San Juan Regional Medical Center
Farmington, New Mexico
Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider-we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. Internal Audit is a dynamic function focused on strategic planning and risk assessment; operational, financial, compliance, and information technology audits; process and control environment consultation; and proactive engagement in discussing emerging issues with institutional leadership. The scope of audit work encompasses all areas, departments, functions, and organizations throughout SJRMC. The Internal Audit Financial Analysis (IAFA) reports directly to the Director of Internal Audit (DIA). The IAFA performs evaluations of the adequacy, effectiveness, and efficiency of the internal control systems within SJRMC, and the quality of ongoing operations in accordance with the Institute of Internal Auditors Standards (IIAS) for the Professional Practice of Internal Auditing, and applicable generally accepted auditing standards (GAAS). This position examines records, reports, financial data, information systems, and management practices to ensure compliance with statutes, internal controls, and the policies of SJRMC. Conducts audits for process improvements, efficiency, and effectiveness. The IAFA is responsible for aiding in the completion of the annual audit plan, by performing project management duties such as planning, scheduling, coordinating, reviewing, reporting on audit projects and the achievement of specific audit objectives. The IAFA may as directed by the DIA to plan, assign, and/or supervise the work of others. The IAFA is to become a knowledge source for SJRMC operations or functions by serving in the role of 'Audit Liaison'. This role will allow the IAFA to create and maintain a positive and collaborative partnership with leaders with and within SJRMC. Required Behaviors: As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission. Required Qualifications: A bachelor's degree from an accredited college or university with a major in healthcare administration, accounting, finance, management, public information, computer information systems, risk management, or a related field and at least two (2) years of relevant experience in internal audit, audit, hospital accounting department position, or a related field with a focus on business controls and processes. If no bachelor's degree, then seven (7) years of experience working in an acute care hospital's internal/external audit, accounting, or related discipline will substitute for a bachelor's degree and two years of service but must commit to seeking a bachelor's degree and all other job requirements within an agreed to time period. Proficient with computer applications and programs associated with the position including Workday Applications, Audit Software, and Windows-based software. Must be proficient in all Microsoft Office Applications (Outlook, Word, Excel, Viso, and PowerPoint) Ability to prioritize and manage multiple tasks, conflicting deadlines, changing work environments and expectations. Ability to analyze data and evidence to determine the effectiveness of internal controls over key risk areas, and to determine the degree of reliance to be placed on the internal control system, and for the purpose of determining the scope of audit testing. Maintains up-to-date knowledge of professional accounting and auditing standards, procedures, and pronouncements including proficiency in the application of internal audit theory, standards, procedures, and techniques. Ability to supervise other professional staff when designated as lead on audit and consultation projects. Preferred Qualifications: A Master's degree from an accredited college or university with a major in healthcare administration, accounting, finance, management, public information, computer information systems, risk management, or a related field. Certified Public Accountant (CPA), or Certified Internal Auditor (CIA), or Certified Information Systems Auditor (CISA), Certified Fraud Examiner (CFE) or similar certifications. Duties and Responsibilities: Accountable for the accuracy and quality of the audit process, validity of research and analysis, and the overall effectiveness in helping to achieve organizational objectives. Assembles and maintains comprehensive internal auditing work papers which accurately and sufficiently document audit tests performed, audit findings, audit reports, and recommendation. Assist external auditors and regulators where needed to ensure efficient audits and examinations. Demonstrates the ability to make and assist in the recommendation, development, and improvement of state-of-theart auditing systems, processes, and techniques including recommendations concerning audit policies, procedures, and practices. Assist with risk assessments to identify and measure risks associated with potential and current products, services, and systems. Assisting in performing control testing for the SJRMC's Sarbanes-Oxley Assessment. Assisting the Director of Internal Audit with the preparation of Audit Committee materials. By attending conferences, seminars and training sessions relating to areas of responsibility as well as the study, analyzation, and interpretation of professional journals, the IAFA will interpret, evaluate, and act as an advisor concerning compliance with technical procedures, government regulations, and SJRM's polices. Communicate internal audits and compliance information such as results and conclusions in accordance with professional auditing standards and agency policies and procedures. Completes work with limited instruction and knows when to seek guidance from DIA when circumstances warrant. Completing projects in a timely and cost-effective manner. Conducts special investigations, management