Director of Finance​/Controller

** This position requires relocation to the Grangeville, Idaho area**

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit

The Director of Finance provides strategic and operational financial leadership across multiple client hospitals within a shared services model. This role partners closely with hospital CEOs, CFOs, and operational leaders to drive financial performance, enhance operational efficiency, and support data-driven decision-making.

Operating in a highly collaborative and client-facing environment, the Director balances multiple engagements while influencing financial outcomes across budgeting, forecasting, revenue cycle performance, and financial analytics.

• This is a hybrid (in office/remote) role based in Idaho.
• Serve as a strategic financial partner to hospital CEOs, CFOs, and operational leaders across multiple client engagements
• Lead financial reviews, performance discussions, and action planning with client stakeholders
• Manage multiple client priorities, ensuring timely and high-quality delivery of financial insights and support
• Influence decision-making without direct authority, driving accountability and results
• Lead and influence cross-functional teams across finance, revenue cycle, and operations
• Provide guidance and mentorship to client finance staff and internal team members as appropriate
• Foster a culture of accountability, collaboration, and continuous improvement
• Lead financial planning, budgeting, and forecasting processes across assigned client hospitals
• Provide strategic guidance on financial risks, opportunities, and long-range planning
• Monitor financial performance and recommend actions to improve operating margin, cost structure, and overall efficiency
• Support development and implementation of financial policies, procedures, and internal controls
• Oversee or support month-end and year-end close processes, ensuring accuracy and timeliness of financial reporting
• Prepare and present financial insights and reports to client leadership and internal stakeholders
• Ensure compliance with applicable financial regulations and healthcare-specific requirements (e.g., CMS, Joint Commission)
• Partner with revenue cycle leadership to improve billing, coding, collections, and denial management
• Monitor key revenue cycle metrics (e.g., DNFB, days in AR, denials) and drive performance improvement
• Analyze reimbursement trends, payer mix, and contract performance across Medicare, Medicaid, and commercial…