Director of Fiscal Services at MDI Hospital

Description

About MDI Hospital

Rooted in Community. Inspired by Care.
Mount Desert Island Hospital isn’t just a place where care is delivered — it’s where care begins, where it grows, and where it connects us all. Located in the heart of Bar Harbor, surrounded by the rugged beauty of Acadia National Park, MDI Hospital is deeply woven into the fabric of island life. We’re not just serving a community — we are the community.

A Place Where You Belong.
At MDI Hospital, every team member is more than a healthcare professional — they’re a neighbor, a friend, a familiar face in the grocery store or on the hiking trail. We believe that healing happens best when people feel seen, supported, and valued. That’s why we foster a workplace where everyone belongs, where voices are heard, and where your contributions truly matter.

Small Town Heart, Big Impact.
Though we serve a small, close-knit population, our reach is wide and our impact deep. We offer a full spectrum of care — from family medicine and behavioral health to emergency services and specialty care — all grounded in compassion and clinical excellence. Our partnerships with organizations like Penn Medicine and the MDI Biological Laboratory help us bring world-class resources to our rural setting.

A Culture of Connection.
We believe that wellness is a shared journey. Whether it’s through community wellness programs, school-based health initiatives, or simply taking the time to listen, we’re here to walk alongside our patients and each other. Our team is collaborative, mission-driven, and always ready to lend a hand — or an ear.

Come Grow With Us.
Working at MDI Hospital means being part of something bigger than yourself. It means joining a team that values your well-being, supports your growth, and celebrates your unique strengths. Whether you’re new to the island or have called it home for years, you’ll find a place here — not just to work, but to belong.

Summary:

Mount Desert Island Hospital (MDIH), a 25-bed Critical Access Hospital, is seeking an experienced Director of Fiscal Services to lead financial operations for the hospital and its affiliates, including Birch Bay Retirement Village (BBRV). This onsite leadership role offers an excellent opportunity to contribute to mission-driven healthcare in one of Maine’s most beautiful coastal communities.

MDIH and BBRV have been recognized as one of the Best Places to Work in Maine for the second consecutive year.

Equal Employment Opportunity (EEO) Statement:

MDI Hospital provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, caste, genetics, pregnancy, disability, neurodivergence, age, veteran status, or any other protected characteristics.

Requirements

 Key Responsibilities

• Oversee financial reporting and compliance (GAAP, IRS Form 990, Form 1120)
• Lead budgeting, forecasting, and variance analysis
• Coordinate annual audits and strengthen internal controls
• Manage cash flow, banking relationships, and investment activity
• Provide leadership for Materials Management and procurement
• Mentor finance staff and collaborate with senior leadership

Qualifications

• Bachelor’s degree in Finance or Accounting (Master’s or CPA preferred)
• 7+ years of progressive finance leadership experience
• Strong understanding of GAAP, budgeting, and compliance
• Healthcare and Critical Access Hospital experience preferred
• Knowledge of Medicare/Medicaid cost reimbursement is a plus
• Familiarity with Cerner Community Works EMR and Multiview Financial Reporting Platform is desirable

Compensation & Benefits

• Competitive salary based on experience, starting at $125,000 annually
• Health, dental, vision, and life insurance
• Matching retirement plan
• Generous paid time off
• Tuition reimbursement and continuing education
• Award-winning wellness program
• Relocation assistance available

Cognitive Requirements

• Excellent analytical and problem-solving skills
• Ability to prioritize effectively
• Proven ability to communicate with regulatory agencies and hospital staff

Environment

• Normal office environment, including distractions from phone calls and other people
• May spend up to 50% of time each week in meetings
• Potential for periods of high stress

Join a Mission-Driven Team in One of Maine’s Most Breathtaking Coastal Communities

Are you a seasoned financial leader looking to make a meaningful impact? MDIH is more than just a healthcare provider — it’s a close-knit, values-based organization committed to compassionate care. As Director of Fiscal Services, you’ll play a vital role in ensuring the financial health of our organization so we can continue to serve our island community with excellence.