The Director of Finance and Decision Support provides leadership and direction for the hospital’s Accounting, Accounts Payable, Treasury, Payroll, and Decision Support functions, ensuring financial integrity, compliance, and operational efficiency. This role is responsible for maintaining the accuracy of financial records, safeguarding organizational assets, and producing timely, compliant financial reports to support strategic decision-making. The Director plays a key role in operational leadership, regulatory adherence, and team development.

Required Behaviors:

• As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Required 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, manage 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.
• Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:

Safety, Courtesy, Effectiveness, and Stewardship

• Other duties as assigned

Physical Demands and Environmental Work Conditions:

• Work is mostly performed in a sitting position.
• Standing, bending, lifting, and moving intermittently throughout the day is required.
• Job duties involve the application of manual skills requiring motor coordination in combination with finger dexterity, (i.e., typing on a computer keyboard, using a 10-key calculator, etc.)
• Work may involve some stooping and bending for filing purposes.
• Must be able to move intermittently throughout the day.
• Once a year, files are emptied into storage boxes.
• Near visual acuity is required (i.e., read and post figures)
• Work office environment is well-lit and temperature controlled