Sioux Falls Clinic

Fiscal Manager

The Fiscal Manager will be knowledgeable in accrual accounting and provide financial leadership for a small comprehensive healthcare organization. This position reports directly to the Executive Director.


The Fiscal Manager is responsible for managing accounting functions in accordance with GAAP and corporate policy, and assisting administration in sound decision-making. Major areas of oversight include: budgeting/ forecasting, accounts payable, accounts receivable, inventory and expenditure processes, annual audit and ensuring accurate monthly financial reporting and performance metrics.


Bachelor’s degree in accounting/finance with at least 2 years finance leadership experience
Strong knowledge of GAAP including basic accounting principles and guidelines, detailed rules and standards, and generally accepted industry practices
Significant experience developing budgets and writing for grants/funding
Non-profit and Healthcare related experience preferred
Preference will be given to qualified Indian applicants, however all qualified individuals are encouraged to apply. Must be able to provide Indian Preference documentation if claimed.
Competitive wage based on qualifications with full benefit package available.

Pierre Clinic

No current openings

How to Apply

Employment Application

Please send resume to barb.pearson@sduih.org


  • Health - Federal Employee Health Benefit with several plans to choose from
  • Dental
  • Vision
  • Life and AD&D
  • Accident
  • Critical illness

Leave Benefits

  • Paid Time Off (PTO)
  • Holidays
  • Personal Holiday
  • Sick
  • Short Term Disability
  • Long Term Disability

Retirement Plan

Employee Assistance Program

Travel Assistance Program

Business Travel Accident Plan