Chief Financial Officer - Full Time

The Chief Financial Officer (CFO) is responsible for the overall financial leadership and fiscal health of the hospital. In a small rural hospital environment, this role combines strategic financial planning with day-to-day oversight of accounting, budgeting, reimbursement, revenue cycle, purchasing, and regulatory financial compliance. The CFO serves as a key member of the executive leadership team, supporting sustainable operations while ensuring compliance with federal and state regulations.

Financial Leadership & Strategy

• Serve as the hospital’s senior financial executive and strategic advisor
• Develop and maintain short- and long-term financial strategies aligned with the hospital’s mission, community needs, and rural healthcare challenges.
• Prepare and present financial reports, dashboards, and analyses to executive leadership and the Board.
• Support strategic initiatives

Budgeting & Financial Management

• Lead the annual operating and capital budgeting process; monitor monthly budget performance and variances.
• Ensure effective cash flow management, financial forecasting, cost reporting and reserve planning.
• Oversee cash management, investments, debt obligations, and banking relationships.
• Ensure financial sustainability in a low-volume, high-fixed-cost rural hospital environment.

Revenue Cycle & Reimbursement

• Provide executive oversight of the revenue cycle, including billing, coding, collections, and payer relations.
• Ensure accurate reimbursement from Medicare, Medicaid, commercial payers, and grant programs, with attention to rural health and CAH methodologies.
• Support CMS cost reporting

Compliance & Regulatory Oversight

• Ensure compliance with applicable federal and state regulations including CMS, Medicare/Medicaid rules, and other healthcare financial requirements.

Qualifications

Education

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field required.
• Master’s degree in Finance (MBA, MHA, or equivalent) preferred.

Experience

Minimum of 5 years of progressive financial leadership experience in healthcare