Director of Finance

Alliance Resource Group partnered with a mission‑driven nonprofit healthcare organization is seeking a Director of Finance to lead all accounting, financial reporting, and analysis functions. This role oversees payroll, accounts payable, and financial reporting staff while serving as a key partner to executive leadership on budgeting, regulatory compliance, and operational decision‑making. Ideal for a hands‑on finance leader who thrives in a fast‑paced healthcare environment with both strategic and operational responsibilities.

Key Responsibilities

• Lead all accounting, financial reporting, and analysis activities across multiple nonprofit entities, including monthly and year‑end financial statements prepared in accordance with GAAP
• Directly supervise accounting, accounts payable, and payroll teams, including oversight of the Payroll Manager and all payroll functions
• Oversee patient revenue recognition in collaboration with the Revenue Cycle Management team, including collections reporting and patient accounts receivable reconciliations
• Manage grant accounting, budgeting, billing, and reporting across all entities
• Prepare and file all required city, county, state, and federal reports, including property tax, sales tax, and regulatory filings
• Coordinate annual external audits and support additional agency audits as needed
• Partner with the Analysis team on service line profitability, procedure cost development, and rate analysis
• Develop and improve accounting policies, procedures, and reporting systems under the direction of the VP of Finance

Qualifications

Required:

• Bachelor's degree in Accounting, Finance, or related field
• 8+ years of hands‑on accounting, patient accounting, and financial reporting experience
• 5+ years of management experience
• Working knowledge of US GAAP and nonprofit accounting
• Budgeting and strategic planning experience
• Advanced proficiency in Excel, Word, and PowerPoint
• Strong written and verbal communication skills

Preferred:

• CPA or Master's degree in Accounting
• Experience with California Medicare programs (Medi‑Cal, Medi‑Cal PE, FPACT) and managed care payers

Software Experience

• Advanced Excel, Word, PowerPoint
• Accounting software (ERP or similar platform)

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