Chief Financial Officer (CFO) - Critical Access Hospital

Pagosa Springs Medical Center•Pagosa Springs, CO

1d•$200,000 - $240,000•Onsite

About The Position

Pagosa Springs Medical Center (PSMC) is seeking an experienced and forward-thinking Chief Financial Officer (CFO) to serve as a senior executive leader responsible for the financial strategy, performance, sustainability, and financial integrity of the Medical Center. The CFO provides strategic and operational financial leadership across PSMC's Critical Access Hospital (CAH), Rural Health Clinic (RHC), and Emergency Medical Services (EMS) operations. This role is responsible for ensuring organizational leaders have the financial information, education, and support necessary to make informed decisions and understand their role in achieving the Medical Center's financial goals. This position extends well beyond traditional financial reporting. The CFO serves as an active strategic and operational partner to the CEO and other senior leaders, using financial and operational data to identify trends, anticipate risks, evaluate opportunities, strengthen revenue performance, and support the long-term financial sustainability of PSMC and the essential healthcare services we provide. Key areas of executive responsibility include financial strategy and service-line analysis, revenue cycle leadership, payer contracting and reimbursement, budgeting and financial planning, accounting and financial reporting, Medicare cost reporting, and management financial education and accountability.

Requirements

Bachelor's degree from an accredited institution in finance, healthcare administration, business administration, or a closely related relevant field
Minimum of seven (7) years of progressively responsible healthcare financial management and revenue cycle experience
Minimum of three (3) years of experience in a senior financial or revenue cycle leadership role, such as CFO, VP of Finance, Director of Finance, Controller, or Director of Revenue Cycle
Demonstrated experience with: Service-line financial analysis
Hospital and medical center revenue cycle
Government and commercial payer reimbursement and contracting
Financial and operational analysis
Financial reporting and presentation
Budget preparation and financial planning
Medicare cost reporting
Strategic planning
Current AHA BLS Heart Saver certification
ICS 100, 200, 300, 400, 700, and 800
Ability to effectively lead multidisciplinary teams in a rural healthcare environment
Demonstrated understanding of patient safety, healthcare operations, regulatory compliance, workforce management, and financial stewardship
Strong financial acumen, strategic planning, cross-functional leadership, regulatory knowledge, and crisis-management skills
Strong communication, problem-solving, organizational, and interpersonal skills

Nice To Haves

Critical Access Hospital (CAH) financial operations and reimbursement
Rural Health Clinic (RHC) financial operations and reimbursement
EMS/Ambulance services
Financial leadership within a rural healthcare environment

Responsibilities

Provide forward-looking financial leadership that supports organizational strategy, patient care, and long-term sustainability
Evaluate the financial performance and sustainability of existing service lines using volume, revenue, payer mix, reimbursement, expense, contribution margin, capacity, and other operational data
Develop comprehensive pro forma analyses for proposed new or expanded services
Incorporate quality metrics into financial analysis to connect clinical outcomes with financial performance
Evaluate market share, saturation, and relevant external operational metrics
Identify opportunities to improve performance, increase revenue, reduce expense, and better meet the healthcare needs of the community
Partner with senior leaders in developing service lines that support PSMC's long-term sustainability
Provide executive oversight of the full revenue cycle
Ensure effective coordination among clinical, operational, and revenue cycle functions
Oversee payer contracting, chargemaster integrity, charge capture and reconciliation, patient access and registration, eligibility and authorization, coding, billing, claims management, denials, collections, and overall revenue cycle performance
Strengthen front-end accuracy, including insurance eligibility verification and pre-authorization
Support clinical documentation and coding integrity throughout the middle revenue cycle
Monitor back-end performance, including days in accounts receivable, cash posting, claims performance, and third-party vendors
Develop strategies to respond to changing payer requirements and restrictions
Ensure appropriate auditing of claims to reduce unbilled services and documentation-related revenue leakage
Evaluate payer contracts, reimbursement methodologies, and the financial implications of contract terms
Ensure PSMC has the data and analytical capabilities necessary to understand reimbursement performance
Identify reimbursement opportunities and financial risks
Analyze organizational cost structures when evaluating payer rates
Continuously monitor payer contract performance
Evaluate and monitor discounted care programs for compliance and accurate reporting
Lead development of PSMC's annual operating and capital budgets
Establish realistic assumptions for patient volumes, revenues, reimbursement, staffing, compensation, operating expenses, capital needs, and organizational growth
Monitor short-term liquidity necessary to meet payroll and vendor obligations
Ensure revenue projections appropriately account for Medicare, Medicaid, commercial insurance, and other payer sources
Utilize financial performance KPIs and efficiency indicators in organizational planning
Forecast capital, technology, staffing, and operational needs
Monitor budget performance and initiate corrective action when appropriate
Provide leadership and oversight of PSMC's finance and accounting functions
Ensure accurate and timely monthly financial statements
Maintain appropriate financial controls
Oversee cash management and forecasting
Support and actively participate in required audit processes
Present meaningful financial information to senior leadership, the Finance Committee, and Board of Directors
Ensure accurate financial reporting related to grants and contributions
Maintain strong working knowledge of Medicare reimbursement and cost reporting requirements applicable to a Critical Access Hospital and Rural Health Clinic
Understand how staffing, operations, service lines, cost allocation, and other financial decisions affect Medicare cost reporting and reimbursement
Incorporate CAH reimbursement implications into organizational financial and operational decision-making
Ensure accurate expense tracking and appropriate cost allocation
Ensure required Medicare cost reporting is accurate and timely
Oversee timely submission of CMS Form 2552-10 following the close of PSMC's fiscal year
Serve as a strategic and operational partner to the CEO and Executive Leadership team
Participate with the Board and Executive Leadership in establishing annual strategic and operational goals
Develop short- and long-term financial plans aligned with PSMC's mission and strategic plan
Identify opportunities for responsible growth and service expansion
Translate organizational priorities into measurable action and results
Lead organizational change in a positive and productive manner
Use data, operational insight, and frontline input to identify challenges, implement solutions, and measure results
Remain effective during emergencies, staffing shortages, operational disruptions, and other high-pressure situations
Translate complex financial and revenue cycle information into practical, understandable information for managers and clinical leaders
Educate leaders on how staffing, productivity, scheduling, purchasing, charge capture, documentation, patient volumes, and service delivery affect revenue, expense, reimbursement, and overall financial performance
Provide financial education to the Board regarding financial metrics, cash flow trends, and compliance responsibilities
Establish clear expectations and promote financial accountability throughout the organization
Lead and develop assigned managers, directors, and staff
Establish clear expectations for performance, training, professional development, conduct, and accountability
Foster a positive, collaborative, high-performing culture
Provide coaching, feedback, and performance management in a fair and consistent manner
Support staff development, education, and cross-training
Oversee recruitment, interviewing, selection, onboarding, and retention within assigned areas in partnership with Human Resources
Promote open communication and ensure organizational priorities are effectively communicated to staff
Build effective relationships across clinical, administrative, executive, Board, and community stakeholders
Ensure compliance with applicable federal, state, and local requirements, including requirements applicable to Critical Access Hospital operations
Maintain readiness for regulatory and licensing surveys
Monitor compliance with organizational policies and procedures
Support appropriate development and maintenance of departmental policies
Maintain confidentiality and compliance with applicable privacy requirements
Participate in executive, Board, Finance, Strategic Planning, Facilities, Governance, Emergency Management, Revenue Cycle, Utilization Management, Compliance, and other assigned meetings and committees