Director of Accounting & Financial Operations

Director of Accounting & Financial Operations - Healthcare
NorthStar Medical Management, Inc. is a physician-owned healthcare management organization based in Missoula, Montana. It provides executive oversight and administrative support for multiple specialty clinics, surgery centers, and properties.

NorthStar is seeking a highly experienced Director of Accounting & Financial Operations to serve as the senior leader responsible for the integrity, accuracy, and effectiveness of the organization's accounting and financial operations. This executive-level role provides strategic and operational leadership across financial reporting, internal controls, cash management, and accounting operations in support of physician practices, management services arrangements, and continued organizational growth. Reporting directly to the CEO, the Director acts as a trusted advisor to executive leadership and plays a critical role in delivering timely, accurate, and reliable financial information to support executive and Board-level decision-making.

Responsibilities include oversight of monthly, quarterly, and year-end financial close; maintenance of GAAP-compliant accounting policies and procedures; strengthening of internal controls; monitoring cash flow and liquidity; coordination with external auditors and tax advisors; and ensuring appropriate safeguarding of financial and patient-related data in compliance with regulatory and HIPAA requirements.


This Director role will provide hands-on leadership to the accounting team, including supervision, coaching, performance management, and professional development, while driving continuous improvement in accounting processes across a multi-entity healthcare environment.


This role requires significant independent judgment and discretion and offers meaningful influence over financial operations, governance support, and organizational stability. Effective development of financial reporting and performance reporting is a priority.

This position is well suited for a seasoned accounting leader seeking a senior, high-impact role with executive visibility in a physician-focused healthcare organization.


Why You'll Love Working With Us:

• Work-Life Balance: Enjoy a Monday through Friday schedule.
• Competitive Compensation: Salary range of $90,000 - $135,000 annually DOE, with a comprehensive benefits package including health, vision, dental, life insurance, disability insurance, 401(k) plan and profit sharing, paid vacation, sick leave, and holiday pay.
• Collaborative Environment: Work alongside an experienced leadership team dedicated to providing excellent patient care and supporting our staff.

Qualifications & Education

• Bachelor's degree in Accounting, Finance, or a related field required
• Minimum of seven (7) years of progressive accounting experience, including supervisory or managerial responsibility
• Demonstrated expertise in financial reporting, reconciliations, and internal controls
• Strong analytical, problem-solving, and communication skills
• Experience in healthcare, medical group, or MSO accounting strongly preferred
• CPA or equivalent professional credential preferred
• Experience supporting multi-entity or complex organizational structures
• Advanced proficiency in Microsoft Excel and accounting systems

How to Apply: If you're excited about this opportunity, we'd love to hear from you! Please reply to this listing with your cover letter and resume via email to Human Resources View email address on click.appcast.io or mail them to: Human Resources PO Box 4907 Missoula, MT 59806.

For more information about our clinics, please visit our websites:

This is an on-site position only - no remote work is offered at this time.