Chief Financial Officer (CFO)

AlignHR, LLC•Laredo, TX

About The Position

Clear Choice Health System is seeking a strategic, entrepreneurial Chief Financial Officer to lead the financial strategy, performance, and infrastructure of a growing, multi-entity healthcare organization. Its operations include freestanding emergency departments and expanding hospital services, with growth plans involving new facility development, acquisitions, physician partnerships, and entry into additional markets. The CFO will be a member of the executive leadership team and work closely with the Chief Executive Officer, ownership, and senior leaders. The role will guide financial performance, organizational infrastructure, growth capital, and long-term enterprise strategy. It calls for sophisticated healthcare financial expertise alongside operational discipline, a builder's mindset, and capital markets experience. The CFO will oversee strategic financial planning, accounting and reporting, tax coordination, financing and investor relations, healthcare reimbursement and financial compliance, mergers and acquisitions, and enterprise-wide financial performance. The role will also establish scalable systems, controls, reporting practices, and accountability frameworks to support continued growth.

Requirements

Bachelor's degree in Accounting, Finance, Business Administration, or a related discipline.
At least 10 years of progressive financial leadership experience, including significant healthcare experience.
Prior experience as a CFO, Vice President of Finance, or senior financial executive with substantial enterprise-level responsibilities.
Knowledge of GAAP, financial reporting, internal controls, budgeting, forecasting, and healthcare reimbursement.
Strong understanding of healthcare financial operations, including payor contracting, revenue cycle performance, and regulatory compliance.
Experience with debt financing, lender relationships, financial modeling, and capital planning.
Demonstrated ability to manage complex financial operations across multiple entities, facilities, or business units.
Strong analytical, communication, negotiation, and executive presentation skills.
Ability to work effectively with executive leadership, ownership, boards, lenders, and external advisors.

Nice To Haves

CPA, MBA, or master's degree in Finance, Accounting, or Business Administration.
Experience in acute-care hospitals, freestanding emergency departments, physician organizations, or multisite healthcare enterprises.
Experience in private-equity-backed, privately held, or rapidly expanding healthcare organizations.
Demonstrated success securing debt or equity financing.
Experience leading or supporting healthcare mergers, acquisitions, joint ventures, and de novo facility development.
Knowledge of Texas healthcare reimbursement and regulatory requirements.
Experience implementing enterprise financial systems, improving financial reporting, and developing scalable finance departments.
Familiarity with physician compensation structures, wRVU-based productivity models, and healthcare financial compliance.
Experience with investor relations, financial due diligence, and capital market transactions.

Responsibilities

Lead development and execution of corporate financial strategy, partnering with the CEO and executive leadership on strategic planning, growth initiatives, and long-term objectives.
Direct annual operating plans, capital budgets, and long-range forecasts; develop models to evaluate expansion, facility development, acquisitions, and partnerships.
Advise on capital allocation, resource deployment, and investment priorities; identify opportunities to improve profitability, margins, EBITDA, and cash flow.
Monitor financial and operational indicators and provide recommendations to executive leadership.
Oversee enterprise accounting, financial reporting, internal controls, GAAP compliance, and tax planning and preparation with external advisors.
Direct timely financial statements and management reports, standardize reporting across facilities and legal entities, and establish scalable processes, systems, and workflows.
Implement technology and automation to improve financial efficiency, accuracy, and visibility.
Prepare financial presentations and reporting packages for the Board of Directors, ownership, lenders, and investors.
Lead debt and equity fundraising; develop financing and transaction models; manage relationships with financial institutions, lenders, investors, and capital partners.
Prepare investor presentations and capital-raising materials, coordinate financial due diligence, monitor debt covenants and credit agreements, and support lender and investor reporting.
Oversee treasury, liquidity planning, cash management, working capital strategies, and financing compliance.
Lead financial strategy and negotiations for commercial payor contracts; evaluate reimbursement trends and contract performance and identify opportunities to improve net revenue.
Monitor reimbursement risks, regulatory developments, and financial compliance; develop and maintain financial compliance, internal controls, and risk-monitoring processes.
Collaborate with legal counsel and compliance leaders on reimbursement, physician compensation, and financial arrangements; monitor physician productivity and compensation metrics, including wRVU models and incentives.
Develop controls to safeguard protected health information and support HIPAA compliance, and maintain financial governance, approval authorities, and accountability processes.
Provide financial leadership for acquisitions, joint ventures, and strategic partnerships, including due diligence, valuation, transaction modeling, and assessment of risks, capital needs, integration costs, and returns.
Support new-market entry, facility development, and expansion; collaborate on integration of acquired businesses and new facilities and establish post-acquisition reporting and performance frameworks.
Build scalable financial infrastructure for continued organizational expansion.
Establish enterprise financial and operational dashboards and evaluate revenue, expenses, productivity, profitability, cash flow, and return on invested capital.
Partner with operational leaders to improve results while supporting quality patient care; identify variances and recommend corrective actions.
Develop facility- and business-unit-level benchmarks and accountability measures, and present financial results, risks, and strategic recommendations to executive leadership and the Board.