Chief Administrative Officer

Cedar Valley Hospice • Waterloo, IA

20h • Onsite

About The Position

Cedar Valley Hospice is the premier hospice agency serving 15 counties with offices in Waterloo, Grundy Center, Independence, and Waverly. At Cedar Valley Hospice you will work with the best team of clinicians, administrative staff and managers, utilizing highly regarded practices to provide optimum customer service to our patients and their families. As a not-for-profit organization, we believe "compassionate care" is not just a phrase spoken, but rather a way of living and working every day to help support clients and their families. Our mission exemplifies the organizations focus on providing the best care possible for clients at home or wherever they reside. Job Summary The Chief Administrative Officer provides strategic leadership and oversight of all financial functions to support the mission, sustainability, and growth of Cedar Valley Hospice. This role is responsible for financial planning, budgeting, reporting, revenue cycle management, and regulatory compliance. The Chief Administrative Officer serves as a key member of the Executive Team, partnering with agency leaders to ensure strong financial stewardship and long-term organizational health.

Requirements

• Bachelor’s degree in Accounting, Finance or related field required.
• Minimum 7–10 years of progressive financial leadership experience, preferably in healthcare or a non-profit organization.
• Strong understanding of GAAP, non-profit accounting, and Medicare billing.
• High level of integrity, ethical standards, and commitment to mission-driven work.
• Demonstrated ability to lead teams, manage complex financial environments, and partner with executive leadership.
• Excellent communication, analytical, and problem-solving skills.
• Ability to translate complex financial data into clear, actionable insights for non-financial stakeholders.
• Proficiency in Microsoft Office Suite, including advanced Excel skills (financial modeling, pivot tables, and data analysis).
• Current Iowa driver’s license, reliable vehicle, and car insurance.
• Employment at Cedar Valley Hospice requires being fully vaccinated for COVID-19 (Boosters are not required) OR have an approved request for reasonable accommodations for a medical, pregnancy, or religious reason, by the start date.
• Pre-employment/post-offer physical, TB, and drug screen required.

Nice To Haves

• CPA or Master’s degree strongly preferred.
• Hospice, home health, or Medicare-based reimbursement experience highly desirable.

Responsibilities

• Serve as a strategic advisor to the Chief Executive Officer and Executive Team on financial performance, trends, and long-term planning.
• Develop and implement financial strategies that support high-quality patient care, mission alignment, and organizational sustainability.
• Provide financial insights to guide decision-making related to program development, staffing, facilities, and community partnerships.
• Oversee daily financial operations, including accounting, payroll, accounts payable, accounts receivable, and cash flow management.
• Lead the preparation of monthly, quarterly, and annual financial statements and analysis.
• Ensure accurate and timely reporting of hospice billing, reimbursement, and revenue cycle activities (Medicare, Medicaid, private insurance, and self-pay).
• Manage the annual audit process and coordinate with external auditors.
• Oversee financial components of the organization’s 401(k) plan and employee benefits processes, ensuring accurate contributions, compliance with regulatory requirements, and effective coordination with HR and third-party administrators.
• Oversees year-end tax reporting.
• Responsible for bid management for organizational services.
• Lead the development of the annual operating and capital budgets.
• Monitor financial performance against budget and provide variance analysis and recommendations.
• Conduct financial forecasting and scenario modeling to support strategic decision-making.
• Oversee data analytics for financial, operational, and clinical performance metrics to inform strategic planning, identify trends, and drive organizational improvement.
• Oversees efforts to implement performance data dashboards with visibility to all departments responsible for census growth.
• Analyze financial impact of changing census levels and length of stay, working closely with Chief Clinical Officer and Chief Growth Officer to understand cause and effect, and report plans to improve sustainability to Chief Executive Officer.
• Develop growth targets by year and by quarter, ensuring along with Chief Growth Officer that the organization’s growth goals support the strategic plan and appropriately ambitious, detailed and compliant.
• Ensure compliance with all federal, state, and non-profit financial regulations, including Medicare Conditions of Participation and OMB requirements when applicable.
• Maintain strong internal controls and safeguard organizational assets.
• Oversee insurance coverage, risk management practices, and investment policies.
• Responsible for all required organizational filings and distribution.
• Responsible for reviewing and updating financial policies and operating procedures.
• Supervise and mentor the Finance team, promoting a culture of accountability, accuracy, and continuous improvement.
• Collaborate with clinical, development, and other leaders to align financial resources with organizational priorities.
• Present financial updates to the Board of Directors and Finance Committee.
• Support grant management, including financial reporting and compliance.
• Support organizational contract management, including new and existing contracts
• Provide financial guidance for fundraising strategies, donor stewardship, and restricted funds.
• Participate in organizational initiatives, quality improvement committees, and strategic planning.

Benefits

• Cedar Valley Hospice provides an excellent benefit package including: a family friendly work environment, generous paid time off, and quality benefit options including a 401k plan.
• Public service loan forgiveness (PSLF) eligible employer.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Number of Employees: 51-100 employees