Director of Finance

Share Medical Center • Alva, OK

10d • Onsite

About The Position

The Director of Finance is the on-site financial leader responsible for overseeing Share Medical Center’s financial operations, reporting, and fiscal integrity. Working day-to-day with the Fractional CFO, the position manages financial activities including cash management, budgeting, revenue cycle oversight, reimbursement, grant compliance, and financial planning. The Director 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.

The role also leads and supports finance, billing, and business office personnel; evaluates financial risks and proposed initiatives; and maintains appropriate policies, procedures, documentation, and internal controls. The position must comply with hospital accreditation standards, infection-control requirements, hospital policies, and HIPAA guidelines, and must be available for duty in the event of a disaster. Other duties may be assigned.

Requirements

• Bachelor’s degree in accounting, finance, or a related field.
• Progressive financial leadership experience in a hospital or healthcare system.
• Demonstrated revenue cycle oversight and grant compliance experience.
• Working knowledge of Medicare cost reporting, Critical Access Hospital reimbursement requirements, and healthcare revenue cycle operations.
• Experience working with governing boards, finance committees, external auditors, and lenders.
• Current BLS certification, or ability to obtain it within 90 days of hire; training is provided.
• Ability to exercise sound judgment, discretion, and accountability in financial recommendations and operational decisions within established authority.
• Strong financial analysis, budgeting, forecasting, and problem-solving skills.
• Ability to identify financial risks, evaluate alternatives, and recommend practical solutions that support operational efficiency and responsible resource management.
• Ability to collaborate effectively with leadership, finance and business office personnel, clinical departments, and external partners.
• Commitment to excellent customer service and support of patient-centered care.
• Ability to communicate professionally and effectively with patients, providers, and staff.

Nice To Haves

• Master’s degree in business administration, finance, or a related field.
• Certified Public Accountant (CPA) credential.
• HFMA membership or Certified Healthcare Financial Professional (CHFP) certification.
• Experience in a rural hospital or Critical Access Hospital.
• Experience with USDA, state, or federal rural healthcare funding and loan programs.

Responsibilities

• Oversee day-to-day hospital financial operations, accurate financial records, internal controls, and stewardship of resources.
• Monitor daily cash positions, forecast cash flow, manage liquidity, and administer investments and certificates of deposit under approved policies and authority.
• Prepare and maintain the annual operating budget, multi-year financial projections, capital plans, and financial pro formas.
• Analyze financial performance, identify variances and risks, and recommend corrective actions and operational improvements to executive leadership.
• Oversee revenue cycle operations, including patient access, coding, billing, collections, accounts receivable, and denial management.
• Monitor revenue cycle indicators, including accounts receivable aging, days in accounts receivable, net collection rate, and denial trends, and coordinate improvements.
• Oversee Medicare cost reporting and cost-based reimbursement activities, including Critical Access Hospital, swing bed, Rural Health Clinic, Medicaid, and other payer contract requirements.
• Coordinate preparation, review, and timely submission of financial reports and reimbursement documentation.
• Prepare and review monthly financial statements, communicate significant results and variances, and support operational decisions.
• Coordinate the annual financial audit, provide documentation, resolve issues, and support timely completion.
• Monitor grants, loans, restricted funds, debt covenants, and other funding requirements, including deadlines, allowable expenditures, drawdowns, and compliance obligations.
• Review vendor agreements, leases, and other financial commitments for cost, terms, renewal dates, accounting implications, and financial or compliance risks; present recommendations to the CEO as appropriate.
• Evaluate proposed service lines, capital purchases, equipment investments, and operational initiatives through financial analysis, cost projections, and pro formas.
• Lead and support finance, billing, and business office personnel by setting performance expectations, assigning responsibilities, and providing feedback.
• Collaborate with the CEO, Fractional CFO, department managers, and stakeholders on financial priorities, material concerns, and hospital operations.
• Maintain financial policies, procedures, documentation, and internal controls, and exercise spending, approval, and signature authority within established limits.
• Maintain a clean, safe, and organized work area in compliance with infection-control standards.
• Support compliance with hospital accreditation standards, including use of SQSS (Strategic Quality Support System) for compliance tracking.
• Follow hospital policies and procedures and HIPAA guidelines; complete required educational training; and perform other assigned duties.
• Be available for duty in the event of a disaster.

What This Job Offers

• Job Type: Full-time
• Career Level: Director