Director of Finance and Accounting

Winnebago Comprehensive Healthcare System

$100K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in accounting, financial management, or related field required; CPA, MBA, CMA, or CGFM preferred.
  • 5-7 years of healthcare accounting experience, particularly in hospital fiscal management.
  • Experience managing personnel and leading teams in a finance environment.
  • Familiarity with Tribal and Indian Health Service fiscal management is advantageous.
  • Strong Excel skills and proficiency in Microsoft Office are essential.
  • In-depth knowledge of fiscal management, including budgeting and forecasting is required.
  • Experience with grant management and understanding grant-related laws is preferred.

Responsibilities

  • Lead and develop the internal finance team to support expanding operations.
  • Establish strong internal controls and ensure audit readiness in collaboration with external auditors.
  • Improve and document processes for efficient operations.
  • Prepare and disseminate monthly financial reports to leadership.
  • Maintain accuracy of the general ledger and ensure audit readiness of trial balances.
  • Supervise budget accountants and payroll specialists to manage variances effectively.
  • Prepare and oversee the annual budget and review it with department managers.

Benefits

  • Opportunity for career advancement with a direct succession plan to the CFO position.
  • Participation in a growing healthcare system focused on enhancing program quality.
  • Development of leadership and financial management skills through mentorship.
  • Engagement in a mission-driven organization with a commitment to serving the community.
Full Job Description
Job Purpose & Position Overview
  • The Accounting and Finance director will oversee all aspects of Winnebago Comprehensive Healthcare Systems finance operations and reports directly to the Chief Financial Officer. The successful candidate will lead and develop an internal team to support the financial operations of an expanding healthcare system. They will ensure accounting systems are GAAP compliant, audit ready and drive strategic decision making and support operations as the Winnebago Comprehensive Healthcare System (WCHS) continues to enhance its quality of programs. This is a tremendous opportunity to be part of a growing healthcare system and has a direct succession plan to the CFO position.

Specific Job Duties/Responsibilities:
  • Demonstrate the WCHS's core mission, vision, and values.
  • Develops and implements strong internal controls and procedures and works closely with external auditors to produce clean audits.
  • Streamlines systems for best-in-class operations and documents processes and policies
  • Creates monthly reports for dissemination to internal leaders. Streamlines monthly meetings with internal leaders to grow understanding.
  • Ensures general ledger is accurate and trial balance is continually audit ready.
  • Champion the continuous improvement finance, payroll, accounting and grants managements departments, reporting processes and deliverables.
  • Prepares the WCHS's annual budget, including participation in monthly budget reviews with department managers.
  • Supervises budget accountants, payroll and specialists to identify and correct variances and reporting in a timely manner.
  • Supervises Finance Manager and creates learning environment for manager and staff in succession planning.
  • Oversees and maintains the WCHS's various program grant budgets. Ensures federal, state, tribal and other awards and tasks are budgeted and spent in accordance with the specified terms and conditions. Ensures grant drawdowns are accurate and timely through Federal Payment Management System and other payment systems as required.
  • Prepares and provides data for monthly, quarterly, and annual and ad hoc reporting.
  • Directs annual and programmatic audits.
  • Performs other duties as assigned.
  • Duties listed are intended as an illustration of several types of work performed. The omission of specific duties does not exclude them from this position if the work is similar, related, or a logical assignment.

Required Qualifications/Skills:
  • Four-year degree from an accredited college or university in accounting, financial management, healthcare management, or business administration with a concentration in accounting or financial management.
  • CPA, MBA, CMA, CGFM, or similar certification preferred but not required, equivalent experience may be considered.
  • Five to seven years of progressive healthcare accounting experience required. Experience in hospital fiscal management required. Personnel management experience required.
  • Experience in Tribal and/or Indian Health Service fiscal management is a plus.
  • Knowledge of federal, state, and local funding and grant requirements as well as familiarity with community resources preferred.
  • Exceptionally skilled in Excel and proficient in all other Microsoft Office programs.
  • Knowledge and understanding of fiscal management including analysis, budgeting, forecasting, and identification of cost centers.
  • Knowledge of the Self-Determination and Educational Assistance Act (93-638 as amended) preferred.
  • Knowledge of grant management best practices preferred.
  • Knowledge of relevant tribal, state, and federal law preferred.
  • Ability to communicate clearly and persuasively.
  • Ability to problem-solve identified issues within the organization. Must be able to recognize shortcomings and effectively carry out solutions.
  • Ability to manage projects from the conceptual stage through completion.
  • Ability to operate computers and office management software required.

Training Requirements:
  • Must attend all department meetings and other training courses as directed by the WCHS CFO.

Physical Requirements:
  • Normal to light office work which includes the ability to lift up to 10 lbs.
  • Regularly required to walk, stand, and sit for extended periods of time and use hands to operate computer keyboard, phone, and various office equipment.
  • While performing daily duties, the employee is regularly required to talk and hear.

Mental Requirements:
  • Reading, writing, calculating
  • Above average social interaction skills
  • Well-organized with ability to prioritize
  • Reasoning/Analysis
  • Works with minimal to no supervision

Language Requirements:
  • Must possess the ability to read, write, and speak the English language fluently.
  • Must be able to employ professional verbal and written communications skills continually and effectively.

Certificates, Licenses & Registrations:
  • All applicants will comply with 45 CFR 1301, Subpart D, Section 1301.31, C and D, which require all prospective employees to sign a declaration prior to employment regarding all arrests and convictions of child abuse or violent felonies and to comply with PL 101-630 and PL 101-637 regarding criminal records check.

Please note the position description duties, responsibilities, and activities may change at any time with or without notice.

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