Chief Finance Officer

Finance · RAPID CITY, South Dakota
Department Finance
Employment Type Full-Time
Minimum Experience Executive


Job Summary:

Duties for the Chief Financial Officer will include supervising accounting staff, overseeing internal controls, setting financial targets, implementing fund-raising strategies, developing financial strategy, conducting feasibility studies, monitoring expenditure, overseeing annual insurance, monitoring cash flow, and managing tax compliance. Strong skills in sound financial planning coupled with the ability to direct financial assets will assist our organization in implementing effective financial strategies, managing debt, improving revenue and maintaining a healthy financial position.  Great Plains Tribal Leaders Health Board has undergone transformative development since 2019, at which time the organization acquired a large multi-specialty medical practice, including physician services, dentistry, optometry, mental health and other services, and expanded by a factor of four, the organization’s financial operations.  Candidates for this position must have financial leadership or audit experience in an ambulatory health center environment.


The ideal candidate should possess strong analytical skills, good strategic thinking, excellent communication skills, exceptional numerical proficiency, and strong leadership skills. The noteworthy Chief Financial Officer should harmonize financial operations, develop effective financial strategies, guide efforts towards financial stability, monitor all financial activities, promote revenue growth, and ensure compliance with accounting regulations.


Essential Functions:

Strategic Development

  • Participate in the Health Board’s ongoing strategic planning process and assist in the selection and implementation of initiatives
  • Creation of financial plan (p/l, b/s, cash)
  • Oversee long-term budgetary planning and cost management in alignment with GPTCHB’s strategic plan.
  • Identify and lead the tax, risk and internal control strategies within the finance department
  • Engage the Executive Leadership Team to align financial management with short- and long-term financial planning and projections.

Functional Oversight / Management

  • Ensure that finance staff maintains financial record systems in accordance with Generally Accepted Accounting Principles and OMB Uniform Guidance, and monitor the use of all funds.
  • Establish and maintain an effective partnership with Federal, Tribal, state, private and other funding agencies to promote effective financial management.
  • Ensure that all fiscal reports are submitted on time (i.e. tax and treasury)
  • Develop and/or improve systems for supporting new financing or revenue options for programs.
  • Ensure cost recovery on all grants and awards.
  • Maintain insurance coverage for all aspects of the company.

Financial Reporting

  • Design management reports and approve prepared documentation. 
  • Develop action plans from management reports.
  • Design Financial Statements: historical & projection reports and approve prepared documentation
  • Responsible for the monthly and annual reporting and analysis of financial statements, including productivity statistics, for funding organizations and GPTCHB board of directors; prepare and communicate monthly and annual financial statements.
  • Oversee the management and coordination of all fiscal reporting activities for GPTCHB including: revenue/expenses and balance sheet reports and reports to funding agencies.
  • Responsible for the timely submission of expenditures reports with supporting documentation to funding agencies as required.
  • Ensure review and presentation of financial reports to the Executive Team, the Executive Committee and the Board of Directors as requested.
  • Work with the Executive Leadership Team in the management and coordination of all fiscal reporting activities for GPTCHB.
  • Prepare and submit the annual Form 990.
  • Ensure the presentation of the annual audit to the Board of Directors.

Financial Analysis:

  • Develop financial performance measurements and ensure reports are maintained.
  • Develop and oversee financial reporting systems that assist in monitoring and forecasting financial targets and ensuring that finances remain within budgeted parameters.
  • Develop financial corrective action plans as needed, including policy recommendations and supplemental appropriation requests if necessary.
  • Develop and analyze expense and revenue trends and projections and alert leadership to financial issues, concerns and recommendations.

Budgeting and Forecasting

  • Facilitate budget process: accountability, schedule.
  • Develop Budget targets and other financial plans.
  • Review Capital requests/approval process.
  • Manage cash flow and forecasting; direct all financial, project-based, and departmental accounting.
  • Oversee budgeting, and the implementation of budgets, so as to monitor progress and present operational metrics both internally and externally.


Internal Controls and Audit Functions

  • Design, review, and maintain Policies and Procedures.
  • Review and maintain Internal Control system.
  • Manage Auditor relationship.
  • Prepare Audit information/schedules.
  • Develop Action Plans relative to internal control needs.
  • Maintain full integrity of all revenue, ensuring organizational policies and procedures, as well as state and federal laws and regulations, are followed.
  • Prepare Indirect Rate Proposal and negotiate provisional and final rate. 
  • Review all formal finance procedures, processes, and administration, recommending improvements to the systems in place and managing the systems going forward.
  • Responsible for review of monthly accounting journal entries and general ledger with particular attention to contractual and bad debt allowances and payroll accruals.
  • Coordinate all audit activities.
  • Ensure timely responses to audit findings to include providing recommendations and/or implementation of system and policy changes. 

Professional Behavior  

  • Effectively plan and organize workload and schedule time to meet the demands of the position.
  • Work in a cooperative and professional manner with GPTCHB staff.
  • Treat Great Plains tribes and collaborators with dignity and respect.
  • Utilize effective verbal and written communication skills.
  • Abide by the GPTCHB policies, procedures, and structure.
  • Attend GPTCHB meetings, events, and other functions as required.
  • Advance personal educational development by attending training sessions and seminars as appropriate.
  • Other duties as assigned by the Sr. Vice President of Financial Operations.


