Gifford is seeking an experienced and hands-on Finance Manager to support the financial sustainability of our rural Critical Access Hospital and Federally Qualified Health Care organization. By overseeing budgeting, reporting, and financial regulatory compliance, this role plays a key part in managing limited resources, ensuring accuracy in cost-based reimbursement and Medicare cost reporting, and supporting hospital leadership in maintaining access to essential healthcare services for the community. The Finance Manager collaborates closely with clinical and operational leaders in a highly integrated, team-oriented environment.The Finance Manager plays a key role in providing financial insights that drive informed decision-making and operational effectiveness. Responsibilities include developing and monitoring operating and capital budgets, analyzing financial performance, maintaining compliance with GAAP and regulatory standards, and supporting internal controls. The role also contributes to service line analysis, grant-funded program oversight, and long-term financial planning. As a collaborative leader, the Finance Manager will help guide financial operations, support staff as needed, and serve as a trusted resource across departments. The ideal candidate brings strong healthcare finance experience, particularly in rural or Critical Access Hospital settings, along with a proactive, adaptable approach and a commitment to supporting community-based care. Requirements: Bachelors degree in Finance, Accounting, Healthcare Administration, or a related field Masters degree (MBA, MHA, or similar), preferred Minimum of 35 years of experience managing financial operations for both hospitals and Federally Qualified Health Care organizations, preferably in a rural hospital or CAH setting Working knowledge of Medicare cost-based reimbursement, CAH, and hospital cost reporting Strong analytical, organizational, and problem-solving skills, Hands-on financial operations Proficiency in Excel and healthcare financial systems Ability to work independently and manage multiple priorities in a small, resource-constrained environment Experience working in a Critical Access Hospital or rural health system, preferred Experience supporting grant management or rural health funding programs Budgeting and forecasting in low volume setting CPA, CMA, or similar professional certification, preferred Gifford Health Care offers competitive compensation and a comprehensive benefits package. Our Total Rewards package includes, but is not limited to: Competitive wages Onsite parking 403b retirement plan Health plans including dental and vision insurance Tax-saving flexible spending accounts Health Savings Plan with employer contribution Long and short-term disability insurance Tuition Reimbursement Employee Assistance Program Life Insurance Regular performance reviews Learning opportunities EOE