Finance Director

Finance Director

$130,000 - $170,000 per year | Corning, CA | On-site | Permanent

We are a community health organization dedicated to providing comprehensive, culturally responsive healthcare to the people we serve. Operating in partnership with a Tribal Nation, our clinic delivers medical, dental, behavioral health, and pharmacy services while honoring the traditions, values, and self‑determination of the community. We are committed to clinical excellence, fiscal integrity, and building a healthier future for generations to come.

• Play a pivotal leadership role in shaping the financial health and long‑term sustainability of a mission‑driven healthcare organization.
• Work directly with executive leadership and tribal governance on strategic, high‑impact financial decisions.
• Be part of a close‑knit team committed to improving healthcare access and outcomes for the American Indian community.
• Gain exposure to diverse and complex funding streams, including federal, state, and tribal compact agreements.
• Competitive compensation and benefits package.
• A workplace that values cultural awareness, discretion, and integrity.

The Finance Director is responsible for all fiscal functions of the organization and ensures compliance with all regulations from funding agencies. The Finance Director supervises and manages organizational programs and personnel, while overseeing contracts, including subcontractor agreements, grants, and federal compact and funding agreements.

• Promotes the goals and objectives of the organization's mission, vision, and values.
• Develop and manage strategies to ensure effective financial planning and analysis; review organizational strategy to determine financial resource requirements and goals.
• Develop tactical goals for the finance division, determine scope and priorities of projects, and coordinate resources required to achieve goals.
• Supervise financial reporting and budgeting functions; monitor budget analysis, revenue cycle, and financial planning activities.
• Organize and utilize diverse funding streams to meet funding deliverables and overall organizational goals.
• Oversee and direct budgeting, accounts receivable and payable, billing, auditing, payroll, tax accounting, contract health services, purchasing, and insurance activities.
• Manage the Fiscal Department, including staff hiring, onboarding, evaluations, development, and training.
• Provide leadership, direction, and guidance on financial and technical strategies and priorities.
• Identify, prioritize, and elevate issues to executive leadership and governing bodies as needed; track action items to completion.
• Provide financial advice to executive leadership and governing bodies, including negotiating fiscal‑ and revenue‑related decisions for budgetary and strategic planning.
• Monitor cash flow and prepare annual/monthly cash flow forecasts.
• Oversee revenue cycle processes, identifying improvement opportunities and troubleshooting to ensure collection of potential revenue.
• Maintain strict confidentiality of organizational and patient information in accordance with HIPAA regulations.
• Ensure departmental operations align with established policies and procedures.
• Prepare regular financial reports for governing leadership and committees.
• Prepare required reports, including:
  • Annual Medicare and Medi‑Cal Cost Reporting
  • Quarterly and annual financial reports to funding and regulatory agencies
  • Annual property tax filings
  • Annual business license renewals
  • Annual Worker's Compensation audits (with HR)
• Manage departmental supplies, equipment requisitions, and inventory.
• Ensure internal accounting controls are established and followed.
• Monitor the financial components of all contracts and grants; serve as primary liaison with funding sources.
• Support pharmacy compliance initiatives as needed.
• Develop and monitor budgets across funding sources, including timely reporting to funding agencies.
• Ensure compliance with federal, state, and local regulations.
• Prepare financial data to support indirect cost…