  • Exemplify excellent customer service with tribal stakeholders, health board colleagues, program partners, service recipients, visitors and guests.
  • Foster a work environment of wellness, courtesy, friendliness, helpfulness and respect.
  • Relate well and work collaboratively with coworkers and all levels of staff in a professional manner.
  • Have familiarity and/or experience working with the American Indian populations; respect for and knowledge of traditional, cultural and spiritual practices of diverse American Indian communities, as well as an ability to work with other racially, culturally and ethnically diverse populations.
  • Consistently demonstrate respect and acceptance toward differing capabilities, race, cultures, gender, age, sexual orientation and/or personalities.
  • Maintain and ensure organizational privacy and confidentiality.
  • Must be able to handle crisis and tolerate stress professionally.
  • Must be self-directed and take proactive initiative to assist others.
  • Possess the ability to resolve problems with other departments and coworkers without direct supervision.
  • Able to exercise flexibility to alter plans/routines when situations require and continue to perform without projecting stress/frustration that would adversely affect the work environment.
  • Ability to maintain a flexible work schedule, including evenings, weekends and overnight or extended travel as necessary.
  • Ability to effectively present information in one-on-one and small group situations to community members, clients and other employees of the organization.
  • Proficiency with computer programs (Word, Excel, PowerPoint) and other information system technologies.
  • Valid driver’s license must be kept current; certificates, credentials or licenses must be kept current and consistent with regulations required by applicable Federal, State and/or grant regulations.
  • Ability to promote an alcohol, tobacco and drug-free lifestyle.
  • Embrace modes appearance and attire which reflects a professional presence.
  • Adhere to GPTCHB policies and procedure.

Supervisory Controls

The supervisor sets the overall objectives and resources available. The employee and supervisor, in consultation, develop deadlines, projects, and work to be done.

The employee is considered an expert and is responsible for planning and carrying out the assignment, resolving most of the conflicts that arise, coordinating the work with others as necessary, and interpreting policy on own initiative in terms of established objectives. In some assignments, the employee also determines the approach to be taken and the methodology to be used. The employee keeps the supervisor informed of progress and potentially controversial matters.

Completed work is reviewed only from an overall standpoint in terms of feasibility, compatibility with other work, or effectiveness in meeting requirements or expected results.



Guidelines for performing the work are scarce or of limited use.  Administrative policies, precedents, laws and regulations are applicable but are stated in general terms.

The employee uses initiative and resourcefulness in deviating from traditional methods or researching trends and patterns to develop new methods, criteria, or proposed new policies.

Guidelines include GPTCHB, OHC, and department policies and procedures. These guidelines are generally clear and specific, and deviations must be authorized by the supervisor.


Complexity/Scope of Work

The work includes varied duties requiring many different and unrelated processes and methods that are applied to a broad range of activities or substantial depth of analysis, typically for an administrative or professional field.  Decisions regarding what needs to be done include major areas of uncertainty in approach, methodology, or interpretation and evaluation processes that result from such elements as continuing changes in program, technological developments, unknown phenomena, or conflicting requirements.

The work product or service affects a wide range of organizational activities, major financial activities, or the operation of multiple programs divisions of the organization.



The personal contacts are with employees throughout the organization, the majority of whom  are generally engaged in different functions and kinds of work, and may be representatives from various levels.  Other personal contacts at this level include contact with partner organizations, Tribal affiliate organizations, and members of the general public.

The purpose is to plan, coordinate, or advise on work efforts, or to resolve operating problems by influencing or motivating individuals or groups who are working toward mutual goals and who have basically cooperative attitudes.


Supervisory and Management Responsibility

The Chief Financial Officer directly oversees the work of the finance department including the contracting, budgetary, and revenue generation staff; including assigned department heads and subordinate regular, temporary and interns and voluntary staff.  This position provides functional direction and guidance to other departments as necessary.

The employee is responsible for monitoring overall financial operations, developing or approving recommendations on major financial policy issues for all departments, and represents the organization with elected officials and the public.


Work Environment/Physical Demands

The characteristic demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job.

The work is typically performed while sitting at a desk or table or while intermittently sitting, standing or stooping. The work is typically performed in an office and the noise level in the work environment is usually quiet.  While performing the duties of this Job, the employee is regularly required to sit; use hands and fingers to manipulate, handle, or feel; and, talk or hear. The employee regularly must lift and/or move light objects.  Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

This position requires operation of a motor vehicle, and may require travel.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Office location:  Great Plains Tribal Leaders Health Board – 2611 Elderberry Boulevard, Rapid City, SD  57703.


  • Bachelor’s degree in accounting, financial management, or business administration with a concentration in accounting or financial management with seven (7) years of experience in accounting and finance, including supervisory experience; or, a Master’s degree in accounting, financial management, or business administration with a concentration in accounting or financial management with five (5) years of experience in accounting and finance, including supervisory experience.
  • Certified Public Accountant (CPA) is required.
  • Preferred experience with Tribal Governments, non-profit management, and in a hospital system.
  • Thorough knowledge of accounting principles and procedures.
  • Documented experience with:
    • Creating financial statements;
    • Preparing/analyzing financial reports;
    • General ledger functions and the month-end/year end close process.
    • Payroll and accounts payable functions
  • Preferred knowledge of OMB Uniform Guidance.
  • Preferred knowledge and experience in Abila or applicable Fund Accounting System.
  • Experience that indicates the ability to interact effectively with leaders among American Indian communities, government agencies, scientific and academic communities, medical and health-related organizations, nongovernmental groups and the public at large is preferred
  • Must successfully pass a financial, criminal and background check, and a pre-employment drug screen.


The GPTCHB is a tribal organization which follows tribal preference laws. It is our policy to give preference to qualified Indian/Tribal candidates over qualified non-native candidates in hiring decisions, if all other qualifications are equal.

Employment is contingent upon the outcome of all required criminal background checks.

Thank You

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  • Location
    RAPID CITY, South Dakota
  • Department
  • Employment Type
  • Minimum Experience