Finance Director Jobs in South Carolina
Finance Director jobs in South Carolina are concentrated in Charlotte-adjacent markets around Rock Hill and Fort Mill, as well as in Columbia and Charleston, where large employers such as Prisma Health, Michelin North America, and Sonoco Products maintain substantial finance leadership teams. Demand is strongest in manufacturing and supply chain finance, healthcare system financial management, and corporate treasury. The role sits at the top of the finance hierarchy, attracting both senior CFO-track candidates and seasoned controllers moving into broader leadership. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 15+ Finance Director jobs
Welcome to Ovation Healthcare!
At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com.
Summary:
The Director, Healthcare Finance & Reimbursement is responsible for leading the day-to-day operations of the healthcare finance and reimbursement function, with a strong hands-on focus on reimbursement analysis, cost reporting oversight, regulatory compliance, and financial support. This role provides both technical expertise and functional leadership while partnering with internal stakeholders to support accurate reimbursement, sound financial analysis, and effective department operations. The Director also supports team development, process improvement, and high-quality service delivery.
Duties and Responsibilities:
Lead the day-to-day activities of the healthcare finance and reimbursement function, providing hands-on leadership, technical guidance, work direction, and support for team performance and development.
Establish priorities, monitor deliverables, improve workflows, and promote accountability to ensure timely, accurate, and high-quality service delivery.
Develop and execute reimbursement strategies for Medicare, Medicaid, and commercial payers while overseeing reimbursement analysis related to payment methodologies, reimbursement trends, settlement activity, service line performance, contractual accounting, and bad debt reserves.
Review cost reports prepared by internal staff or outside parties and ensure timely, accurate completion of interim and final cost reports.
Direct and perform financial modeling and variance analysis related to reimbursement structures, payment trends, and revenue optimization opportunities.
Prepare and present financial reports, insights, and recommendations to finance leadership and other internal stakeholders to support informed decision-making.
Ensure compliance with CMS guidelines and other applicable federal and state reimbursement regulations by monitoring regulatory changes, evaluating payment model impacts, and supporting organizational readiness.
Lead and support internal and external audits related to reimbursement, cost reporting, and payment practices, while maintaining current knowledge of value-based care models and alternative payment methodologies.
Partner with finance, operations, and other internal stakeholders to resolve issues, strengthen processes, and support compliance across reimbursement-related activities.
Work Experience, Education, and Certifications:
Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field required. Master’s preferred
Minimum of 7 years of progressive experience in healthcare finance, reimbursement, or related areas.
Strong experience with Medicare hospital cost reports required.
Prior leadership or supervisory experience preferred.
Knowledge, Skills, and Abilities:
Advanced proficiency in Excel and financial modeling required.
Deep understanding of Medicare, Medicaid, DRG/APC payment systems, and managed care contracts
Strong financial modeling and data analysis skills
Knowledge of value-based care, bundled payments, and risk-based contracts
Excellent communication and stakeholder management skills
Experience with healthcare financial systems and reimbursement reporting tools preferred.
Familiarity with data visualization and reporting tools such as Tableau or Power BI preferred.
Welcome to Ovation Healthcare!
At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.
The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com.
Summary:
The Director, Healthcare Finance & Reimbursement is responsible for leading the day-to-day operations of the healthcare finance and reimbursement function, with a strong hands-on focus on reimbursement analysis, cost reporting oversight, regulatory compliance, and financial support. This role provides both technical expertise and functional leadership while partnering with internal stakeholders to support accurate reimbursement, sound financial analysis, and effective department operations. The Director also supports team development, process improvement, and high-quality service delivery.
Duties and Responsibilities:
Lead the day-to-day activities of the healthcare finance and reimbursement function, providing hands-on leadership, technical guidance, work direction, and support for team performance and development.
Establish priorities, monitor deliverables, improve workflows, and promote accountability to ensure timely, accurate, and high-quality service delivery.
Develop and execute reimbursement strategies for Medicare, Medicaid, and commercial payers while overseeing reimbursement analysis related to payment methodologies, reimbursement trends, settlement activity, service line performance, contractual accounting, and bad debt reserves.
Review cost reports prepared by internal staff or outside parties and ensure timely, accurate completion of interim and final cost reports.
Direct and perform financial modeling and variance analysis related to reimbursement structures, payment trends, and revenue optimization opportunities.
Prepare and present financial reports, insights, and recommendations to finance leadership and other internal stakeholders to support informed decision-making.