review requests, and consulting projects, as directed by the DIA. Demonstrates analytical, problem-solving, critical thinking, interpersonal, and conflict resolutions, skills. Demonstrates effective written and verbal communication skills to prepare clear, persuasive audit work papers, and communicate audit results including observations. Demonstrates integrity, competence, and due professional care in all activities, managing work with a focus on maintaining independence and objectivity. Demonstrates supervisory and coaching/mentoring skills. Demonstrates the ability to work independently, multi-task, and prioritize responsibilities. Keep the DIA, as well as other appropriate levels of management, informed through both effective written and verbal communications skills, the status of audits and consultation projects as well as any other issues as they are identified. Ensure execution of the Internal Audit Charter in compliance with the Institute of Internal Auditors International Professional Practices Framework and Code of Conduct. Evaluates internal and administrative controls in relation to cost benefits, effectiveness, and economies of scale. Maintains confidentiality and exhibits appropriate judgment when determining when information requires such confidentiality. Interacts with departmental level management to effectively resolve issues or provide consultative services. Investigating whistleblower hotline allegations. Participates in all assigned internal audit reviews and audits, including large, complex audits. Lead small audits with low complexity. This includes planning, conducting entrance and exit conferences, making assignments, reviewing the work of others, and monitoring the performance of the audit, as well as conducting specific audit procedures. Performs work specified in audit programs including researching, accumulating, flowcharting, verifying, and analyzing available data. This includes interviewing appropriate personnel, evaluating functional operational techniques, identifying existing or potential problem areas, and preparing evaluations and recommendations for improvements. Participate in the preparation of the Internal Audit Plan's Risk/Opportunity Assessment and the development of the Annual Internal Audit Plan. Perform follow-up activity on issues reported by Audit, Legal, and other assurance providers. Perform quantitative and qualitative analysis and be able to present information in graphic and narrative formats. Performs audit procedures on scheduled audit projects in accordance with approved audit programs. Prepare clear, concise, and persuasive work paper documentation in line with the Institute of Internal Auditors (IIA) International Standards. Provides internal control training, consults with departments, and serves on SJRMC's committees as requested. Requests follow-up status of previous audit findings and verifies the completion of corrective actions. Drafts follow-up audit reports detailing findings and recommendations. Works with senior operations and accounting personnel to plan and coordinate work efforts . click apply for full job details
Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider-we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. Internal Audit is a dynamic function focused on strategic planning and risk assessment; operational, financial, compliance, and information technology audits; process and control environment consultation; and proactive engagement in discussing emerging issues with institutional leadership. The scope of audit work encompasses all areas, departments, functions, and organizations throughout SJRMC. The Internal Audit Financial Analysis (IAFA) reports directly to the Director of Internal Audit (DIA). The IAFA performs evaluations of the adequacy, effectiveness, and efficiency of the internal control systems within SJRMC, and the quality of ongoing operations in accordance with the Institute of Internal Auditors Standards (IIAS) for the Professional Practice of Internal Auditing, and applicable generally accepted auditing standards (GAAS). This position examines records, reports, financial data, information systems, and management practices to ensure compliance with statutes, internal controls, and the policies of SJRMC. Conducts audits for process improvements, efficiency, and effectiveness. The IAFA is responsible for aiding in the completion of the annual audit plan, by performing project management duties such as planning, scheduling, coordinating, reviewing, reporting on audit projects and the achievement of specific audit objectives. The IAFA may as directed by the DIA to plan, assign, and/or supervise the work of others. The IAFA is to become a knowledge source for SJRMC operations or functions by serving in the role of 'Audit Liaison'. This role will allow the IAFA to create and maintain a positive and collaborative partnership with leaders with and within SJRMC. Required Behaviors: As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission. Required Qualifications: A bachelor's degree from an accredited college or university with a major in healthcare administration, accounting, finance, management, public information, computer information systems, risk management, or a related field and at least two (2) years of relevant experience in internal audit, audit, hospital accounting department position, or a related field with a focus on business controls and processes. If no bachelor's degree, then seven (7) years of experience working in an acute care hospital's internal/external audit, accounting, or related discipline will substitute for a bachelor's degree and two years of service but must commit to seeking a bachelor's degree and all other job requirements within an agreed to time period. Proficient with