Top 17 Financial controller Jobs in Defiance, Ia

Chief Financial Officer (CFO)
Myrtue Medical Center —Harlan, IA
- Full-time
- CPA
- Surgery
- 5 years
12d
Accounting Manager
CPM Holdings, Inc. —Harlan, IA
- Full-time
- Oracle
- CPA
- Finance
- Paid holidays
- Health insurance
Quick Apply
Controller
Smitty Bee Honey, Inc —Defiance, IA
- $65,000 - $85,000 a year
- Full-time
- CPA
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
11d
Chief Financial Officer
Smitty Bee Honey, Inc —Defiance, IA
- $85,000 - $165,000 a year
- Full-time
- Oracle
- Office
- In-person
- Health insurance
- Dental insurance
Quick Apply
11d
Vice President of Finance
The Workplace Advisors —United States
- $150,000 - $175,000 a year
- Full-time
- Remote
- CPA
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance
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Chief Financial Officer (CFO)

Myrtue Medical Center -
Harlan, IA

Apply Now

Job Details

Full-time
12 days ago

Qualifications

Bachelor's degree
Accounting and finance experience
Finance directorship

Full Job Description

SCHEDULE: Full-time; Exempt

The Chief Financial Officer (CFO) is a key member of the Senior Administrative Team, providing executive leadership and strategic direction for all financial operations of Myrtue Medical Center, Shelby County Medical Corporation, as well as Health Partners of Southwest Iowa governed under a 28E agreement. The CFO is responsible for safeguarding the Hospital's financial integrity, ensuring regulatory compliance, supporting long-term financial sustainability, and advancing the Hospital's mission through sound financial stewardship. As a member of the Administrative Team, the CFO partners with the CEO, Board of Trustees, Board Financial Committee, Medical Staff and Department leaders to develop strategic initiatives, optimize operational performance, and ensure the effective use of financial resources. He/she adheres to the philosophy and mission of Myrtue Medical Center in all aspects of job performance.

Bachelors degree in Accounting, Finance or Business Administration is required: Master's degree in Business Administration (MBA), Healthcare Administration (MHA), Finance or related field strongly preferred. CPA and HFMA certification or other healthcare finance credential preferred. Minimum of seven years of progressively responsible financial leadership. Minimum of five years of leadership experience in healthcare finance, Controller, Vice President/President of Finance, or Chief Financial Officer role. Critical Access Hospital, rural hospital, or community hospital experience is highly preferred.

Preferred Qualifications

Experience with Critical Access Hospital reimbursement methodologies and Medicare Cost Reports
Experience with revenue cycle management
Knowledge of physician compensation, strategic financial planning and analysis, forecasting and capital planning
Experience presenting to governing boards and performing annual audits
Ability to build collaborative relationships across clinical and operational departments
High level of integrity, professionalism and sound judgment

Serves as a trusted advisor to the Senior Administrative Team and the Board by providing timely financial analysis, identifying opportunities to improve organizational performance, managing financial risk and supporting informed decision-making in an evolving healthcare environment. Advises the CEO and Board of Trustees regarding financial performance, trends, risks and strategic opportunities. Collaborates with operational leaders to improve revenue integrity and promote a culture of accountability, collaboration and continuous improvement. Serves as a liaison with auditors, financial institutions, bondholders, community stakeholders and governmental agencies. Directs all financial operations, including accounting, budgeting, financial reporting, payroll, accounts payable. Oversees development and preparation of the Hospital annual tax, operating and capital budgets. Performs financial analyses related to new programs, physician recruitment, partnerships and capital investments. Participates in grant opportunities, including development, cross-functional collaboration and adherence to requirements. Provides oversight of revenue cycle operations, including patient access, coding, billing, collections, reimbursement and denial management. Supervises Controller, Revenue Cycle Director, Myrtue Access Center (MAC) Director, Materials Management Director, Credentialing and Payor Enrollment. Ensures compliance with Generally Accepted Accounting Principles (GAAP), federal and state regulations, CMS requirements and applicable reimbursement guidelines. Note: This is a partial list of key job areas. Contact HR for a complete job description.

Why Myrtue Medical Center?

Myrtue is a thriving rural health system in southwest Iowa. With annual operating revenues over $60 million, Myrtue employs nearly 450 team members. The Medical Staff is comprised of eight family medicine physicians, two of whom are dedicated emergency providers, one family medicine obstetrics trained and one internal medicine/pediatrician, general surgeon, OB-GYN, podiatrist and nine advanced practice providers. Myrtue also owns and operates a robust mental health center and recently completed a 28,000 square-foot expansion of its rural health clinic, which included integration of mental health services.

Myrtue maintains strong relationships with specialists in the metro areas, bringing specialty services close to home; more than 20 outpatient specialties are offered through relationships with more than 40 specialists in the nearby metro area. Our services include comprehensive primary care, surgery, obstetrics, cardiology, orthopedics, oncology, ENT, gastroenterology, physical therapy, urology, ophthalmology, nephrology, neurology, pulmonology and more.

Myrtue has been recognized as a Top 100 Critical Access Hospital in the nation 11 times in the last 16 years. In 2025 and 2026, Myrtue was named a Top 20 Critical Access Best in Practice in Quality recipient by the National Rural Health Association.

This is a close-knit, laidback, family centered working environment and community. Myrtue owns and operates a 44,000 square-foot wellness center and aquatic complex adjacent to the Hospital. Our community offers exceptional public and parochial schools, affordable housing, over 700 acres of parks, nature and recreation.

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