Company Description
San Juan Regional Medical Center (SJRMC) is a 198-bed acute care hospital located in the Four Corners region, providing comprehensive medical, surgical, and rehabilitation services to the community. Recognized as a Level III Trauma Center, SJRMC also offers air ambulance services and maintains a tobacco-free campus to support health and wellness. Together with associated organizations like the San Juan Medical Foundation and the San Juan Regional Rehabilitation Hospital, SJRMC demonstrates its commitment to accessible, quality care for all, regardless of financial status or background. The hospital serves patients covered by Medicare, Medicaid, and multiple state Medicaid programs, while also offering charity care and discounts for eligible individuals. Visit www.sanjuanregional.com for more information.
Role Description
The Director of Finance is a full-time, on-site role based in Farmington, NM. This leadership position oversees the financial management of San Juan Regional Medical Center, including budgeting, financial reporting, and ensuring adherence to regulatory requirements. The role involves preparing and analyzing financial statements, managing financial planning processes, and providing strategic recommendations to support organizational goals. The Director will collaborate with executive leadership, oversee financial operations, and drive effective financial strategies to ensure long-term sustainability and growth.
Qualifications
- 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
Preferred Qualifications:
- 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
Duties and 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