computer applications and programs associated with the position including Workday Applications, Audit Software, and Windows-based software. Must be proficient in all Microsoft Office Applications (Outlook, Word, Excel, Viso, and PowerPoint) Ability to prioritize and manage multiple tasks, conflicting deadlines, changing work environments and expectations. Ability to analyze data and evidence to determine the effectiveness of internal controls over key risk areas, and to determine the degree of reliance to be placed on the internal control system, and for the purpose of determining the scope of audit testing. Maintains up-to-date knowledge of professional accounting and auditing standards, procedures, and pronouncements including proficiency in the application of internal audit theory, standards, procedures, and techniques. Ability to supervise other professional staff when designated as lead on audit and consultation projects. Preferred Qualifications: A Master's degree from an accredited college or university with a major in healthcare administration, accounting, finance, management, public information, computer information systems, risk management, or a related field. Certified Public Accountant (CPA), or Certified Internal Auditor (CIA), or Certified Information Systems Auditor (CISA), Certified Fraud Examiner (CFE) or similar certifications. Duties and Responsibilities: Accountable for the accuracy and quality of the audit process, validity of research and analysis, and the overall effectiveness in helping to achieve organizational objectives. Assembles and maintains comprehensive internal auditing work papers which accurately and sufficiently document audit tests performed, audit findings, audit reports, and recommendation. Assist external auditors and regulators where needed to ensure efficient audits and examinations. Demonstrates the ability to make and assist in the recommendation, development, and improvement of state-of-theart auditing systems, processes, and techniques including recommendations concerning audit policies, procedures, and practices. Assist with risk assessments to identify and measure risks associated with potential and current products, services, and systems. Assisting in performing control testing for the SJRMC's Sarbanes-Oxley Assessment. Assisting the Director of Internal Audit with the preparation of Audit Committee materials. By attending conferences, seminars and training sessions relating to areas of responsibility as well as the study, analyzation, and interpretation of professional journals, the IAFA will interpret, evaluate, and act as an advisor concerning compliance with technical procedures, government regulations, and SJRM's polices. Communicate internal audits and compliance information such as results and conclusions in accordance with professional auditing standards and agency policies and procedures. Completes work with limited instruction and knows when to seek guidance from DIA when circumstances warrant. Completing projects in a timely and cost-effective manner. Conducts special investigations, management review requests, and consulting projects, as directed by the DIA. Demonstrates analytical, problem-solving, critical thinking, interpersonal, and conflict resolutions, skills. Demonstrates effective written and verbal communication skills to prepare clear, persuasive audit work papers, and communicate audit results including observations. Demonstrates integrity, competence, and due professional care in all activities, managing work with a focus on maintaining independence and objectivity. Demonstrates supervisory and coaching/mentoring skills. Demonstrates the ability to work independently, multi-task, and prioritize responsibilities. Keep the DIA, as well as other appropriate levels of management, informed through both effective written and verbal communications skills, the status of audits and consultation projects as well as any other issues as they are identified. Ensure execution of the Internal Audit Charter in compliance with the Institute of Internal Auditors International Professional Practices Framework and Code of Conduct. Evaluates internal and administrative controls in relation to cost benefits, effectiveness, and economies of scale. Maintains confidentiality and exhibits appropriate judgment when determining when information requires such confidentiality. Interacts with departmental level management to effectively resolve issues or provide consultative services. Investigating whistleblower hotline allegations. Participates in all assigned internal audit reviews and audits, including large, complex audits. Lead small audits with low complexity. This includes planning, conducting entrance and exit conferences, making assignments, reviewing the work of others, and monitoring the performance of the audit, as well as conducting specific audit procedures. Performs work specified in audit programs including researching, accumulating, flowcharting, verifying, and analyzing available data. This includes interviewing appropriate personnel, evaluating functional operational techniques, identifying existing or potential problem areas, and preparing evaluations and recommendations for improvements. Participate in the preparation of the Internal Audit Plan's Risk/Opportunity Assessment and the development of the Annual Internal Audit Plan. Perform follow-up activity on issues reported by Audit, Legal, and other assurance providers. Perform quantitative and qualitative analysis and be able to present information in graphic and narrative formats. Performs audit procedures on scheduled audit projects in accordance with approved audit programs. Prepare clear, concise, and persuasive work paper documentation in line with the Institute of Internal Auditors (IIA) International Standards. Provides internal control training, consults with departments, and serves on SJRMC's committees as requested. Requests follow-up status of previous audit findings and verifies the completion of corrective actions. Drafts follow-up audit reports detailing findings and recommendations. Works with senior operations and accounting personnel to plan and coordinate work efforts . click apply for full job details
