Financial Officer

Health System Financial Officer

The AST Health System Financial Officer (FO) reports to the Health Programs Executive Director. The employee is responsible for preparing financial statements, maintaining cash controls, managing payroll and personnel administration, purchasing, maintaining accounts payable, and managing office operations. The financial officer must work within the generally accepted accounting principles (GAAP) framework and industry standards of practice, AST Policies and Procedures, and in compliance with all applicable Federal, State, and Tribal Laws and Regulations.

Failure to provide adequate services may result in lost or misused revenues, inaccurate financial statements, and financial problems for employees, contractors, and suppliers if the payroll and/or accounts payables are not processed in an accurate and timely manner. The FO is responsible for the development, implementation, and maintenance of accounting systems for the control of health system assets and to provide complete and accurate financial information/records.

The FO prepares reports for use by the executive team to appraise operating results in terms of costs, budgets, trends, etc. The FO provides essential leadership functions and coordination of the organization’s financial plans, budget management, and debt servicing. The FO must be able to work with multi‑agency personnel, tribal members, tribal leadership, conduct research and cost modeling for high‑profile programmatic efforts strategically tied to both the tribe’s and health system’s modernization and strategic planning and related financial systems to be valid with a high degree of fidelity and programming certainty;

this is accomplished by utilizing proven industry standards and accounting tools. The FO is responsible for the tribal health programs financial and accounting procedures to include health indirect costs formulation and grant program financial compliance. Successful candidates must have corporate and/or health system experience and experience working with financial entities within I.H.S., CMS, OSDH, OHCA, VA, and other corporate entities (Non‑Profit, Not‑For‑Profit, and For‑Profit) including insurers and other third‑party payors as well as affiliated/serviced tribal businesses and other tribal entities.

The FO supervises day‑to‑day functions of the business office.

• Establish and maintain cash controls and reconciliation of bank statements and general ledgers and assure adequate checks and balances exist within the health programs and business office.
• Assist senior management in the preparation of the organization’s annual budget and annual audit; responsible for maintaining and controlling the programs’ financial accountability and procedures for purchase orders.
• Ensure all financial policies and procedures follow what management has implemented.
• Responsible for supervising cash reserves and making recommendations on any health investments/activities.
• Assure establishment and accountability of all contractors and suppliers to the tribe.
• Ensure effective policies and procedures on all credit card transactions are secure and verified; tasked with the preparation of income statements, monitoring of financial transactions, and entering them into the accounting system.
• Train program staff within tribal entities on financial policy and procedure development with GAAP requirements and industry recognized financial tracking tools/programs.
• Responsible for ensuring proper classification and maintenance of monthly balance sheets and financial statements as well as coordinating routine reports within programs between the tribe’s programs and their respective directors.
• Ensure programs reconcile all accounts receivable and payable, and prepare journal summaries.
• Maintain records of all financial systems, issue receipts for all transactions involving accounting; maintain filing systems, ensure documents are secured; review health payroll reports, calculate salaries, and the employee’s contributions and deductions, as applicable.
• Act as an in‑house consultant/resource to engage leadership/program managers regarding disconnects…