Chief Financial Officer (CFO)

AlignHR•Laredo, TX

About The Position

Clear Choice Health System is seeking a strategic, entrepreneurial Chief Financial Officer to lead financial strategy, performance, and infrastructure for a growing, multi-entity healthcare organization with freestanding emergency departments and expanding hospital services. The organization’s growth plans include new facility development, acquisitions, physician partnerships, and expansion into additional markets. As a member of the executive leadership team, the CFO will work closely with the CEO, ownership, and senior leaders to drive financial performance, strengthen organizational infrastructure, secure growth capital, and support the enterprise’s long-term strategic direction. The position combines healthcare financial leadership with operational discipline and capital markets experience to help build and scale the organization. The CFO will oversee corporate financial strategy, accounting, reporting, tax coordination, financing, treasury, reimbursement and financial compliance, mergers and acquisitions, and enterprise performance management. The role will also build scalable financial systems and processes to support continued organizational 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.
Ability to manage complex financial operations involving 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 with 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 and partner with executive leadership on strategic planning, growth initiatives, and long-term objectives.
Direct annual operating plans, capital budgets, and long-range financial forecasts; develop models to evaluate expansion, facility development, acquisitions, and partnerships.
Advise on capital allocation, resource deployment, and investment priorities, and identify opportunities to improve profitability, margins, EBITDA, and cash flow.
Monitor financial and operational indicators and provide actionable recommendations to executive leadership.
Oversee enterprise accounting, financial reporting, internal controls, GAAP compliance, and coordination of tax planning and preparation with external advisors.
Direct timely financial statements and management reports; establish standardized reporting and scalable accounting processes across facilities, operating companies, and legal entities.
Implement technology, automation, reporting systems, and workflows to improve efficiency, accuracy, and financial visibility.
Prepare financial presentations and reporting packages for the Board of Directors, ownership, lenders, and investors.
Lead debt and equity fundraising, develop financing and capital-project models, and manage relationships with lenders, investors, financial institutions, and other capital partners.
Prepare capital-raising materials and coordinate financing due diligence; monitor debt covenants, credit agreements, and other financing obligations.
Oversee treasury, liquidity planning, cash management, working capital strategies, and lender and investor reporting requirements.
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 a comprehensive compliance and internal control program.
Collaborate with legal counsel and compliance leadership on reimbursement, physician compensation, and financial arrangements.
Monitor physician productivity and compensation metrics, including wRVU models and incentive programs, and establish controls that safeguard protected health information and support HIPAA compliance.
Implement financial governance standards, approval authorities, risk assessment, monitoring, and internal accountability processes.
Provide financial leadership for acquisition, joint venture, and partnership evaluations, including due diligence, valuation, transaction modeling, risk assessment, and investment-return analysis.
Support new market entry, facility development, and expansion; collaborate on integration of acquired businesses and newly developed facilities.
Establish post-acquisition financial reporting, performance monitoring, and accountability frameworks, and build financial infrastructure that supports 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 financial results while supporting quality patient care; identify performance variances and recommend corrective actions.
Develop facility and business-unit benchmarks and accountability measures, and present results, risks, and recommendations to executive leadership and the Board.