The incumbent is responsible to

contribute to the growth and profitability of the assigned affiliate hospitals

by professionally managing the financial services and activities. Responsible

for strategic planning in conjunction with the affiliate hospital CEO and Board

of Directors. Responsibilities include preparation of financials, interacting

with auditors, federal and state agencies on cost reports/audits, preparation

of annual financial and capital budgets, oversight of affiliate business office

staff and related charge entry and patient billing and management of account

receivable days, establishment of accounting policies/procedures, review and

analysis of cost reports and tax returns, evaluation of vendor

contracts/payments, evaluation of capital purchases, evaluation of supply chain

management, securing bank loans, evaluating internal controls, charge master

reviews, coding reviews, oversight of information system’s functionality,

proformas for new services, compliance with HIPAA and CMS, etc.

Essential Job Functions

• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.

• Develops, implements and leads the affiliate hospital CEO and Board Members through strategic financial/budgeting planning sessions and motivates team to execute strategic objectives.

• a) Works collaboratively with the Board of Director’s Finance Committees.

• b) Attends affiliate Board Meetings

• c) Interacts with bankers and secures bank loans as appropriate

• Ensures the success and credibility of affiliate hospital through the delivery of innovative, quality, cost efficient accounting and financial programs. Leads the administration and ongoing refinement of comprehensive financial/budgeting programs, including well defined protocols, policies and procedures. Provides consultation services for the community and health care providers.

• Develops/maintains financial and budgetary goals/objectives and assists with the development of business plans which support the affiliate hospital’s goals and objectives. Communicates and coordinates corporate and administrative information for use by the affiliate hospital leadership and governing bodies, including feasibilities, projections, and results reporting. Leads the budgeting processes.

• a) Provides oversight of the affiliate hospital’s business office staff, evaluation of appropriateness of charge entry and patient billing, evaluating vendor contracts and validating vendor payments, evaluation of payer payments for compliance with regulatory requirements, charge master reviews, coding reviews, and management of the days in accounts receivable.

• b) Provides oversight of the affiliate hospital’s supply chain management, evaluate capital purchases and access alternative funding for capital purchases, and establishment of a common ordering system.

• c) Evaluates payroll and human resource rates and hours paid.

• d) Evaluates and reviews workers compensation practices

• e) Preparation of financials (GASB and FASB)

• f) Interact with and assist auditors with annual audited financial statements

• g) Interact with federal and state agencies on cost reports audits

• h) Prepares annual financial and capital budgets

• i) Establishes accounting policies

• j) Reviews and analyzes cost reports

• k) Reviews and analyzes tax returns

• l) Evaluates internal controls

• m) Reviews and evaluates grant revenue compliance

• Practices process improvement principles and oversees assessment and improvement of the quality of the financial services. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Ensures accounting compliance with applicable legal, state and/or federal requirements and/or regulatory standards (i.e., HIPAA and CMS)

• a) Prepares analysis (Proformas) for new services

• b) Prepare ad hoc reporting as needing

• c) Provides support to affiliate CEOs with a variety of special requests

• Develops, retains, recruits, and leads a talented finance team committed to accomplishing the goals and objectives of Billings Clinic and the affiliate hospital. Conducts appropriate performance actions to include motivation, training, coaching, and counseling of employees. Acts as a mentor, promotes and encourages professional growth and development of all staff. Takes responsibility for own professional growth and development needs; meets all system educational requirements.

• Demonstrates and encourages an ethic of open communication and teamwork with the affiliate site. Builds an environment of shared commitment to the affiliate’s goals and responsibility to achieve quality outcomes. Maintains a high level of satisfaction within the affiliate hospital among physicians and employees by providing an environment conducive to maximum individual and collective productivity.

• Provides oversight for affiliate hospital information systems’ functionality and coordinates and interacts with Billings Clinic Information Services Department for support.

• Performs all other duties as assigned to meet the needs of the departments, service lines, and organization.

• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.

• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.

Minimum Qualifications

Education

• Graduate Degree in business or

health care administration and/or Certified Public Accountant

Experience

• Eight (8) years financial

management experience as well as health care experience

Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.