Director of Finance and Accounting
Winnebago Comprehensive Healthcare System • Winnebago, Nebraska • Full Time
Posted on Fri, Sep 11, 2026
Job Purpose & Position Overview
The Accounting and Finance director will oversee all aspects of Winnebago Comprehensive Healthcare Systems finance operations and reports directly to the Chief Financial Officer. The successful candidate will lead and develop an internal team to support the financial operations of an expanding healthcare system. They will ensure accounting systems are GAAP compliant, audit ready and drive strategic decision making and support operations as the Winnebago Comprehensive Healthcare System (WCHS) continues to enhance its quality of programs. This is a tremendous opportunity to be part of a growing healthcare system and has a direct succession plan to the CFO position.
Specific Job Duties/Responsibilities:
Demonstrate the WCHS’s core mission, vision, and values. Develops and implements strong internal controls and procedures and works closely with external auditors to produce clean audits. Streamlines systems for best-in-class operations and documents processes and policies Creates monthly reports for dissemination to internal leaders. Streamlines monthly meetings with internal leaders to grow understanding. Ensures general ledger is accurate and trial balance is continually audit ready. Champion the continuous improvement finance, payroll, accounting and grants managements departments, reporting processes and deliverables. Prepares the WCHS’s annual budget, including participation in monthly budget reviews with department managers. Supervises budget accountants, payroll and specialists to identify and correct variances and reporting in a timely manner. Supervises Finance Manager and creates learning environment for manager and staff in succession planning. Oversees and maintains the WCHS’s various program grant budgets. Ensures federal, state, tribal and other awards and tasks are budgeted and spent in accordance with the specified terms and conditions. Ensures grant drawdowns are accurate and timely through Federal Payment Management System and other payment systems as required. Prepares and provides data for monthly, quarterly, and annual and ad hoc reporting. Directs annual and programmatic audits. Performs other duties as assigned. Duties listed are intended as an illustration of several types of work performed. The omission of specific duties does not exclude them from this position if the work is similar, related, or a logical assignment.
Required Qualifications/Skills:
Four-year degree from an accredited college or university in accounting, financial management, healthcare management, or business administration with a concentration in accounting or financial management. CPA, MBA, CMA, CGFM, or similar certification preferred but not required, equivalent experience may be considered. Five to seven years of progressive healthcare accounting experience required. Experience in hospital fiscal management required. Personnel management experience required. Experience in Tribal and/or Indian Health Service fiscal management is a plus. Knowledge of federal, state, and local funding and grant requirements as well as familiarity with community resources preferred. Exceptionally skilled in Excel and proficient in all other Microsoft Office programs. Knowledge and understanding of fiscal management including analysis, budgeting, forecasting, and identification of cost centers. Knowledge of the Self-Determination and Educational Assistance Act (93-638 as amended) preferred. Knowledge of grant management best practices preferred. Knowledge of relevant tribal, state, and federal law preferred. Ability to communicate clearly and persuasively. Ability to problem-solve identified issues within the organization. Must be able to recognize shortcomings and effectively carry out solutions. Ability to manage projects from the conceptual stage through completion. Ability to operate computers and office management software required.
Training Requirements:
Must attend all department meetings and other training courses as directed by the WCHS CFO.
Physical Requirements:
Normal to light office work which includes the ability to lift up to 10 lbs. Regularly required to walk, stand, and sit for extended periods of time and use hands to operate computer keyboard, phone, and various office equipment. While performing daily duties, the employee is regularly required to talk and hear.
Mental Requirements:
Reading, writing, calculating Above average social interaction skills Well-organized with ability to prioritize Reasoning/Analysis Works with minimal to no supervision
Language Requirements:
Must possess the ability to read, write, and speak the English language fluently. Must be able to employ professional verbal and written communications skills continually and effectively.
Certificates, Licenses & Registrations:
All applicants will comply with 45 CFR 1301, Subpart D, Section 1301.31, C and D, which require all prospective employees to sign a declaration prior to employment regarding all arrests and convictions of child abuse or violent felonies and to comply with PL 101-630 and PL 101-637 regarding criminal records check.
WCHS is an equal opportunity employer. Employment practices are free of discrimination. As provided by Federal Law, all qualified Native American applicants shall receive preference over Non-Native American applicants. In the absence of qualified Native American applicants, consideration will be given to all other applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, veteran status, genetic information, disability, or any other reason prohibited by law in provision of employment opportunities and benefits. Please note the position description duties, responsibilities, and activities may change at any time with or without notice.
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $140,000–$192,000 per year (median ~$170,000). This is an AuditFriendly estimate, not an employer-provided figure.
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