Finance Manager
Meeker Memorial Hospital & Clinics • Litchfield, Minnesota • Full Time
Posted on Tue, Jun 9, 2026
Job Summary
The Finance Manager is responsible for the overall management and administration of the hospital's general accounting and payroll activities. This includes ensuring accuracy and compliance with all federal, state, and local regulations, performing financial analysis, and preparing financial reports. This role is crucial for maintaining the financial health of MMHC. Collaborates with human resources in areas of compensation, benefits, and payroll administration/policies.
Acts as a trusted point of contact for staff on Accounting and Payroll related matters and works closely with hospital senior leadership team.
Essential Job Functions
Job functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Job functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable.
General accounting:
•Month-end close: Perform and oversee the monthly and annual financial closing process, including preparing financial statements such as balance sheets and income statements.
•Manage accounts payable (AP) and accounts receivable (AR): Oversee the full cycle of AP and AR, including invoicing, vendor payments, and patient receipts.
•Reconcile accounts: Perform and supervise the reconciliation of all bank and general ledger accounts.
•Prepare budgets: Assist the CFO with preparing and managing the annual budget.
•Conduct audits: Oversee the annual financial audit and prepare necessary documentation for internal and external auditors.
Payroll management:
•Process bi-weekly payroll: Oversee the accurate and timely processing of payroll for all employees, including calculating wages, overtime, and shift differentials, as well as managing deductions for taxes, benefits, and garnishments.
•Maintain systems: Manage and maintain the hospital's payroll and timekeeping systems (e.g., ADP, Paycom), ensuring data accuracy and compliance with hospital policies.
•Ensure compliance: Stay current on all federal, state, and local payroll laws and regulations to ensure the hospital remains compliant.
•Generate reports: Prepare and provide payroll reports to hospital management and external agencies as required.
•Handle inquiries: Serve as the primary contact for all employee payroll questions and resolve any discrepancies in a timely manner.
Administrative and leadership:
•Policy and procedure development: Develop, implement, and maintain internal controls, policies, and procedures related to accounting and payroll to improve efficiency and accuracy.
•Process improvement: Identify and implement opportunities to streamline accounting and payroll processes through automation or other means.
•Cross-departmental collaboration: Work closely with Human Resources to ensure accurate and timely reporting and data consistency.
•Confidentiality: Maintain the highest level of confidentiality with sensitive financial and employee information.
Note: This job description does not state or imply that the above are the only duties and responsibilities assigned to this position. Employees holding this position may be directed to perform job-related tasks other than those specifically presented in this job description.
Qualifications
Minimum Qualifications
•Bachelor’s degree in accounting, finance, or business administration or related field.
•Three to five years of experience in an accounting or payroll position in a healthcare setting.
Knowledge, Skills & Abilities (KSAs)
•Regulatory knowledge: Comprehensive understanding of federal and state wage and hour laws, payroll taxes, and standard accounting principles (GAAP).
•Attention to detail: Meticulous attention to detail is critical for ensuring accuracy in complex calculations and record-keeping.
•Analytical skills: Strong analytical and problem-solving skills to resolve discrepancies and identify trends.
•Communication: Excellent interpersonal and communication skills to effectively interact with employees, department heads, and external auditors.
•Time management: Exceptional organizational and time management skills to handle multiple tasks and meet strict deadlines.
•Leadership: Experience supervising staff and providing training and guidance.
•Ability to work independently and meet the demands of a CAH/rural hospital environment.
•Skilled at incorporating AIDET into professional practice.
•Understands role in patient confidentiality and must protect patient information from unauthorized access, use, or disclosure as defined by HIPAA.
•Ability to respond quickly and decisively to emergency situations and participate in shelter-in-place and disaster response protocols.
• Ability to work with interdisciplinary teams, communicating effectively with patients, families, and healthcare providers.
Preferred Qualifications
•Prefer previous supervisory or management experience.
•Prefer previous experience with Paycom HRIS system.
•Knowledge of CAH-specific regulations and rural health challenges.
Computer Skills
Proficiency in Microsoft Office Suite (Word, Excel, Outlook), secure messaging applications, and collaborative tools (e.g.) Microsoft Teams, Google Workspace. Proficiency with Paycom HRIS system and advanced skills with payroll software and accounting software are required. Excellent proficiency in Microsoft Excel is also essential.
Reasoning & Critical Thinking
Apply logical problem-solving and decision-making skills in complex situations. Make sound decisions in real time, often under pressure, using critical thinking. Analyze data and scenarios to identify patterns, inconsistencies, and opportunities. Evaluate multiple approaches and propose innovative solutions with sound judgement. Able to work independently with limited supervision.
Language & Communication Skills
Able to communicate complex ideas clearly in both written and verbal formats. Adapt tone, style, and messaging for diverse audiences and contexts. Ability to write high quality drafts, proposals, reports, and presentations. Ability to effectively present information in one-on-one meetings as well as small and larger groups, i.e. employees, customers, vendors, community organizations, etc.
Mathematics & Analytical Abilities
Ability to accurately perform advanced mathematical calculations in all units of measure using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts, interest, commissions, etc. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations and in analysis of financial and quality assurance data.
Standards of Employment
•Understand and adhere to MMHC’s compliance standards as outlined in MMHC’s Compliance Program.
•Attend all mandatory education programs and demonstrate proficiency related to general safety and regulatory compliance.
•Attend all department-specific training, and demonstrate proficiency related to safety and job-related hazards.
•Understand and follow MMHC procedures for exposure control / blood borne and airborne pathogens.
•Comply with all relevant MMHC policies, procedures, guidelines, and all other regulatory standards and requirements.
•Attire is neat, clean, appropriate for the work environment, and according to MMHC policy.
•Wear proper identification while on duty.
•Maintain confidentiality of all MMHC and patient information at all times.
•Report to work on time and maintain defined standards for attendance.
•Attend mandatory meetings.
•Able to perform essential job duties that meet job performance expectations and organizational standards while upholding MMHC mission and values.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl and taste or smell. The employee must frequently lift and/or move (push/pull) up to 25 pounds and occasionally lift and/or move up to 35 pounds. Lifting/and or moving of more than 35 pounds shall require the use of an assistive device or team member assist. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Ability to meet physical demands of rural hospital/clinic work.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts; needles or sharps; the challenges of variable hours, shifting resources and work situations inherent in CAH/rural settings; Hazards and/or Biohazard Medications; fumes or airborne particles; toxic or caustic chemicals; outside weather conditions; risk of electric shock and radiation; bloodborne pathogens and exposed to latex. The noise level in the work environment is usually moderate.