Ensure compliance with CMS guidelines and other applicable federal and state reimbursement regulations by monitoring regulatory changes, evaluating payment model impacts, and supporting organizational readiness.
Lead and support internal and external audits related to reimbursement, cost reporting, and payment practices, while maintaining current knowledge of value-based care models and alternative payment methodologies.
Partner with finance, operations, and other internal stakeholders to resolve issues, strengthen processes, and support compliance across reimbursement-related activities.
Work Experience, Education, and Certifications:
Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field required. Master’s preferred
Minimum of 7 years of progressive experience in healthcare finance, reimbursement, or related areas.
Strong experience with Medicare hospital cost reports required.
Prior leadership or supervisory experience preferred.
Knowledge, Skills, and Abilities:
Advanced proficiency in Excel and financial modeling required.
Deep understanding of Medicare, Medicaid, DRG/APC payment systems, and managed care contracts
Strong financial modeling and data analysis skills
Knowledge of value-based care, bundled payments, and risk-based contracts
Excellent communication and stakeholder management skills
Experience with healthcare financial systems and reimbursement reporting tools preferred.
Familiarity with data visualization and reporting tools such as Tableau or Power BI preferred.
See All 15 Finance Director Jobs in South Carolina
Find roles in South Carolina that match your experience and apply in just a few clicks.
Find Finance Director JobsFinance Director Jobs by City in South Carolina
Where South Carolina roles are concentrated, by current openings.
Finance Director Job Market in South Carolina
A snapshot from current South Carolina openings, updated as new roles post.
Who's Hiring
What South Carolina Employers Look For
The qualifications that appear most often in finance director jobs across South Carolina.
- CPA license active or eligible for South Carolina Board of Accountancy recognition
- Bachelor's degree in finance, accounting, or closely related business discipline required
- Ten or more years of progressive finance experience including supervisory responsibility
- Proven experience managing full-cycle budgeting, forecasting, and financial reporting
- Advanced proficiency in ERP systems such as SAP, Oracle, or Workday
- Strong background in GAAP compliance, audit oversight, and internal controls
Finance Director Jobs in South Carolina: Frequently Asked Questions
How do you become a finance director in South Carolina?
Most finance directors in South Carolina hold a bachelor's degree in accounting or finance plus a CPA credential recognized by the South Carolina Board of Accountancy, though the CPA is not always legally required for the title. Employers in Columbia, Charleston, and the Upstate typically promote from senior financial analyst, controller, or finance manager roles. Candidates who combine CPA licensure with manufacturing or healthcare sector experience move fastest into director-level positions in South Carolina's dominant industries.
Which companies hire finance directors in South Carolina?
Employers hiring finance directors in South Carolina right now include State of South Carolina, Jadex, and Phoenix Center, based on current listings on Migrate Mate as of September 2026. South Carolina's base of large manufacturers, hospital systems, and regional corporate headquarters keeps demand for finance director talent relatively consistent throughout the year.
Which South Carolina cities have the most finance director jobs?
Greenville, Richland County, and Lexington County account for the largest share of finance director openings in South Carolina. Columbia leads because it houses state government agencies, Prisma Health, and numerous corporate regional offices, while Charleston's growth in aerospace, logistics, and tourism has expanded its finance leadership market, and the York County suburbs attract spillover demand from Charlotte-based companies with South Carolina operations.
Are there remote finance director jobs in South Carolina?
Yes, though they represent a minority of openings given how much of the role involves in-person leadership, board-level reporting, and cross-departmental oversight. About 0% of finance director openings tied to South Carolina are remote or hybrid as of September 2026, with fully remote arrangements most common in technology-sector or multi-state corporate roles where the director manages distributed finance teams.
How can I get hired as a finance director in South Carolina with little or no experience?
The most realistic path is to start as a senior financial analyst or accounting manager at one of South Carolina's large hospital networks or manufacturers, such as Michelin, Sonoco, or MUSC Health, which regularly develop internal talent for leadership roles. Earning a CPA through the South Carolina Board of Accountancy and taking on budget ownership or audit coordination responsibilities in your current role builds the profile employers want. Lateral moves from controller or finance manager positions in mid-size Columbia or Charleston firms are the most common bridge to a first director title.
Where can I find and apply to finance director jobs in South Carolina?
You can find and apply to finance director jobs in South Carolina on Migrate Mate, which lists current openings across the state. Search the available roles, identify the ones that match your background and target location, and apply directly through each listing.
See All 15 Finance Director Jobs in South Carolina
Find roles in South Carolina that match your experience and apply in just a few clicks.
Find Finance Director Jobs