Chief Financial Officer

Hoskinson Biotechnology•Gillette, WY

About The Position

The Chief Financial Officer (CFO) leads the financial strategy, planning, reporting, and overall financial operations of the clinic. In collaboration with the CEO and clinical leadership, the CFO drives financial health, ensures regulatory compliance, enhances operational efficiency, and supports strategic growth initiatives. The role combines strategic financial leadership with hands-on oversight of accounting, budgeting, reimbursement, risk management, and financial reporting.

Requirements

Bachelor’s degree in Accounting, Finance, Business Administration, or related field.
Minimum 10+ years of progressive finance experience with at least 5 years in senior leadership.
Experience in healthcare, nonprofit, or clinic environment with understanding of reimbursement and compliance.
Demonstrated success in financial strategy, budgeting, reporting, and team leadership.
Strategic thinking with advanced financial modeling and analysis.
Strong leadership, communication, and team development skills.
Deep expertise in accounting, GAAP, internal controls, and audits.
Understanding of healthcare reimbursement and regulatory compliance.
Ability to simplify and explain complex financial data.
Proficiency with financial systems and MS Excel.
Project management, change management, and process improvement capabilities.
High integrity, attention to detail, and performance under pressure.

Nice To Haves

Master’s degree (MBA, MHA) or professional certification (CPA, CMA, CGMA).
Healthcare finance certification (HFMA, CHFP).
Ongoing education in reimbursement, compliance, and financial management.
Experience in scaling organizations, mergers/acquisitions, service expansion.
Grant funding, philanthropy, and public/private funding experience.
Deep experience in revenue cycle and payer negotiations.
Experience with ERP or financial system implementations.

Responsibilities

Establish and implement financial strategies aligned with organizational mission and growth.
Advise senior leadership on investments, capital projects, new services, and financial risks.
Lead long-range financial planning, forecasting, and scenario analysis.
Prepare executive and board financial presentations and dashboards.
Oversee annual operating and capital budgets; monitor variances and recommend adjustments.
Perform sensitivity and cost-benefit analyses to inform decision-making.
Ensure accurate GAAP-compliant financial statements and regulatory reporting.
Oversee accounting functions, internal controls, and external audits.
Maintain compliance with healthcare financial regulations (e.g., Medicare/Medicaid).
Oversee billing, coding, claims, receivables, collections, and denial management.
Analyze and negotiate payer contracts and reimbursement rates.
Manage liquidity, working capital, cash forecasting, banking relationships, debt, and reserves.
Lead internal/external audits and implement audit findings.
Manage insurance programs and identify financial risks, proposing mitigation strategies.
Partner with operations, HR, IT, and compliance to align financial and operational goals.
Lead financial due diligence for service expansions or capital improvements.
Drive process improvements and cost optimization.
Conduct financial feasibility and ROI assessments for strategic initiatives (e.g., telehealth).