Finance Director (RHC)

Position Summary

The Finance Director is responsible for all fiscal functions of RHC and compliance with all regulations from funding agencies. The Finance Director supervises and manages organization programs and personnel, in addition to providing oversight of contracts including subcontractor agreements, grants, and IHS compact and funding agreements.

Essential Duties & Responsibilities

• Promote the goals and objectives of the Tribe, specifically RHC mission, vision, and values.
• Develop and manage strategies to ensure effective financial planning and analysis, review RHC strategies, determine financial resource requirements and goals, set tactical goals for the division, determine scope and priorities of projects, and coordinate resources required to achieve goals.
• Supervise RHC financial reporting and budgeting functions, monitor analysis of budget and financial variables, revenue cycle and financial planning activities.
• Organize and utilize diverse funding streams to attain specific funding stream deliverables and achieve overall organizational goals.
• Oversee and direct budgeting, accounts receivable and payable, billing, auditing, payroll, tax accounting, contract health services, purchasing, and insurance activities for the organization.
• Manage the Fiscal Department, including staff and staff development, in accordance with established policy and procedure.
• Manage and schedule assigned staff; hire, orient, evaluate departmental staff; develop goals, assign tasks and projects; develop staff skills and training plans; counsel, train and coach financial and operations managers; implement corrective actions and conduct performance evaluations; provide leadership, direction and guidance in financial and technical strategies and priorities.
• Identify, prioritize, and escalates issues as appropriate for consideration and review by the Executive Director and Governing Board (Tribal Council); organize and track action items, following up as needed to ensure completion or appropriate updates.
• Provide financial advice to the Executive Director, Tribal CEO and Tribal Council, including negotiating fiscal‑and revenue‑related decisions for budgetary and strategic planning.
• Monitor cash flow and prepare annual/monthly cash flow forecasts.
• Oversee revenue cycle processes; identify needed improvements, opportunities for growth and development, and troubleshoot as needed to ensure collection of potential revenue.
• Maintain confidential and proprietary information of RHC and Tribe; keep patient information confidential, secure and culturally appropriate; comply with HIPAA regulations.
• Ensure RHC work in accordance with established policy and procedure.
• Prepare regular financial reports to the Tribal Council, Treasurer, Executive team, and Health Committee.
• Prepare and submit the following reports:
  • Annual Medicare and Medi‑Cal Cost Reporting.
  • Quarterly and annual financial reports to IHS, State, Sales Tax and Dental Lab or other grants as required.
  • Annual 571L Property Tax reports.
  • Annual Business Licenses/renewals.
  • Annual Worker’s Comp Audit, in conjunction with Human Resources.
• Requisition supplies and equipment for the department; inventory and update outdated equipment.
• Ensure proper internal accounting controls are in place and being followed.
• Monitor financial components of all contracts/grants; serve as primary liaison on financial affairs with funding sources.
• Assist the Pharmacist with 340B pharmacy compliance as needed.
• Develop and monitor all budgets (State, federal and private funding sources) and provide timely reports to all funding agencies.
• Ensure compliance with federal, state, and local regulations.
• Submit financial data to support and create indirect cost rate proposals; work with Executive Director and leadership on CSC and other IHS negotiations.
• Prepare market analysis and budgetary projections for new services.
• Provide direction and training to other RHC and Tribal staff supporting the Executive Administration or the Tribal Council.
• Coordinate and support annual audits of RHC, and conduct other audits as needed to verify financial records.
• Develop and maintain the Fiscal Policy and Procedure Manual in a timely manner.
• Ensure all duties, responsibilities and operations are performed with utmost regard for the safety and health of all personnel involved.
• Perform other duties as assigned by the Executive Director.

Qualifications

Required Education & Experience

• Master’s degree in Business Administration (MBA) and at least one year of experience managing a financial office or finance‑related section that required supervision of personnel and working in the general ledger; or, Bachelor degree in business, accounting or a related field that includes managing accounting controls, finance or strategy, and/or auditing, with five years of accounting work in the general ledger and three years of documented supervisory experience; or, Associate degree in business, accounting or a related field and eight years of accounting work in the general ledger and five years of documented supervisory experience.
• Demonstrated experience in budget preparation and fiscal management; ability to combine, consolidate, and integrate all financial presentations.
• Experience demonstrating requisite knowledge to develop, review, and administer fiscal, billing, and accounting policies and programs for RHC on a day‑to‑day basis.
• Work history that demonstrates Revenue Cycle knowledge required, IHS or tribal health knowledge preferred.
• Strong computer operation knowledge including Windows and software programs (MS Word, MS Excel, accounting software) and a working knowledge of routine office hardware and equipment; high competency in Excel is required.
• Grants Management Knowledge.

Preferred Education & Experience

• Certified Public Accountant (CPA) – Active.
• Experience working with 638 Contracting Programs, 2 CFR part 200, subpart F, GASB, GAAP and governing laws to ensure effective budget administration, program analysis and support services.
• Ability to relate and communicate effectively with community interest groups, agencies, and medical facilities that serve the American Indian Community.

Licenses & Certificates

• Valid CPR Certification.
• Valid California Driver’s License.

Pre‑Employment Requirements

• Pre‑employment drug testing.
• Department of Justice fingerprint clearance through Federal, State, and Child Abuse Index.

Working Environment & Physical Demands

Work is performed in a health clinic setting. The noise level in the work environment is usually low to moderate. The employee will work with blood‑borne pathogens and will require OSHA training. This job routinely uses standard office equipment such as computers, telephones, photocopiers, and fax machines. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: The employee is regularly required to talk and hear; frequently required to stand, walk, sit, use hands to finger, handle or feel, and reach with hands and arms; occasionally required to stoop; must occasionally lift and/or move up to 25 pounds; position may require exertion up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Specific vision abilities required include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Background Check Requirements

Pre‑employment drug testing and DOJ fingerprint clearance through Federal, State and Child Abuse Index is a contingency for an offer of employment. Criminal clearances are obtained to protect the welfare and safety of clients receiving services at Rolling Hills Clinic.

Vaccination Requirements

Provide vaccination records to show proof of immunity for TB, Measles, Mumps, Rubella, Varicella, Tdap & Hep B. If the records are more than 10 years old, titers are required to confirm immunity.

EEO & Special Preference

Native Preference in hiring is given to qualified enrolled members of Paskenta Band of Nomlaki Indians and Native Americans in accordance with the Band’s Preference Policy (Chapter 1-715 of the Paskenta Band of Nomlaki Indians Tribal Policies). Applicants claiming Indian Preference must submit verification of Indian certified by tribe of affiliation or other acceptable documentation of Indian heritage.

Employment Terms

Employment with Rolling Hills Clinic is at‑will. No manager, supervisor, or employee of the organization has any authority to enter into an agreement for employment for any specified period of time or to make an agreement for employment other than at‑will terms. This description does not constitute an employment agreement between Rolling Hills Clinic and employee and may change.