Finance Director

Northland Health Centers•Turtle Lake, ND
•Onsite

About The Position

Northland Health Centers is seeking an experienced Finance Director to provide senior-level leadership of accounting operations and financial reporting. The role is responsible for accurate financial reporting, strong internal controls, payroll and grant accounting, and financial insights that support strategic decision-making and organizational success. The Finance Director oversees the organization's accounting and financial operations, including daily accounting, cash management, accounts payable, disbursements, general ledger integrity, reconciliations, month-end and year-end close, financial statements, management reports, audits, grant accounting, regulatory reporting, budgeting, forecasting, and financial analysis. The position supervises and mentors Finance Department staff and collaborates with organizational leadership. This is a full-time, on-site position in Turtle Lake, North Dakota. The regular schedule is Monday through Thursday, 8:00 a.m. to 5:00 p.m., and Friday, 8:00 a.m. to 3:30 p.m. Remote work or telecommuting is not available. An accepted offer is conditional on a drug screen and pre-employment background screening.

Requirements

  • Bachelor's or Master's degree in Accounting, Finance, Business Administration, or a related field.
  • Five to seven years of progressively responsible accounting or finance experience.
  • Strong knowledge of GAAP, payroll, reconciliations, internal controls, and financial systems.

Nice To Haves

  • Leadership experience with budgeting, auditing, financial reporting, and regulatory compliance.
  • Healthcare, nonprofit, Federally Qualified Health Center (FQHC), and federal grant accounting experience.
  • CPA designation.

Responsibilities

  • Lead daily accounting operations, cash management, accounts payable, and disbursements.
  • Maintain the integrity of the general ledger and complete reconciliations.
  • Manage month-end and year-end close processes.
  • Prepare accurate financial statements and management reports.
  • Coordinate annual audits and serve as the primary audit liaison.
  • Oversee grant accounting and regulatory reporting, including HRSA, UDS, and Medicare Cost Reports.
  • Support organizational budgeting, forecasting, and financial analysis.
  • Strengthen internal controls, financial policies, and risk management practices.
  • Supervise and mentor Finance Department staff.
  • Collaborate with leadership to provide financial guidance that supports organizational goals.
  • Review cash position, open accounting items, payroll activity, and reporting priorities; coordinate with HR and organizational leaders to keep deadlines on track.
  • Translate complex financial information into practical recommendations while maintaining regulatory compliance.

Benefits

  • Medical, dental, and vision insurance.
  • Health Savings Account (HSA).
  • 401(k) retirement plan.
  • Life insurance.
  • Paid Time Off (PTO).
  • Paid holidays.
  • Employee Assistance Program (EAP).
  • Professional development opportunities.
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