Demo

Director

Forvis Mazars US Executive Search Practice
Farmington, NM Full Time
POSTED ON 6/27/2026
AVAILABLE BEFORE 7/25/2026
  • Onsite: Farmington, NM (Relocation support provided)



Director of Finance and Decision Support

Position Summary

The Director of Finance and Decision Support leads the hospital’s Accounting, Accounts Payable, Treasury, Payroll, and Decision Support functions, ensuring financial integrity, regulatory compliance, and operational efficiency. This role is responsible for accurate financial reporting, safeguarding assets, and providing data-driven insights to support executive decision-making.

Key Responsibilities

  • Oversee daily finance operations, ensuring strong internal controls and compliance with GAAP and healthcare regulations
  • Manage the general ledger and lead timely monthly, quarterly, and annual financial close processes
  • Prepare financial statements, budgets, forecasts, and regulatory reports, including Medicare/Medicaid cost reporting
  • Monitor cash flow, liquidity, and short-term investments
  • Lead audit processes and coordinate with external auditors
  • Partner with operational and clinical leaders to drive financial performance and decision-making
  • Develop and enforce financial policies, controls, and best practices
  • Recruit, lead, and develop a high-performing finance team
  • Communicate financial results, risks, and opportunities to executive leadership

Required Qualifications

  • Bachelor’s degree in Accounting, Finance, or related field
  • CPA or equivalent healthcare finance experience
  • 5 years of progressive financial leadership experience, including hospital or healthcare finance
  • Strong knowledge of GAAP, nonprofit accounting, and healthcare financial regulations
  • Experience overseeing core finance functions (GL, AP, Payroll, Treasury, budgeting/reporting)
  • Proficiency in ERP systems (e.g., Workday, Oracle, StrataJazz)
  • Strong analytical, leadership, and communication skills

Preferred Qualifications

  • Master’s degree in Accounting, Finance, Healthcare Administration, or Business
  • Experience in a $100M health system
  • Knowledge of 340B, reimbursement, and cost reporting
  • Experience with financial dashboards, KPIs, and system implementations

Work Environment

  • Office-based role with regular computer use
  • Occasional standing, bending, and light lifting


Our Culture

Core values: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability, and Creative Vitality, along with our service standards of Safety, Courtesy, Effectiveness, and Stewardship.

Salary.com Estimation for Director in Farmington, NM
$119,389 to $147,301
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