Accounting Manager

Job Posting Accounting Manager - Finance Position Summary The Accounting Manager oversees the financial integrity of Dimmit Regional Hospital and Dimmit Regional Hospital District by managing accounting operations, financial reporting, budgeting processes, internal controls, and external requests. This role ensures compliance with federal and state regulations, healthcare accounting standards, and organizational policies. The Accounting Manager works closely with executives and operational leaders to support financial performance, sustainability, and compliance. Key Responsibilities Financial Reporting & Accounting Operations Oversee daily accounting operations including general ledger, accounts payable, accounts receivable, fixed assets, treasury, and payroll. Ensure monthly, quarterly, and annual financial statements are accurate, timely, and compliant with GAAP and healthcare regulatory requirements. Lead month-end and year-end closing processes; ensure appropriate reconciliation and variance analysis. Coordinates and prepares external financial audit and reporting items (Cost Report workpapers, Tax workpapers, surveys, etc.). Completes other duties as assigned. Budgeting, Forecasting & Financial Planning Assist with the annual operating and capital budgets in collaboration with department leaders. Monitor financial performance and provide analysis of variances, trends, and operational impacts. Internal Controls & Compliance Establish, maintain, and monitor internal controls to protect organizational assets. Ensure compliance with federal, state, and payer regulations, including CMS, Medicare, Medicaid, and audit requirements. Serve as the primary point of contact for external auditors and manage annual audits. Leadership & Strategic Support Supervise finance staff including Accountants, Payroll, and Accounts Payable. Provide training, mentorship, performance evaluations, and developmental support. Collaborate with senior leadership to analyze financial opportunities, risks, and operational efficiencies. Qualifications Bachelor’s Degree in Accounting required. CPA preferred. Minimum of 5 years of progressive accounting experience, with at least 3 years in a healthcare environment. Understanding of critical access hospital reimbursement and cost reporting preferred. Strong leadership, communication, and analytical skills. Core Competencies 1. Financial Leadership Leads financial operations with strategic insight. Makes informed decisions that balance financial sustainability with organizational mission. 2. Analytical Thinking Interprets complex data, develops financial projections, and identifies trends. Synthesizes information from multiple sources to guide strategic planning. 3. Regulatory & Compliance Expertise Thorough understanding of GAAP, healthcare regulations, cost reporting, CMS rules, and audit standards. Identifies compliance risks and implements appropriate controls. 4. Communication & Influence Clearly communicates financial concepts to leaders, clinicians, board members, and non-financial staff. Builds trust and credibility through transparency and accuracy. 5. Leadership & Team Development Coaches and mentors accounting staff; fosters an environment of accountability and continuous improvement. Delegates effectively and manages team performance. 6. Operational Excellence Oversees efficient accounting operations and implements process improvements. Prioritizes tasks effectively and ensures deadlines for month-end, year-end, and audits are met. Set up ongoing standards and procedures needed to manage the Finance team Knowledge GAAP, healthcare accounting principles, and cost accounting. CMS reimbursement rules, Medicare/Medicaid cost reporting, and hospital revenue cycle fundamentals a plus Budgeting, forecasting, and financial modeling. Auditing standards and internal control frameworks. Financial system platforms (e.g., Cerner, Multiview, Paylocity, Quickbooks, etc.) Maintains their knowledge by keeping up with current developments and trends. Skills Advanced Microsoft Office, particularly Excel, and financial analysis skills. Strong management and leadership skills. Excellent written and verbal communication. Project management and workflow optimization. Ability to translate complex financial information into actionable insights. Abilities Lead and motivate a diverse financial team. Resolve complex financial issues and manage competing priorities. Exercise sound judgment under pressure. Maintain confidentiality and uphold ethical standards. Collaborate effectively with clinical, operational, and administrative departments. Set high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self-imposing standards of excellence rather than having standards imposed. Physical & Work Requirements Ability to sit at a computer for extended periods. Occasional overtime during peak periods (month-end, year-end, audit). Ability to lift up to 25 lbs of files/equipment if required. Additional Information Position Type : Full Time Shift : Day Contact Information Christina Uribe - Human Resources Director Human Resources Email:View email address on click.appcast.io #J-18808-Ljbffr