Chief Financial Officer

Tohono O'odham Nation Healthcare
Sells, AZ

Job Description

Job Description

PLEASE NOTE - This position may require temporarily relocation to other TONHC Fa cilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.

Position Summary:

The Chief Financial Officer (CFO) is an executive leadership role within the Tohono O'odham Nation Health Care system responsible for overseeing all financial operations, setting the financial strategy, and supporting the financial health of the organization. The CFO manages the processes for financial forecasting and budgets, and oversees the preparation of all financial reporting. The chief financial is the spokesperson for the organization and directs the execution of all accounting and financial operations following the system of internal controls and all applicable tribal, state, and federal regulations. The CFO reports directly to the Chief Executive Officer and assists with all strategic and tactical matters as they relate to budget management, cost–benefit analysis, and forecasting needs.

Essential Duties and Responsibilities:

  • Provide leadership, direction, and management of the finance and accounting team.
  • Participate in pivotal decisions as they relate to strategic initiatives and operational models.
  • Develop and implement strategies for financial planning and analysis; prepare and present monthly financial budgeting reports including monthly profit and loss by division, forecast vs. budget, and working capital.
  • Contribute to the development of strategic goals and objectives as well as the overall management of the organization.
  • Ensure credibility of the finance team by providing timely and accurate analysis of budgets, financial reports, and financial trends to assist the Governing Body in performing their responsibilities.
  • Optimize and manage the handling of financial and vendor relationships.
  • Develop a reliable cash flow projection process and reporting mechanism that includes minimum cash threshold to meet operating needs.
  • Advise from the financial perspective on any contracts into which the corporation may enter.
  • Evaluate the finance division structure and team for continual improvement of the efficiency and effectiveness as well as providing individuals with professional and personal growth with an emphasis on opportunities of individuals.

Minimum Qualifications:

  • A minimum of ten (10) years of progressively responsible financial leadership roles, preferably in healthcare settings.
  • Master's Degree in Business Administration, accounting or related field required.
  • Certification as a Certified Public Accountant (CPA) or Certified Management Accountant (CMA) is preferred.

Knowledge, Skills, and Abilities:

  • Knowledge of the Tohono O'odham culture, customs, and traditions.
  • Knowledge of applicable federal, state, tribal laws, regulations, and requirements.
  • Strong working knowledge of detailed financial data analysis and solid understanding of healthcare financial operations.
  • Proficiency in principles of financial management sufficient to direct professional staff and coordinate all aspects involved with fiscal requirements.
  • Exceptional leadership abilities with a track record of successfully directing and motivating teams.
  • Working knowledge of federal, state, and local tax compliance regulations and reporting.
  • Ability to synthesize complex or diverse information; collect and research data; use intuition and experience to complement data.
  • Outstanding communication and presentation skills; ability to effectively interface with senior management, the board of directors, and staff.
  • Knowledge of contracting, negotiating, and change management. Skilled in examining and re-engineering operations and procedures.
  • Experience with audits, budgeting, forecasting, and financial analysis; knowledge of systems necessary for finance and facility operations.

Special Requirements & Acknowledgment:

Tohono O'odham Nation is an Indian Preference Employer. Employees are expected to know existing Tohono O'odham Nation policies and know to refer to those policies when necessary.

Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.

Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. Position may require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.

Posted 2026-03-20

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