Financial Manager Jobs in San Antonio, TX
Financial Manager jobs in San Antonio, Texas are open across the metro, with employers like University of Texas Health Science Center at San Antonio, USAA, and UT Health Science Center at San Antonio hiring at every experience level. Scan the live roles below and apply to whichever ones fit.
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INTRODUCTION
Executives thrive with us! HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for an Assistant Chief Financial Officer for our Methodist Hospital Metropolitan team where excellence creates excellence.
BENEFITS
Methodist Hospital Metropolitan offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Free counseling services and resources for emotional, physical and financial wellbeing
- 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
- Employee Stock Purchase Plan with 10% off HCA Healthcare stock
- Family support through fertility and family building benefits with Progyny and adoption assistance.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- Consumer discounts through Abenity and Consumer Discounts
- Retirement readiness, rollover assistance services and preferred banking partnerships
- Education assistance (tuition, student loan, certification support, dependent scholarships)
- Colleague recognition program
- Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
- Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
HCA Healthcare has expanded our influence across the healthcare industry by investing $3.5 billion in capital improvements in recent years. Do you want to be an influencer in healthcare? Apply for our Assistant Chief Financial Officer role today!
JOB SUMMARY AND QUALIFICATIONS
The Assistant Chief Financial Officer (ACFO) is a critical financial leadership pipeline role that serves as a direct tributary into the hospital Chief Financial Officer (CFO) role. This position manages the Financial Accounting and Reporting Department to ensure that it is providing effective and efficient service.
What you will do in this role:
- You will demonstrate understanding of application of healthcare finance to impact clinical and financial results
- You will execute HCA Healthcare’s capital asset management process
- You will demonstrate knowledge of HIM and Case Management/Care Coordination functions
- You will establish expertise in productivity, staffing and scheduling
- You will demonstrate competence in hospital accounting, internal control environment and compliance requirements
- You will establish executive presence (temperament, competencies and skills across situations)
What qualifications you will need:
- Bachelors in Finance, Accounting, or other related area required
- Master’s degree in related field preferred
- Minimum of three years in finance/accounting or public accounting/audit experience
- Experience as a hospital Controller preferred
- Previous supervisory experience preferred
- CPA preferred
Methodist Hospital Metropolitan houses 370 beds. We house the largest emergency room in downtown San Antonio. Our women’s pavilion is the only freestanding, center city facility dedicated to the health of women and their newborn babies. We welcome nearly 3,000 newborns into the world each year. We are home to the Methodist Weight Loss Center. We have been designated an American Society for Metabolic Surgery Bariatric Surgery Center of Excellence®.
Our hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare. We are the first hospital in San Antonio to achieve Pathway to Excellence designation. Methodist Hospital Metropolitan has been recognized by Leapfrog for focus on safety and quality. We received a Grade A Hospital Safety Score for 8 consecutive rating periods. We are proud to be an Accredited Chest Pain Center by the American College of Cardiology and Primary Stroke Center by the Joint Commission. We were the premier Texas hospital to earn a Gold Seal of Approval for Sepsis Certification. Join our accredited team today.
"Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you're looking for a leadership opportunity that provides both personal satisfaction and professional growth, apply to join HCA Healthcare as an Assistant Chief Financial Officer. Unlock your leadership potential with HCA Healthcare.
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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Find Financial Manager JobsFinancial Manager Job Market in San Antonio
Who's Hiring
- University of Texas Health Science Center at San Antonio5

- USAA4

- UT Health Science Center at San Antonio4

- Bank of America3

- HEB2

Top Industries Hiring
- Education11
- Banking & Financial Services11
- Insurance4
- Construction & Real Estate4
- Retail3
Financial Manager Jobs in San Antonio: Frequently Asked Questions
How many financial manager jobs are there in San Antonio?
There are 52+ financial manager openings in San Antonio, Texas on Migrate Mate as of June 2026. New positions post regularly as San Antonio employers hire.
Which companies hire financial managers in San Antonio?
Companies currently hiring financial managers in San Antonio include University of Texas Health Science Center at San Antonio, USAA, and UT Health Science Center at San Antonio, per current listings on Migrate Mate as of June 2026.
Are there remote financial manager jobs in San Antonio?
Yes. About 0% of financial manager openings tied to San Antonio are remote or hybrid as of June 2026. The rest are on-site roles based in and around San Antonio.
Which industries hire the most financial managers in San Antonio?
The sectors hiring the most financial managers in San Antonio are Education, Banking & Financial Services, and Insurance, based on current listings on Migrate Mate as of June 2026.
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