Director of Finance

The Director of Finance is a full-time, on-site role based in Farmington, NM. This leadership position oversees the financial management of San Juan Regional Medical Center, including budgeting, financial reporting, and ensuring adherence to regulatory requirements.

Qualifications

• Bachelor’s degree in Accounting, Finance or a related field from an accredited institution
• Certified Public Accountant (CPA) designation or five (5) years of relevant finance experience in healthcare settings
• Minimum of five (5) years of progressive financial leadership experience, including at least three (3) years in a healthcare or hospital finance role
• Thorough knowledge of GAAP, nonprofit accounting standards, and healthcare financial regulations
• Strong understanding of internal controls, financial compliance, and risk management
• Supervision experience of AP, PR, GL, Treasury, budgeting and reporting
• Proficiency in financial systems and ERP platforms (e.g., Workday, Oracle, Stratajazz or similar).
• Ability to manage multiple priorities and work cross-functionally in a fast-paced environment.
• Excellent analytical, problem-solving, and communication skills

Preferred Qualifications

• Certification in Workday Finance, Payroll, or any other modules
• Master’s degree in Accounting, Finance, Healthcare Administration, or Business
• Experience in a hospital or healthcare system with $100M+ in annual revenue
• Knowledge of 340B program financial oversight, Medicare/Medicaid reimbursement, and cost reporting
• Familiarity with healthcare audit firms, nonprofit board reporting, and bond covenant compliance
• Experience in developing KPIs, dashboards, and financial presentations for executive leadership
• Hands‑on involvement in ERP transitions or financial system optimization projects
• Demonstrated ability to lead, mentor, and develop finance staff

Duties and Responsibilities

• Oversees daily operations of Accounting, Accounts Payable, Treasury, Decision support, and Payroll functions to ensure proper internal controls, efficient workflows, and adherence to hospital policies and financial regulations.
• Establishes and maintains accounting systems and procedures that ensure timely and accurate recording of financial transactions and compliance with GAAP, IRS, CMS, and other regulatory standards.
• Serves as the primary owner of the general ledger, ensuring accuracy, integrity, and timely closing of monthly, quarterly, and annual books.
• Leads preparation of internal and external financial statements, management reports, tax filings, Medicare/Medicaid cost reports, annual budget and regulatory submissions.
• Monitors daily cash flow, manages short-term investments, and ensures sufficient liquidity to meet payroll, vendor payments, and operational expenses.
• Coordinates annual financial audits, facilitates external auditor requests, and oversees preparation of audit schedules and reconciliations.
• Provides oversight into the budget development process, financial forecasting, capital planning, and ad hoc business analysis in support of operational and strategic goals.
• Collaborates with clinical and operational departments to improve financial understanding, provide insight into labor productivity, and establish effective internal controls.
• Evaluates, revises, and enforces departmental policies and internal controls, ensuring compliance with industry regulations and best practices.
• Manages and develops a high‑performing finance team, conducting regular performance evaluations, skill assessments, and cross‑training to support continuity and professional growth.
• Holds regular staff meetings to disseminate critical information, promote team engagement, ensure safety compliance, and support a culture of excellence and customer service.
• Acts as a financial liaison to hospital leadership, communicating risks, opportunities, and financial trends to inform decision‑making.
• Maintains confidentiality, exercises sound judgment, and models the core values and mission of the hospital in all professional activities.
• Promotes and ensures regulatory compliance, workplace safety, infection control, and ethical practices across all supervised functions.
• Builds and fosters a collaborative team environment, emphasizing shared responsibility, professional respect, and accountability.

Service Standards

Each employee is responsible for implementing the following service standards into daily work: Safety, Courtesy, Effectiveness, and Stewardship.

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