Accounting Manager
Dilkon Medical Center • Winslow, Arizona • Full Time
Posted on Wed, Aug 12, 2026
Under general supervision of the Chief Financial Officer, the Accounting Manager is responsible for performing account reconciliations, conducing cost analysis, and ensuring the accuracy of financial data in the general ledger. This role includes preparing financial reports, analyzing and inputting financial data, maintaining financial records, and ensuring compliance with accounting regulations and standards. The Accounting Manager plays a critical role in supporting financial operations, strengthening internal controls, and ensuring audit readiness, all while upholding the Vision, Mission, and Values of WIHCC. Confidentiality of all sensitive information must be maintained at all times.
This job description outlines key responsibilities but is not all-inclusive of the tasks performed in this role.
Essential Duties & Responsibilities:
- Maintains regular attendance and punctuality.
- Complies with WIHCC policies and procedures, as well as Compliance Bylaws, AAAHC or Joint Commission standards, and the Strategic Plan.
- Participates as part of the Finance team, ensuring financial data is accurately recorded in accordance with generally accepted accounting principles, company policies, and the month-end checklist.
- Oversees and manages comprehensive accounting operations, including the meticulous oversight of accounting and budget records, monthly financial closings, grant accounting, and the timely completion of balance sheet reconciliations, including investment accounts, while ensuring accuracy and compliance with relevant standards.
- Develops, assesses, and delivers a range of financial reports, including internal management reports, while offering actionable insights and recommendations to facilitate informed decision-making and advance organizational goals.
- Develops, implements, and maintains robust internal controls and accounting policies in collaboration with the CFO, ensuring a strong framework to safeguard assets, prevent fraud, and ensure accurate and transparent reporting of assets, liabilities, revenues, and expenditures in accordance with GAAP or other regulatory requirements.
- Mentors and develops the accounting team, establishing clear accounting processes, fostering a culture of continuous improvement, and providing guidance, and support as needed to ensure the effective and efficient completion of daily operations.
- Manages fixed asset accounting processes, including overseeing the recording of additions, deletions, and adjustments, and ensuring that depreciation schedules are accurately maintained and reconciled with year-end financial statements, contributing to accurate financial reporting.
- Reconciles bank transactions daily and monthly, including cash clearing, providing copies of bank statements to Accounts Receivable, Accounts Payable and Revenue Cycle
- Maintains the Journal Entries and JE Log Sheet, posting standard recurring entries such as Tall Tree, Prepaid Expenses, PRC Checks, Third Party Collections, Payroll Fees, Interest and Investment Income, Housing Rental, etc.
- Serves as Purchasing Card Administrator to ensure transactions are accurately recorded in the financial system and reconciled with bank statements.
- Reconciles Intergovernmental Personnel Act (IPA) and Memorandum of Agreement (MOA) accounts with the Indian Health Service.
- Performs payroll reconciliation and download on biweekly basis.
- Assists in overseeing budget preparation and ensure the accurate entry of approved budgets. Works with CFO to monitor budget-to-actual performance using Axiom budgeting software, ensuring that departments remain within their allocated budget limits.
- Process budget transfers requests from departments
- Maintain Oracle accounts and create work tickets with Inoapps for system-related issues.
- Regularly review department expenditures to identify miscoded transactions and create reclassification entries with appropriate documentation to correct them.
- Contribute to team efforts on special projects, and assist the CFO, Accounts Payable, and Accounts Receivable with assigned duties as needed.
- Collaborate cross-functionality with other departments to ensure financial information is aligned with operating and capital budgets, and provide financial insight to drive operational efficiencies and enhance performance across the organization.
- Lead continuous improvement initiatives within the Finance and Revenue Cycle departments, identifying opportunities for optimization, automation, and efficiency enhancements, ensuring the department operates at its highest potential
- Works collaboratively with CFO on annual financial audit by preparing documentation, providing explanations for financial results, and collaborating with external auditors to ensure the timely and successful completion of audits with no significant findings.
- Provides guidance to departments by researching and interpreting financial policies, offering insights, and applying observations and recommendations to address operational issues
- Perform other duties as assigned
- Ensures strict confidentiality of financial records.
- Participates in meetings and professional development activities.
- May drive a Government Owned Vehicle or personal vehicle in the course of the work.
- Adheres to all professional and ethical behavior standards of the healthcare industry.
- Adheres to WIHCCs Personnel Policies and Procedures, departmental policies, rules, and regulations.
- Interacts in an honest, trustworthy and dependable manner with patients, employees, visitors, and vendors.
- Possesses cultural awareness and sensitivity.
- Maintains compliance with all Human Resources requirements.
Qualifications
Minimum Qualifications:
Bachelor’s degree in Accounting, Finance, or a related field. Master’s Degree preferred. Five years of professional accounting experience required. Bilingual skills in English and Navajo language preferred. Must maintain a valid unrestricted and insurable driver’s license. Must successfully pass a background investigation and maintain suitable requirements for a Child Care position. This position is considered as a Child Care position, which requires a satisfactory background check investigation and is subject to the requirements of the Indian Child Protection and Family Violence Prevention Act, as amended (henceforth referred as the ICPFVP Act).
Knowledge, Skills, Ability
- Knowledge of applicable federal, state and local laws and regulations of Federal grant, federal finance system and contract administration, Medicare, Medicaid, private insurance (3rd party) revenue cycle and adherence to compliance.
- Knowledge of research, data analysis and report preparation techniques.
- Knowledge of maintaining and reconciling accounting and financial records
- Intermediate to Advance proficiency in computer applications relevant to accounting, including an ERP business software and Microsoft Office Suite (Word, Excel, PowerPoint, and Outlook).
- Knowledge of interpreting, applying and explaining complex laws, policies and regulations of GAAP standards, federal grants and contract administration and cash management regulations sufficient to:
- Knowledge of setting priorities, coordinating multiple projects and meeting critical deadlines.
- Knowledge of using sound, independent judgment within established policy and procedural guidelines.
- Knowledge of preparing clear, concise and effective written materials. Maintaining accurate records and files.
- Knowledge of conducting routine audits. Accept and learn from feedback. Communicate effectively both verbally and in writing. Provide exemplary customer service at all times.
- Knowledge of strong work ethics in the workplace.
- Knowledge of basic application of confidentiality.
- Ability to be dependable in attendance and job performance.
- Ability to effectively communicate both in written and verbal.
- Ability to provide exemplary customer service at all times.
- Ability to interact positively with others and possess great interpersonal skills.
- Ability to multitask and perform well under pressure.
- Ability to have self-confidence.
- Ability to be a great team player.
- Ability to accept and learn from supervisor/peer critique.
- Ability to be flexible and adaptable to the changing needs of the organization.
Physical Demands:
While performing the essential functions of this position, the employee is regularly required to walk, sit, use hands to handle and manipulate objects and equipment, reaches with hands and arms, and communicate effectively verbally and audibly. The employee frequently must stand, climb, balance, stoop, kneel, crouch, or crawl and may occasionally use taste or smell. The employee must occasionally lift and/or move objects weighing up to 50 pounds.
Work Environment:
Work is performed in an office setting or outdoor work environment with moderate noise levels. Work environment may involve exposure to physical risks, such as blood borne pathogens, hazardous chemicals, or operating potential dangerous equipment, and requires adherence to all safety protocols. Required work schedules may include evening, weekend, overnight shifts, extended hours, or irregular schedules as operational needs dictate.
As required by P.L. 93-638, absolute preference will be given to qualified Navajo applicants. If there is no qualified Navajo applicant, preference will be given to qualified American Indian applicants.
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