San Juan Regional Medical Center
Farmington, New Mexico
Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider-we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. The Director of Finance provides leadership and direction for the hospital's Accounting, Accounts Payable, Treasury, Payroll, and Decision Support functions, ensuring financial integrity, compliance, and operational efficiency. This role is responsible for maintaining the accuracy of financial records, safeguarding organizational assets, and producing timely, compliant financial reports to support strategic decision-making. The Director of Finance plays a key role in operational leadership, regulatory adherence, and team development. Required Behaviors: As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission. Required Qualifications: Bachelor's degree in Accounting, Finance or a related field from an accredited institution Certified Public Accountant (CPA) designation or five (5) years of relevant finance experience in healthcare settings Minimum of five (5) years of progressive financial leadership experience, including at least three (3) years in a healthcare or hospital finance role Thorough knowledge of GAAP, nonprofit accounting standards, and healthcare financial regulations Strong understanding of internal controls, financial compliance, and risk management Supervision experience of AP, PR, GL, Treasury, budgeting and reporting Proficiency in financial systems and ERP platforms (e.g., Workday, Oracle, Stratajazz or similar). Ability to manage multiple priorities and work cross-functionally in a fast-paced environment. Excellent analytical, problem-solving, and communication skills Preferred Qualifications: Certification in Workday Finance, Payroll, or any other modules Master's degree in Accounting, Finance, Healthcare Administration, or Business Experience in a hospital or healthcare system with $100M+ in annual revenue Knowledge of 340B program financial oversight, Medicare/Medicaid reimbursement, and cost reporting Familiarity with healthcare audit firms, nonprofit board reporting, and bond covenant compliance Experience in developing KPIs, dashboards, and financial presentations for executive leadership Hands-on involvement in ERP transitions or financial system optimization projects Demonstrated ability to lead, mentor, and develop finance staff Duties and Responsibilities: Oversees daily operations of Accounting, Accounts Payable, Treasury, Decision support, and Payroll functions to ensure proper internal controls, efficient workflows, and adherence to hospital policies and financial regulations. Establishes and maintains accounting systems and procedures that ensure timely and accurate recording of financial transactions and compliance with GAAP, IRS, CMS, and other regulatory standards. Serves as the primary owner of the general ledger, ensuring accuracy, integrity, and timely closing of monthly, quarterly, and annual books. Leads preparation of internal and external financial statements, management reports, tax filings, Medicare/Medicaid cost reports, annual budget and regulatory submissions. Monitors daily cash flow, manage short-term investments, and ensures sufficient liquidity to meet payroll, vendor payments, and operational expenses. Coordinates annual financial audits, facilitates external auditor requests, and oversees preparation of audit schedules and reconciliations. Provides oversight into the budget development process, financial forecasting, capital planning, and ad hoc business analysis in support of operational and strategic goals. Collaborates with clinical and operational departments to improve financial understanding, provide insight into labor productivity, and establish effective internal controls. Evaluates, revises, and enforces departmental policies and internal controls, ensuring compliance with industry regulations and best practices. Manages and develops a high-performing finance team, conducting regular performance evaluations, skill assessments, and cross-training to support continuity and professional growth. Holds regular staff meetings to disseminate critical information, promote team engagement, ensure safety compliance, and support a culture of excellence and customer service. Acts as a financial liaison to hospital leadership, communicating risks, opportunities, and financial trends to inform decision-making. Maintains confidentiality, exercises sound judgment, and models the core values and mission of the hospital in all professional activities. Promotes and ensures regulatory compliance, workplace safety, infection control, and ethical practices across all supervised functions. Builds and fosters a collaborative team environment, emphasizing shared responsibility, professional respect, and accountability. Each employee is responsible for implementing SJRMC's Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship Other duties as assigned Physical Demands and Environmental Work Conditions: The majority of work is performed in a sitting position. Sits, stands, bends, lifts, and moves intermittently throughout the day. A portion of job duties involve the application of manual skills requiring motor coordination in combination with finger dexterity, i.e., typing on a computer keyboard, using a 10-key calculator, etc. Work may involve some stooping and bending for filing purposes. Must be able to move intermittently throughout the day. Once a year, files are emptied into storage boxes. Near visual acuity is needed to read and post figures Work is in a well-lit, temperature-controlled office area
Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider-we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community. The Director of Finance provides leadership and direction for the hospital's Accounting, Accounts Payable, Treasury, Payroll, and Decision Support functions, ensuring financial integrity, compliance, and operational efficiency. This role is responsible for maintaining the accuracy of financial records, safeguarding organizational assets, and producing timely, compliant financial reports to support strategic decision-making. The Director of Finance plays a key role in operational leadership, regulatory adherence, and team development. Required Behaviors: As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission. Required Qualifications: Bachelor's degree in Accounting, Finance or a related field from an accredited institution Certified Public Accountant (CPA) designation or five (5) years of relevant finance experience in healthcare settings Minimum of five (5) years of progressive financial leadership experience, including at least three (3) years in a healthcare or hospital finance role Thorough knowledge of GAAP, nonprofit accounting standards, and healthcare financial regulations Strong understanding of internal controls, financial compliance, and risk management Supervision experience of AP, PR, GL, Treasury, budgeting and reporting Proficiency in financial systems and ERP platforms (e.g., Workday, Oracle, Stratajazz or similar). Ability to manage multiple priorities and work cross-functionally in a fast-paced environment. Excellent analytical, problem-solving, and communication skills Preferred Qualifications: Certification in Workday Finance, Payroll, or any other modules Master's degree in Accounting, Finance, Healthcare Administration, or Business Experience in a hospital or healthcare system with $100M+ in annual revenue Knowledge of 340B program financial oversight, Medicare/Medicaid reimbursement, and cost reporting Familiarity with healthcare audit firms, nonprofit board reporting, and bond covenant compliance Experience in developing KPIs, dashboards, and financial presentations for executive leadership Hands-on involvement in ERP transitions or financial system optimization projects Demonstrated ability to lead, mentor, and develop finance staff Duties and Responsibilities: Oversees daily operations of Accounting, Accounts Payable, Treasury, Decision support, and Payroll functions to ensure proper internal controls, efficient workflows, and adherence to hospital policies and financial regulations. Establishes and maintains accounting systems and procedures that ensure timely and accurate recording of financial transactions and compliance with GAAP, IRS, CMS, and other regulatory standards. Serves as the primary owner of the general ledger, ensuring accuracy, integrity, and timely closing of monthly, quarterly, and annual books. Leads preparation of internal and external financial statements, management reports, tax filings, Medicare/Medicaid cost reports, annual budget and regulatory submissions. Monitors daily cash flow, manage short-term investments, and ensures sufficient liquidity to meet payroll, vendor payments, and operational expenses. Coordinates annual financial audits, facilitates external auditor requests, and oversees preparation of audit schedules and reconciliations. Provides oversight into the budget development process, financial forecasting, capital planning, and ad hoc business analysis in support of operational and strategic goals. Collaborates with clinical and operational departments to improve financial understanding, provide insight into labor productivity, and establish effective internal controls. Evaluates, revises, and enforces departmental policies and internal controls, ensuring compliance with industry regulations and best practices. Manages and develops a high-performing finance team, conducting regular performance evaluations, skill assessments, and cross-training to support continuity and professional growth. Holds regular staff meetings to disseminate critical information, promote team engagement, ensure safety compliance, and support a culture of excellence and customer service. Acts as a financial liaison to hospital leadership, communicating risks, opportunities, and financial trends to inform decision-making. Maintains confidentiality, exercises sound judgment, and models the core values and mission of the hospital in all professional activities. Promotes and ensures regulatory compliance, workplace safety, infection control, and ethical practices across all supervised functions. Builds and fosters a collaborative team environment, emphasizing shared responsibility, professional respect, and accountability. Each employee is responsible for implementing SJRMC's Service Standards into their daily work: Safety, Courtesy, Effectiveness, and Stewardship Other duties as assigned Physical Demands and Environmental Work Conditions: The majority of work is performed in a sitting position. Sits, stands, bends, lifts, and moves intermittently throughout the day. A portion of job duties involve the application of manual skills requiring motor coordination in combination with finger dexterity, i.e., typing on a computer keyboard, using a 10-key calculator, etc. Work may involve some stooping and bending for filing purposes. Must be able to move intermittently throughout the day. Once a year, files are emptied into storage boxes. Near visual acuity is needed to read and post figures Work is in a well-lit, temperature-controlled office area
