CFO

Muenster Hospital DistrictMuenster, TX
Onsite

About The Position

Muenster Hospital District is seeking a strong financial leader to support the continued stability, growth, and long-term success of Muenster Memorial Hospital. As a member of the senior leadership team, this role will participate in financial, operational, and strategic decision-making necessary to support the hospital’s mission of providing quality, community-focused healthcare. The ideal candidate will have experience in rural healthcare, Critical Access Hospital finance, revenue cycle, budgeting, reporting, cash flow management, and regulatory compliance. This position requires a leader who can work closely with hospital leadership, department directors, the Board, auditors, payors, vendors, and community partners.

Requirements

  • Knowledge of Critical Access Hospital operations and rural healthcare finance.
  • Strong understanding of revenue cycle, reimbursement, cost reporting, and cash flow management.
  • Ability to analyze financial data and communicate findings clearly to leadership and the Board.
  • Strong problem-solving skills related to revenue, expenses, billing, collections, and financial operations.
  • Ability to establish and maintain effective working relationships with staff, leadership, the Board, providers, vendors, and the community.
  • Sound judgment, emotional maturity, professionalism, and the ability to manage change.
  • Strong verbal, written, and listening skills.
  • Ability to lead teams, support department directors, and promote accountability.
  • Ability to maintain confidentiality and handle sensitive information appropriately.
  • Public relations and community communication skills.

Nice To Haves

  • Previous CFO, Controller, or senior financial leadership experience in a hospital or healthcare setting.
  • Critical Access Hospital experience preferred.
  • Minimum of five years of progressive financial/accounting management experience preferred.
  • Minimum of three years of revenue cycle experience preferred.
  • Experience in rural healthcare, governmental entities, or nonprofit healthcare preferred.
  • Experience with Medicare cost reporting, Medicaid, audits, budgeting, and financial reporting preferred.
  • Meditech experience preferred.
  • Master’s degree, CPA, or other relevant certification preferred but not required.
  • Experience with construction financing, capital projects, or facility planning is a plus.

Responsibilities

  • Oversee financial operations, including accounting, budgeting, audits, cost reporting, tax-related activities, and financial planning.
  • Work with the CEO and senior leadership team to develop and implement policies, procedures, goals, objectives, and financial plans.
  • Provide financial leadership and guidance to department leaders to support ownership, accountability, and informed decision-making.
  • Monitor cash flow, accounts receivable, revenue cycle performance, expenses, and overall financial performance.
  • Ensure the Hospital District meets financial, regulatory, reporting, and compliance requirements.
  • Assist in the development of pro formas for new services, capital projects, and revenue-generating initiatives.
  • Identify cost-saving opportunities and assist leadership in developing action plans for implementation and follow-up.
  • Support organization-wide performance improvement efforts through financial analysis and reporting.
  • Prepare and present financial reports to the CEO, Board of Directors, medical staff, and leadership team as needed.
  • Serve as a liaison with outside parties, including banks, auditors, consultants, payors, Medicare/Medicaid contractors, and other financial partners.
  • Participate in operational reviews, leadership meetings, Board meetings, and community meetings as appropriate.
  • Provide oversight for assigned departments or staff, including budgeting, time approvals, evaluations, and expense approvals.
  • Maintain confidentiality regarding financial, personnel, and patient-related information.
  • Perform other duties as assigned.
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