Montana Rural Healthcare CFO Opportunities

Rural Staffing Services • Montana, MT

1d • Hybrid

About The Position

Montana Rural Healthcare CFO Opportunities Help Us Build a Better Way for Rural Healthcare. This application may connect you with the specific opportunity you were viewing, as well as other current or upcoming rural healthcare positions that align with your experience and goals. By joining the Rural Staffing Services Talent Network, you are helping us build a more thoughtful and connected approach to rural recruitment, one that allows experienced financial leaders and Montana healthcare organizations to find one another more quickly when the right need arises. Every application helps strengthen a growing network of people who are willing to bring their experience, leadership, judgment, and heart to rural communities. Explore Rural Healthcare Opportunities at RSSJobs.org. This application may connect you with the specific opportunity you were viewing, as well as other current or upcoming rural healthcare positions throughout Montana that align with your experience and goals. Visit www.RSSJobs.org to explore additional rural healthcare opportunities and communities. Rural Staffing Services partners with rural hospitals, clinics, public hospital districts, community health centers, tribal healthcare organizations, regional health systems, long-term care providers, and community healthcare organizations throughout Montana to identify experienced financial leaders who understand the unique responsibilities of rural and frontier healthcare. We are currently connecting with healthcare finance executives who may be interested in active and upcoming Chief Financial Officer and senior financial leadership opportunities across Montana. In rural Montana, the Chief Financial Officer is not simply responsible for financial reports and budgets. The CFO helps protect the long-term stability of an organization that may be one of the most essential employers, economic anchors, emergency resources, and community institutions in the region. Healthcare finance in Montana requires strong technical knowledge, sound judgment, adaptability, and the ability to communicate clearly with executive leaders, department managers, boards, employees, public agencies, tribal partners, and community stakeholders. The strongest rural CFOs understand that every financial decision connects directly to patient access, workforce stability, housing, transportation, infrastructure, community trust, and the organization's ability to continue serving its region. They also understand the financial realities of delivering care across large geographic areas, supporting services in smaller communities, maintaining essential facilities and equipment, recruiting hard-to-fill positions, and operating in areas where weather, wildfire, distance, and limited transportation may affect staffing, supplies, and patient access. Serving as a CFO in rural Montana offers the opportunity to see the direct impact of your work, build meaningful relationships, support thoughtful growth, and help protect healthcare access for entire communities and regions. You may help stabilize an organization, improve reimbursement, strengthen internal controls, secure funding, support workforce housing, guide capital investments, or create a financial strategy that allows essential services to remain available. The work requires resilience, adaptability, creativity, sound judgment, and a genuine commitment to the organization's mission.

Requirements

• Progressive healthcare finance leadership experience
• Experience as a CFO, Vice President of Finance, Controller, Finance Director, or comparable senior leader
• Strong knowledge of budgeting, forecasting, accounting, audits, reimbursement, cash management, and financial reporting
• Experience presenting complex financial information clearly to boards, executive teams, department leaders, tribal partners, and community stakeholders
• An understanding of rural and frontier healthcare operations, reimbursement, workforce challenges, and service-line sustainability
• Experience with Critical Access Hospitals, FQHCs, Rural Health Clinics, public hospital districts, tribal healthcare organizations, regional health systems, long-term care providers, or community healthcare organizations
• Experience supporting multi-site organizations or services spread across significant geographic distances may be valuable
• Experience with grants, federal funding, rural reimbursement, tribal healthcare finance, or public-sector reporting may be preferred for some opportunities
• A bachelor's degree in accounting, finance, business, healthcare administration, or a related field
• A collaborative, transparent, practical, and relationship-focused leadership style
• The ability to relocate or travel regionally when required

Nice To Haves

• A master's degree, CPA, or other advanced credential may be preferred for some opportunities

Responsibilities

• Providing strategic and operational leadership for the organization's financial functions
• Developing budgets, forecasts, financial plans, and long-term sustainability strategies
• Overseeing accounting, financial reporting, cash flow, audits, and internal controls
• Supporting revenue cycle performance, reimbursement strategy, payer relations, and collections
• Monitoring financial performance and communicating results to executive leadership, governing boards, tribal leadership, or other oversight bodies
• Managing relationships with auditors, banks, vendors, government agencies, grantors, and external partners
• Supporting capital planning, grants, funding initiatives, facility needs, workforce housing projects, and major organizational investments
• Partnering with operational and clinical leaders to improve performance and resource stewardship
• Ensuring compliance with applicable financial, regulatory, grant, and reporting requirements
• Supporting financial oversight across multiple facilities, clinics, communities, or regions when required
• Helping the organization navigate growth, transition, turnaround, leadership change, or financial uncertainty
• Evaluating the financial impact of workforce shortages, travel, temporary staffing, housing, equipment, weather, and supply-chain challenges
• Supporting reimbursement strategies involving Medicare, Medicaid, grants, federal funding, and other revenue sources
• Helping ensure essential healthcare services remain financially sustainable and available closer to home

What This Job Offers

• Job Type: Full-time
• Career Level: Senior