Finance Manager

Finance Manager

Scottsdale, AZ (Onsite)

Are you ready for your next opportunity?

When you work with Tribal Health, you work with talented and passionate teams who are making an impact on Native health disparities. We are seeking an experienced and hands-on Accounting / Finance Manager to lead the day-to-day financial operations of our growing healthcare organization. This individual will play a critical role in ensuring financial accuracy, operational efficiency, and strategic insight in a fast-paced, startup environment.

This is a working manager role responsible for overseeing accounting functions, improving processes, strengthening internal controls, and supporting executive decision-making through strong financial reporting and analysis.

The ideal candidate has experience in growth-stage or startup environments, thrives in ambiguity, and has successfully built or improved accounting processes while leading a team.

Duties and Responsibilities

Financial Operations & Oversight

• Manage and oversee daily accounting operations including General Ledger, AP, AR, and reconciliations
• Lead and execute month-end and year-end close processes
• Prepare and review journal entries and account reconciliations
• Manage multi-entity accounting and consolidations
• Prepare and analyze cash flow statements and forecasts
• Ensure accurate payroll-related journal entries and accruals
• Maintain compliance with accounting standards and regulatory requirements

Reporting & Financial Analysis

• Prepare monthly, quarterly, and annual financial statements
• Develop executive-level financial reports and dashboards
• Analyze financial performance and identify trends, risks, and opportunities
• Translate financial data into actionable insights for leadership
• Support budgeting and forecasting processes

Audit & Compliance

• Coordinate and support external audits
• Strengthen internal controls and documentation
• Maintain documentation for Workers' Compensation and other regulatory reporting
• Ensure financial processes are compliant and audit-ready

Process Improvement & Automation

• Identify inefficiencies and implement process improvements
• Drive automation initiatives to reduce manual tasks
• Develop scalable systems and SOPs to support organizational growth
• Improve financial workflows across departments

Leadership & Team Development

• Supervise and review the work of accounting staff
• Set clear expectations and performance standards
• Provide coaching, mentorship, and professional development
• Foster a culture of accountability, collaboration, and continuous improvement

Knowledge, Skills, Abilities and Other Qualifications

• Bachelor's Degree in Accounting, Finance, or related field
• 7+ years of progressive accounting/finance experience
• Prior management experience leading accounting or finance teams
• Strong knowledge of General Ledger management and month-end close processes
• Experience with multi-entity accounting and consolidations
• Experience with AP/AR oversight
• Experience preparing cash flow statements and financial reporting
• Audit experience
• Strong analytical and financial storytelling abilities
• High attention to detail and strong organizational skills
• Demonstrated ability to improve processes and implement efficiencies
• Must be willing to operate as a working manager

Preferred Qualifications

• Master's Degree in Accounting, Finance, or related field
• CPA designation
• Healthcare industry experience
• Experience in startup or high-growth environments
• Experience with financial system implementations or automation initiatives

Native American Preference: Preference in filling vacancies is given to qualified Native American candidates in accordance with federal law (Title 25, USC Section 472). Form BIA-4432 should be submitted with the application. For more information about Native American Preference in employment please click here.

Equal Opportunity Employer: Tribal Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. We value the skills, experience, and dedication that veterans bring to the workplace and qualified veterans are encouraged to apply. Tribal Health is also committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or an accommodation due to a disability, please let us know by emailing View email address on click.appcast.io or by calling View phone number on click.appcast.io. For more info on EEOC please visit EEOC KNOW YOUR RIGHTS

Work Environment

Physical demands: - The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk, hear and perform repetitive motions. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with clients, vendors and staff. Overnight travel may be required from time to time.

Mental demands: - There are a number of deadlines associated with this position. The employee must be able to handle frequent interruptions and must also multi-task and interact with a wide variety of people on various and, at times, complicated issues.

Other:

Confidentiality: - All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles will be grounds for immediate termination

Background Investigation: - This position may be subject to a 101-630 background check in an effort to ensure compliance with public law 101-630 "Indian child protection and family violence prevention act." Candidates for positions that require a 101-630 background check must be able to successfully pass a background and character investigation in compliance with pl 101-630.

Drug Screening: - All applicants must successfully pass a pre-employment drug screening prior to beginning employment and will be subject to random drug testing.