quarterly financial information and supports external reporting, covenant compliance, and audit processes as they relate to treasury-managed activities.
  • Provides leadership, mentoring, and performance management for treasury staff. Communicates proactively with senior leadership and cross-functional partners regarding liquidity trends, risks, and market developments. Identifies opportunities for process improvement and operational efficiency.
  • Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values

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Adventist Health

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