Director of Finance

DIRECTOR OF FINANCE JOB DESCRIPTION

Title: Director of Finance                                          Job Code: 1108

Status: Full-Time                                                        Department: Administration

Location: Share Medical Center                                Supervisor: CEO

Position Summary

The Director of Finance is the on-site financial leader responsible for overseeing the financial operations, reporting, and fiscal integrity of Share Medical Center. This position works day-to-day with the Fractional CFO to manage financial activities, including cash management, budgeting, revenue cycle oversight, reimbursement, grant compliance, and financial planning. The Director of Finance collaborates with executive leadership, department managers, external auditors, lenders, and other stakeholders to ensure accurate financial reporting, regulatory compliance, and responsible stewardship of hospital resources.

Required Skills

• Exercise sound judgment, discretion, and accountability when making financial recommendations and operational decisions within established authority.
• Demonstrate strong financial analysis, budgeting, forecasting, and problem-solving.
• Identify financial risks, evaluate alternatives, and recommend practical solutions that support operational efficiency and responsible resource management.
• Collaborate effectively with leadership, finance and business office personnel, clinical departments, and external partners.
• Commitment to excellent customer service and support patient-centered care
• Communicate effectively with patients, providers, and staff in a professional manner

Qualifications

• Bachelor’s degree in accounting, finance, or a related field required. A master’s degree in business administration, finance, or a related field preferred.
• Certified Public Accountant (CPA) credential preferred. HFMA membership or Certified Healthcare Financial Professional (CHFP) certification preferred.
• Progressive financial leadership experience in a hospital or healthcare system required. Experience in a rural hospital or Critical Access Hospital strongly preferred.
• Demonstrated revenue cycle oversight and grant compliance experience required.
• Working knowledge of Medicare cost reporting, Critical Access Hospital reimbursement requirements, and healthcare revenue cycle operations required.
• Experience with USDA, state, or federal rural healthcare funding and loan programs preferred.
• Experience working with governing boards, finance committees, external auditors, and lenders.
• Current BLS Certification (Must obtain within 90 days of hire – Training Provided)

Key Responsibilities

• Oversee the hospital’s day-to-day financial operations, maintaining accurate financial records, effective internal controls, and responsible stewardship of organizational resources.
• Monitor daily cash positions, forecast cash flow, manage liquidity, and administer investments and certificates of deposit (CDs) in accordance with approved investment policies and established authority.
• Prepare and maintain the annual operating budget, multi-year financial projections, capital plans, and financial pro formas to support organizational planning and informed decision-making.
• Analyze financial performance, identify variances and emerging risks, and provide timely recommendations to executive leadership regarding corrective actions and operational improvements.
• Oversee revenue cycle operations, including patient access, coding, billing, collections, accounts receivable, and denial management, in collaboration with responsible personnel and department leaders.
• Monitor key revenue cycle performance indicators, including accounts receivable aging, days in accounts receivable, net collection rate, and denial trends, and coordinate improvement efforts as needed.
• Oversee Medicare cost reporting and cost-based reimbursement activities, including applicable Critical Access Hospital, swing bed, and Rural Health Clinic reimbursement requirements, as well as Medicaid and other payer contract performance.
• Coordinate the preparation, review, and submission of required financial reports and reimbursement documentation, ensuring accuracy, completeness, and timely submission.
• Manage financial reporting processes by preparing and reviewing monthly financial statements, communicating significant financial results and variances, and supporting timely operational decisions.
• Coordinate the annual financial audit and work with external auditors to provide requested documentation, resolve identified issues, and support accurate and timely completion.
• Monitor grants, loans, restricted funds, debt covenants, and other funding requirements; maintain tracking systems for reporting deadlines, allowable expenditures, drawdowns, and compliance obligations.
• Review vendor agreements, leases, and other financial commitments for cost, contract terms, renewal dates, accounting implications, and potential financial or compliance risks; present recommendations to the CEO as appropriate.
• Evaluate proposed service lines, capital purchases, equipment investments, and operational initiatives through financial analysis, cost projections, and pro forma development.
• Lead and support finance, billing, and business office personnel by establishing clear performance expectations, assigning responsibilities, and providing constructive feedback.
• Collaborate with the CEO, fractional CFO, department managers, and other stakeholders to coordinate financial priorities, communicate material concerns, and support effective hospital operations.
• Maintain appropriate financial policies, procedures, documentation, and internal controls; exercise spending, approval, and signature authority only within established limits.
• Maintain a clean, safe, and organized work area compliant with infection control standards
• Ensure compliance with hospital accreditation standards, including utilization of SQSS (Strategic Quality Support System) for compliance tracking.
• Adhere to all hospital policy and procedure, follow HIPAA guidelines, available for duty in the event of a disaster, completes all required educational training and performs other job duties as assigned.

Physical Requirements

• Ability to sit or stand for extended periods.
• Frequent use of computer and office equipment requires manual dexterity.
• Occasionally required to move around the hospital for meetings and employee visits.
• Ability to communicate clearly in person and via phone or video conferencing.
• Occasionally required to lift or move 25+ pounds.

**Reasonable accommodations may be provided in accordance with ADA requirements

Potential Hazards

• Exposure to hospital-related hazards including blood-borne pathogens, bodily fluids, infectious diseases, x-ray/electromagnetic energy, electric shock, and chemicals. Employees must adhere to all hospital safety protocols, including use of personal protective equipment (PPE) when necessary.