Director of Finance and FP&A

San Juan Regional Medical Center•Farmington, NM

About The Position

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. The Director of Finance and Decision Support provides leadership and direction for the hospital’s Accounting, Accounts Payable, Treasury, Payroll, and Decision Support functions, ensuring financial integrity, compliance, and operational efficiency. This role is responsible for maintaining the accuracy of financial records, safeguarding organizational assets, and producing timely, compliant financial reports to support strategic decision-making. The Director plays a key role in operational leadership, regulatory adherence, and team development. Required Behaviors: As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.

Requirements

Bachelor’s degree in Accounting, Finance or a related field from an accredited institution
Certified Public Accountant (CPA) designation or five (5) years of relevant finance experience in healthcare settings
Minimum of five (5) years of progressive financial leadership experience, including at least three (3) years in a healthcare or hospital finance role
Thorough knowledge of GAAP, nonprofit accounting standards, and healthcare financial regulations
Strong understanding of internal controls, financial compliance, and risk management
Supervision experience of AP, PR, GL, Treasury, budgeting and reporting
Proficiency in financial systems and ERP platforms (e.g., Workday, Oracle, Stratajazz or similar).
Ability to manage multiple priorities and work cross-functionally in a fast-paced environment.
Excellent analytical, problem-solving, and communication skills

Nice To Haves

Certification in Workday Finance, Payroll, or any other modules
Master’s degree in Accounting, Finance, Healthcare Administration, or Business
Experience in a hospital or healthcare system with $100M+ in annual revenue
Knowledge of 340B program financial oversight, Medicare/Medicaid reimbursement, and cost reporting
Familiarity with healthcare audit firms, nonprofit board reporting, and bond covenant compliance
Experience in developing KPIs, dashboards, and financial presentations for executive leadership
Hands-on involvement in ERP transitions or financial system optimization projects
Demonstrated ability to lead, mentor, and develop finance staff

Responsibilities

Oversees daily operations of Accounting, Accounts Payable, Treasury, Decision support, and Payroll functions to ensure proper internal controls, efficient workflows, and adherence to hospital policies and financial regulations.
Establishes and maintains accounting systems and procedures that ensure timely and accurate recording of financial transactions and compliance with GAAP, IRS, CMS, and other regulatory standards.
Serves as the primary owner of the general ledger, ensuring accuracy, integrity, and timely closing of monthly, quarterly, and annual books.
Leads preparation of internal and external financial statements, management reports, tax filings, Medicare/Medicaid cost reports, annual budget and regulatory submissions.
Monitors daily cash flow, manage short-term investments, and ensures sufficient liquidity to meet payroll, vendor payments, and operational expenses.
Coordinates annual financial audits, facilitates external auditor requests, and oversees preparation of audit schedules and reconciliations.
Provides oversight into the budget development process, financial forecasting, capital planning, and ad hoc business analysis in support of operational and strategic goals.
Collaborates with clinical and operational departments to improve financial understanding, provide insight into labor productivity, and establish effective internal controls.
Evaluates, revises, and enforces departmental policies and internal controls, ensuring compliance with industry regulations and best practices.
Manages and develops a high-performing finance team, conducting regular performance evaluations, skill assessments, and cross-training to support continuity and professional growth.
Holds regular staff meetings to disseminate critical information, promote team engagement, ensure safety compliance, and support a culture of excellence and customer service.
Acts as a financial liaison to hospital leadership, communicating risks, opportunities, and financial trends to inform decision-making.
Maintains confidentiality, exercises sound judgment, and models the core values and mission of the hospital in all professional activities.
Promotes and ensures regulatory compliance, workplace safety, infection control, and ethical practices across all supervised functions.
Builds and fosters a collaborative team environment, emphasizing shared responsibility, professional respect, and accountability.
Each employee is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship
Other duties as assigned