Chief Financial Officer (CFO)

FRANKLIN GENERAL HOSPITAL•Hampton, IA

7d•Onsite

About The Position

The Chief Financial Officer (CFO) provides strategic leadership and oversight of all financial operations for a 25-bed Critical Access Hospital which includes two rural health clinics, an attached long term care facility and assisted living facility. As a key member of the executive leadership team, the CFO ensures the financial integrity, sustainability and regulatory compliance of the organization while supporting its mission to deliver high-quality, community-centered care. This role requires a hands-on financial leader experienced in rural healthcare environments, with a deep understanding of Critical Access Hospital reimbursement, cost-based reporting and operational efficiency.

Requirements

Bachelor's degree in accounting, Finance, Healthcare Administration, or related field
Minimum of 3-5 yrs of progressive financial leadership experience in healthcare
Strong knowledge of Critical Access Hospital reimbursement and Medicare cost reporting
Demonstrated experience in budgeting, forecasting, and financial analysis
Proven leadership and team management skills

Nice To Haves

MBA or master's degree in a related field
Experience with Multiview and Paycom software
Experience in a rural healthcare or small community hospitals
Familiarity with value-based care models and population health initiatives

Responsibilities

Partner with the CEO, CNO and leadership team to develop and execute strategic financial plans aligned with organizational goals.
Provide financial forecasting, long-range planning, and performance analysis.
Advise on growth opportunities, service line expansion and capital investments.
Responsible for accounting, budgeting, payroll and revenue cycle functions.
Prepares financial statements, budgets and projections.
Monitor cash flow, operating performance and financial indicators.
Ensure accurate and timely monthly, quarterly and annual reporting.
Ensure compliance with Medicare cost reporting and Critical Access Hospital (CAH) reimbursement regulations.
Oversee audit processes and maintain strong internal controls.
Ensure compliance with federal, state and local financial regulations.
Optimize revenue cycle performance, including billing, collections, and denial management.
Monitor payer mix and reimbursement trends.
Ensure accurate cost reporting and maximize cost-based reimbursement opportunities.
Collaborate with department leaders to improve financial performance and cost efficiency.
Lead cost containment initiatives without compromising quality of care.
Support contracting and negotiations with vendors and payors.
Lead and mentor the finance and revenue cycle teams.
Foster a culture of accountability, transparency and continuous improvement.