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…