Senior Director of Finance

Hello, We Are ruralMED!

Join our mission of supporting rural healthcare through collaboration focused on strategically tailored services, effective leadership, and industry-specific expertise.

• Support rural healthcare facilities to achieve excellence and thrive in ever-changing landscapes
• Work alongside a team of dedicated and driven experts passionate about supporting rural healthcare with revenue cycle expertise
• Apply problem-solving and critical thinking skills in the development of processes and workflows, enhancing efficiency and accuracy
• Ensure facilities achieve accurate and compliant coding, providing the highest quality of care to patients and communities

• Elite and highly skilled professionals driven by delivering superior results, always striving for new levels of excellence
• Flexibility and autonomy with a company that understands the true value and benefits of work-life balance
• Personal and professional growth opportunities are encouraged
• Employee engagement is used as a valuable tool for achieving excellence

Title: Senior Director of Finance

Department: Administration

Reports To: CFO

Status: Full-time

Position Summary:

The Senior Director, Finance serves as a senior financial advisor and fractional/interim CFO-level resource, providing strategic financial leadership, operational oversight, and executive-level counsel. The role partners with executive leadership to strengthen financial performance, cash flow, forecasting, budgeting, capital planning, financial controls, and long-term sustainability. The Finance Consultant evaluates financial and operational results, identifies risks and opportunities, develops actionable recommendations, and helps lead financial initiatives that support organizational strategy and informed decision-making.

Education and/or

Experience:

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field required. Master's degree in Business Administration, Finance, Accounting, or a related discipline preferred.
• CPA, CMA, or other advanced financial credential preferred.
• 7-10 years of progressively responsible financial leadership experience, including senior finance, controller, VP Finance, or CFO-level responsibilities. Healthcare finance experience is strongly preferred.
• Demonstrated ability to advise executive teams and boards, lead financial strategy, manage complex financial operations, and translate financial information into clear business recommendations.

Licenses/Certifications

Required:

CPA, CMA, or other advanced financial credential preferred.

General Requirements/

Job Duties:

Employee must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Specific job duties will vary based upon client assignment. Employee will also abide by ruralMED’s policies as a condition of employment.

• Serve as a strategic financial advisor to executive leadership, providing CFO-level guidance on financial performance, organizational priorities, growth opportunities, risk, and long-term financial sustainability.
• Lead the preparation, review, and analysis of internal and external financial statements in accordance with generally accepted accounting principles (GAAP), ensuring accurate and timely reporting of financial results.
• Develop and oversee annual operating and capital budgets, long-range financial plans, rolling forecasts, and financial models. Analyze performance against budget and forecast and recommend corrective actions when needed.
• Evaluate revenue, expense, margin, productivity, and service-line performance; identify financial trends, risks, and opportunities; and provide actionable recommendations to leadership.
• Oversee cash flow and liquidity planning, including cash forecasting, banking relationships, debt obligations, working capital, and investment performance. Recommend strategies to optimize liquidity and financial returns.
• Advise leadership on capital allocation and major financial commitments. Develop business cases, return-on-investment analyses, sensitivity analyses, and financial projections for strategic initiatives and capital expenditures.
• Assess the effectiveness of financial systems, reporting tools, accounting processes, and internal controls. Recommend and lead improvements that increase accuracy, efficiency, transparency, and scalability.
• Provide executive oversight and guidance for accounting…