Chief Financial Officer

Description

This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.

SUMMARY OF RESPONSIBILITIES

The Chief Financial Officer serves as the organization’s senior financial strategist, responsible for forward-looking financial leadership, liquidity management, revenue integrity, and financial decision support for the CEO and Board of Directors. The CFO ensures the organization is financially stable, resilient, and prepared for emerging financial risks.

ESSENTIAL JOB FUNCTIONS

Strategic Finance & Leadership

• Partner with the CEO and Board of Directors to establish financial strategy, priorities, and long-term sustainability objectives.
• Lead the development and ongoing refinement of multi-year financial plans aligned with organizational strategy, operational capacity, and community needs.
• Provide forward-looking financial analysis, forecasting, and scenario modeling to support strategic and operational decision-making.

Cash Flow, Liquidity & Risk Management

• Maintain clear visibility into cash position and liquidity, including rolling cash flow forecasts.
• Proactively identify financial, operational, and reimbursement risks and recommend mitigation strategies before issues become structural or crisis-driven.
• Ensure the organization is never surprised by material changes in cash position, revenue performance, or financial exposure.

Financial Operations & Oversight

• Provide executive oversight of accounting operations, budgeting, and internal controls to ensure accuracy, compliance, and audit readiness.
• Ensure timely and accurate financial reporting, with emphasis on interpretation, trend analysis, and actionable insight.
• Provide leadership and oversight of the Controller function, which is responsible for accounting execution, financial close, and compliance.

Revenue Integrity & Reimbursement

• Oversee revenue integrity across the full revenue cycle, ensuring revenue is properly stated, collectible, and sustainable.
• Identify and address revenue leakage, reimbursement variance, payer methodology issues, and process breakdowns impacting cash flow.
• Maintain expert knowledge of federal and state reimbursement methodologies and ensure financial strategy reflects current regulatory and payment realities.

Board & Executive Communication

• Communicate financial performance to the CEO and Board through clear narratives, forward projections, and scenario-based analysis that support governance and decision-making.
• Present the financial implications of strategic options, operational changes, and external risks in a clear and actionable manner.

Compliance & Governance

• Ensure compliance with all applicable federal, state, and regulatory requirements.
• Oversee audits, insurance coverage, and internal controls to support clean audit opinions.
• Adhere to corporate compliance standards, policies, and procedures.

Leadership & Organizational Culture

• Collaborate with leadership and department managers to implement financial plans, productivity benchmarks, and performance improvements.
• Support a team-oriented, mission-driven culture that balances financial stewardship with patient care and community service.

Requirements

KNOWLEDGE AND ABILITY

• Strong analytical, critical-thinking, and problem-solving skills.
• Ability to translate complex financial data into clear strategic insight and executive-level guidance.
• Effective written and verbal communication skills.
• Ability to manage change, lead teams, and operate effectively in a complex, high-pressure environment.
• Proficiency in Microsoft Office and financial reporting systems. Trubridge experience preferred

EDUCATION AND EXPERIENCE

• Bachelor’s degree in finance, accounting, or related field required
• Master's in finance, accounting, or healthcare administration preferred
• Minimum of five years of hospital financial management experience required
• Prior hospital CFO experience required with demonstrated responsibility for financial strategy, cash flow management, and executive decision support.
• Critical Access Hospital experience preferred

PERSONAL AND PUBLIC CONTACT

The CFO will have frequent contact with executive leadership, Board members, staff, patients, vendors, auditors, lenders, and regulatory agencies.

PHYSICAL/MENTAL CONDITIONS

The Chief Financial Officer must be able to lift up to and over 25 lbs. The position requires bending, stooping, crouching, walking, pushing and pulling. The employee is regularly required to sit; use hand to finger, handle or feel; reach with hands and arms and talk or hear. The position requires frequent standing and walking. There is occasional climbing or balancing, stooping, kneeling, crouching or crawling. Some disagreeable odors, blood-borne, and air-borne pathogens present. Hearing, speech and vision must be adequate to perform job duties in person and over the phone. Have the ability to tolerate moderate to high stress levels and work closely with others.

EQUIPMENT USED

The Chief Financial Officer will use the following equipment: computer and various computer programs, copy machine, scanner, fax machine and telephone usage.

OSHA TASK CATEGORY III

Tasks that involve little or no exposure to blood, body fluids, or tissues.

COMPLIANCE

Responsible for abiding by all policies and procedures to include the Code of Ethics and the principles and standards set forth for conducting business and affairs.

Health Insurance Portability and Accountability Act of 1996 (HIPAA)

The Chief Financial Officer will be responsible for abiding by all policies and procedures relating to HIPAA