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Paul McDowell has a diverse work experience in healthcare finance. Paul began their career as an Assistant Controller at Health Management Associates, Inc. in 1996 before being promoted to Hospital CFO. Paul then moved to King's Daughters Medical Center, where they served as CFO for twelve years. From 2013, they have been working as the CFO at Mission Hospital. Prior to these roles, they worked as the Director of Management Accounting at PROMINA Health System.

Paul McDowell received their Bachelor's Degree in Accounting from Georgia Southern University, from 1982 to 1986. Paul later pursued a Master of Business Administration (M.B.A.) from Kennesaw State University - Michael J. Coles College of Business, from 1993 to 1994.