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Director of Fiscal Services (032326) FULL TIME

Bitterroot Health
Hamilton, MT Full Time
POSTED ON 3/25/2026
AVAILABLE BEFORE 5/24/2026
Are you ready to work where breathtaking mountain views meet exceptional care?

At Bitterroot Health, we combine the beauty of Montana's Bitterroot Valley with our commitment to high-quality, personalized healthcare.
As the largest employer in Ravalli County, Bitterroot Health is deeply woven into the fabric of the Bitterroot Valley, offering accessible care and building lasting relationships with our neighbors.
Located in Montana’s scenic Bitterroot Valley between the Bitterroot and Sapphire Mountains, we offer rewarding careers paired with an exceptional outdoor lifestyle. Enjoy top-rated schools, a safe, family-friendly community, and year-round recreation including hiking, fishing, skiing, biking, and access to nearby rivers, trails, and lakes in one of Montana's most stunning regions.
Our Employee Connections & Wellness Team is dedicated to supporting our staff by providing resources and activities that promote occupational, physical, emotional, social, and inclusionary well-being. We believe that your happiness is key to success, which is why we also host regular employee gatherings to foster community and connection.
Grow with us! From tailored pathway training in nursing, laboratory, and surgical departments to scholarships and tuition reimbursement, we are invested in your success.
Join a team recognized for excellence! See for yourself HERE! Named a 2025 top 20 in the nation Critical Access Hospital by the National Rural Health Association. Voted 'Bitterroot’s Best Employer' in 2022 and 2023, we were also honored as the #1 Employer of Choice for large companies in Montana in 2022.

If you're passionate about making a difference in healthcare while enjoying the unmatched beauty of Montana, Bitterroot Health is the place for you. Discover the rewarding career you deserve—apply today!

Director of Fiscal Services (Controller) opportunity in beautiful Hamilton, Montana!!
Bitterroot Health is seeking candidates to fill the Director of Fiscal Services (Controller) role. Under the direction of the Chief Financial Officer, the Director of Fiscal Services directs the accounting and fiscal activities of the hospital; responsible for planning, organizing, directing, and controlling the operations of the hospital; monitors and develops the hospital budget process; supervises and manages accounts payable and payroll services. This position organizes, supervises, and participates in the accounting and fiscal management record and reporting functions; performs responsible and technical tasks pertaining to specialized accounting processes. The successful candidate will have the ability to see beyond the immediate challenge, seek out system and process improvements, find and implement solutions as opportunities present to help the Hospital achieve both its short and long-term goals.

Minimum Qualifications:
  • Education: Bachelor’s degree in Accounting
  • Licensures, Certifications, Registrations: CPA or Masters in Accounting Preferred
  • Job Knowledge/Skills/Abilities: General Accounting with Healthcare experience, experience with Montana healthcare environment desired
  • Experience: Management experience required
Schedule: Full-time, 40 hours/week
Benefits: This position is eligible for the full benefit package including

For benefits overview, click here.

Bitterroot Health is a non-profit organization and is proud to be an Equal Opportunity Employer

Salary.com Estimation for Director of Fiscal Services (032326) FULL TIME in Hamilton, MT
$152,413 to $200,353
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