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. 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.