Chief Financial Officer, CFO

Shoshone Medical Center•Kellogg, ID

About The Position

Shoshone Medical Center, a Rural Critical Access Hospital in Kellogg, Idaho, is seeking a Chief Financial Officer (CFO) to lead the hospital’s financial operations. The CFO oversees day-to-day financial management and promotes fiscal responsibility, regulatory compliance, and operational efficiency in support of the hospital’s mission and strategic goals. The CFO works closely with the Chief Executive Officer and Board of Directors to align financial strategy with organizational objectives. The role oversees accounting, corporate reporting, financial compliance, budgeting, financial planning, risk management, investment strategies, cash flow, forecasting, cost controls, and long-term financial sustainability. The CFO also collaborates with department managers on budgets, staffing levels, and performance improvement; oversees benefits negotiations; and provides administrative oversight when the CEO is absent, including participation in on-call administrative rotations. This leader represents the hospital at Board meetings and leadership forums and helps ensure the hospital responds to community and patient needs. The position requires a bachelor’s degree in Finance, Accounting, Healthcare Management, or a related field, at least seven years of progressive healthcare management experience, and strong experience in revenue cycle management, including billing and denial management. An MBA or comparable graduate degree, five years of executive-level financial leadership, and Rural Critical Access Hospital experience are preferred.

Requirements

Bachelor’s degree in Finance, Accounting, Healthcare Management, or a related field.
At least 7 years of progressive management experience in the healthcare industry.
Strong experience in revenue cycle management, including billing and denial management.
Strong knowledge of legal, regulatory, and ethical standards in hospital finance and healthcare administration.
Understanding of the principles and practices of hospital financial management and administration.
Experience in financial planning, organizational assessments, and process improvements in healthcare settings.
Extensive experience working with physicians, clinicians, and hospital leadership teams.

Nice To Haves

MBA or comparable graduate degree.
At least 5 years of executive-level financial leadership experience.
Experience in a Rural Critical Access Hospital.

Responsibilities

Maintain regular communication with the CEO and Board of Directors regarding the hospital’s financial status, operations, and key issues.
Develop and implement financial strategies aligned with the hospital’s mission and strategic goals.
Oversee accounting, corporate reporting, financial compliance, and operational efficiency.
Ensure compliance with state and federal regulations, accreditation standards, and internal policies.
Lead financial planning, budgeting, and investment strategies to support long-term sustainability.
Manage cash flow, financial forecasting, and cost-control measures.
Work with department managers to establish operating budgets and staffing levels and to develop performance improvement initiatives.
Conduct financial audits, oversee internal controls, and ensure accountability in financial management.
Participate in the hospital’s strategic planning process and support decision-making with financial insights.
Oversee benefits negotiations to provide competitive compensation and benefits packages.
Provide administrative oversight in the absence of the CEO and participate in on-call administrative rotations.
Represent the hospital at Board meetings and other leadership forums.
Ensure the hospital’s mission is fulfilled in response to community and patient needs.
Perform other duties as assigned.