Fiscal Management Officer

Fiscal Management Officer Hilo Benioff Medical Center - Hilo, HI 96720

Posted:

05/05/2026

Employment:

100% FTE, Full-Time with

Benefits Pay:

$111,624.00 - $120,000.00 per

Year Department:

Fiscal Management (350-8525)

Experience:

Mid-Level Job Description Join Hilo Benioff Medical Center and be part of a team that proudly cares for our friends, family, and neighbors across East Hawaiʻi. The East Hawai'i Region of Hawaii Health Systems Corporation is seeking a Fiscal Management Officer to provide strategic financial leadership and oversight, including General Accounting and Finance & Budget departments. In this role, you will partner with hospital leadership to ensure financial integrity, support operational decision-making, and promote long-term fiscal sustainability. This position plays a key role in advancing the organization's mission by aligning financial strategy with patient care priorities across East Hawai'i.

Location:

 This position allows for a hybrid (remote/in office) work environment for a State of Hawaii resident, with a requirement for an incumbent living outside of Hilo to work on-site at HBMC at regular intervals throughout the year (approximately four times per year for visits of approximately one week each). Airfare and lodging will be paid for by the organization, in accordance with our policies.

Key Responsibilities:

Lead and oversee the Finance, Budget, and General Accounting functions, including staff supervision, development, and performance management. Ensure accurate and timely financial reporting, including monthly financial statements, cost reports, variance analysis, and key performance indicators. Develop, implement, and monitor the hospital's annual budget in collaboration with department leaders and executive management. Provide financial analysis, forecasting, and trend reporting to support strategic planning, operational decisions, and organizational performance. Serve as liaison with internal and external auditors, ensuring compliance with accounting standards, regulatory requirements, and reporting obligations. Identify opportunities for financial improvement, cost savings, and revenue enhancement, including evaluation of new services, grants, and fiscal initiatives.

Education & Experience Requirements:

Graduation from an accredited college or university with at least twelve (12) semester hours in accounting and/or auditing subjects. Five (5) years of progressively responsible professional accounting and/or auditing experience, including participation in budget preparation and long-range financial planning. One (1) year of supervisory experience, including planning, organizing, directing work, and developing staff.

Certification:

Certified Public Accountant (CPA) preferred.

Substitutions:

Professional accounting or auditing experience, or responsible experience maintaining general ledger accounts and preparing financial statements, may substitute for required education on a year-for-year basis; six (6) months of such experience may substitute for the required accounting coursework. A bachelor's degree with at least 24 semester credits in accounting may substitute for one (1) year of required fiscal management experience. A master's degree in accounting may substitute for two (2) years of required fiscal management experience. A CPA license may substitute for the educational requirement and four (4) years of the required fiscal management experience.

Preferred Skills:

Strong knowledge of accounting principles, financial analysis, and budgeting processes. Ability to think critically, analyze complex financial data, and make sound decisions in a fast-paced environment. Demonstrated leadership, communication, and organizational skills, with the ability to collaborate effectively across departments and with diverse stakeholders. High level of proficiency with financial systems, spreadsheets, and data analysis tools. Company Description As the Big Island's leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Benioff Medical Center, Honoka'a Hospital, Ka′u Hospital, Yukio Okutsu State Veterans Home, East Hawaii Medical Group and East Hawaii Health Pharmacy, delivers a full range of services and programs. Our three hospitals include 290 beds and more than 1,900 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Benioff Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Honoka'a Hospital and Ka′u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hbmc.org, www.honokaahospital.org or www.kauhospital.org. Benefits 13 paid holidays each year (104 hours); 14 (112 hours) during election years

• 21 paid vacation days (168 hours) per year
• 21 paid sick days (168 hours) per year
• Medical, dental, vision, and prescription plans Employee Assistance Program Participation in the State of Hawaii's retirement system Potential eligibility for various student loan repayment & scholarship programs
• Rates listed for paid holidays, vacation and sick days are for 1.

0 Full Time Equivalent (FTE) positions assigned to 8 hour shifts. Accruals for these benefits are otherwise prorated based on FTE. #IND About Hilo & The Big Island Hilo is located on the east side of the island of Hawaii, and has a quaint, old-Hawaii, small town atmosphere. Our island offers amazing rainforests, waterfalls and beaches. The hospital staff is community-oriented and strive to provide competent and compassionate care to every patient that enters our doors. The area is home to the Hawaii Community College, University of Hawaii, Hawaii Volcanoes National Park, excellent schools and convenient shopping. Pre-Employment Assessments for External Candidates As part of the recruiting process for this position, external applicants (job applicants NOT employed by HHSC's East Hawaii Region) are required to complete pre-employment assessments shortly after application submission. If you are not an employee of the East Hawaii Region of HHSC, you will receive an email containing assessment instructions. We ask that you complete the assessments within two days of receipt of the request. Pre-Employment Health Requirements Offers of employment will be contingent on successfully passing a pre-employment examination, which includes a drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen. The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation. Equal Opportunity Employer The East Hawaii Region of Hawaii Health Systems Corporation is a drug free workplace and an Equal Opportunity Employer. This 2025 video features highlight from the last year across our organization in the East Hawaii Region that includes Hilo Benioff Medical Center, Honoka`a Hospital, Ka`u Hospital, Yukio Okutsu State Veterans Home, and our network of primary and specialty care clinics under the East Hawaii Health Clinics umbrella. You will learn about our developments in construction, improvements in quality of care, new services and providers, as well as, what's ahead. We conclude this yearbook with a tribute to our healthcare champion Dr. Judith "Fitz" FitzGerald.