Market Chief Financial Officer- Northern CA

Conifer Health SolutionsModesto, CA
Onsite

About The Position

The Market Chief Financial Officer, Northern California Group, will be responsible for oversight of the financial integrity of the market as well as for the Doctors Medical Center of Modesto facility. He/she will have responsibility for ensuring that the hospitals in the market run in the most cost-effective manner and that all financial risks for the organization are managed appropriately. The Market Chief Financial Officer has overall responsibility for safeguarding the facility assets and ensuring the financial statements, including the books and records, are prepared and maintained in accordance with GAAP for all facilities within the assigned region. This person is also responsible for ensuring compliance with company financial and accounting policies and procedures, as well as ensuring internal controls are effective in both design and operation, including the routine monitoring of controls. Additionally, the Market Chief Financial Officer serves a key member of the Facility(s) A-Teams and, as such, participates in establishing and implementing strategic business plans for each facility. He/she is a key member of the facility(s) management team(s) that interacts and communicates on a regular basis with an array of internal and external constituents, including various regulatory bodies.

Requirements

  • At least ten years of progressive financial healthcare or equivalent experience in the areas of general accounting; operations; financial systems; financial statement preparation; review and analysis; multi-discipline management experience; and ethics.
  • Good organization skills with the ability to prioritize workload and successfully manage all financial activities.
  • Resilience to working successfully under pressure.
  • Ability to convert complex finance, operational, and compliance issues into terms and concepts that are easily disseminated throughout all levels of the organization.
  • A referenceable track record in facility finance, defining the issues and making the decisions to generate improved financial performance.
  • Participation, as well as supervisory experience, in negotiating managed care contracts.
  • Substantial financial management experience including financial operations, strategic and financial planning, contracts, reimbursement, budgeting and capital financing in a complex environment.
  • A thorough understanding of healthcare trends with the ability to anticipate opportunities.
  • Successful experience as a Chief Financial Officer in a highly competitive market.
  • A Bachelor’s degree in Finance or Accounting is required.

Nice To Haves

  • An MBA, MHA and/or CPA designation strongly preferred.

Responsibilities

  • Oversight of the financial integrity of the market and the Doctors Medical Center of Modesto facility.
  • Ensuring hospitals in the market run in the most cost-effective manner and that all financial risks are managed appropriately.
  • Safeguarding facility assets and ensuring financial statements are prepared and maintained in accordance with GAAP.
  • Ensuring compliance with company financial and accounting policies and procedures.
  • Ensuring internal controls are effective in both design and operation, including routine monitoring.
  • Participating in establishing and implementing strategic business plans for each facility.
  • Interacting and communicating with internal and external constituents, including regulatory bodies.
  • Identification and independent assessment of financial risk, establishing and monitoring mitigation plans, and communicating financial risk and opportunity.
  • Monitoring financial performance and maintaining reasonable and appropriate financial plans and forecasts.
  • Monitoring the revenue cycle process and improving it through rate setting, charge capture, managed care negotiations, and cash collections.
  • Evaluation and management of investments in capital projects by applying unbiased scrutiny in determining financial impact and ROI, and managing capital spend.
  • Analyzing daily operating results to ensure revenues, expenses, and labor are within budgeted objectives; advising department heads and administration of needed changes and improvements.
  • Establishing and maintaining sound financial controls and record keeping; approving financial expenditures up to the level established by the CEO.
  • Keeping abreast of government regulatory requirements and the reimbursement environment to develop and implement changes to policies and procedures.
  • Ensuring financial operations are carried out in an ethical, responsible manner.
  • Establishing and monitoring the annual operating budget according to sound budgeting principles and home office guidelines.
  • Interfacing with Human Resources and other appropriate departments in the preparation of work force plans and salary and benefit proposals.
  • Evaluating the facility’s overall financial position and preparing periodic financial and operating reports.
  • Providing consistent and accurate financial, accounting, and reporting processes throughout the facility.
  • Preparing financial forecasts and monitoring performance versus budget; consolidating results, preparing rolling 90-day forecasts, and developing and implementing cash management controls.
  • Coordinating with other senior members of the leadership team in the development of major strategic and financial plans, including capital expenditure programs.
  • Reviewing, evaluating, and ensuring the effectiveness of all financial and accounting systems in the facility.
  • Directing the development and implementation of new systems, policies, and procedures as required.
  • Assisting in the development of new business by analyzing the feasibility of new programs, including managed care contracts, and advising management of financial prospects.
  • Attending promptly to administrative details including signing documents, preparing reports, completing performance appraisals, and other employee-related actions.
  • Delivering year over year improved financial performance in a complex, matrix organization.
  • Demonstrating high degree of financial operational excellence (e.g., planning, contracts, budgeting, capital financing, and cash management).
  • Holding finance team accountable to high ethical standards (e.g., compliance, internal controls, audits and SOX reporting).
  • Effectively gauging external factors and trends to provide a forward-looking perspective when creating business strategy and forecasting (e.g. FTE/AADC targets, supply Cost/APD targets, EBITDA margin, A/R days, Operations cash flow goals).
  • Demonstrating business and analytical skills to identify gaps in the current business plan and actively refreshing the financial outlook and strategy as needed (e.g., case management, staff/volume adjustment, net revenue management).
  • Acting as a full partner at facility, market, and home office level in pursuit of new revenue generation opportunities (e.g., improve payer mix, maximize reimbursement, prudent acquisition and merger strategies, reduce bad debt, grow EBITDA margin).
  • Acting as a highly visible leader who works with the team to identify challenges and capitalize on opportunities (e.g., department improvement plans, capital project prioritization and vetting, manpower planning accuracy, supply management efficiency).
  • Acting as a thought partner for CEO and thought leader in promoting own perspective and ideas in a bold and respectful manner (e.g., cost containment, acquisition/divestiture, ACOs, physician strategies, capital forecasting, productivity improvement).
  • Demonstrating excellence in formal and interpersonal communications that results in financial understanding and “ownership” at all organizational levels.
  • Evidencing collaborative leadership to engage managers and physicians in improving short- and long-term results (e.g., department improvement plans, supply inventory management, clinical informatics implementation, labor management and reporting systems).
  • Acting as an intuitive thinker willing to take prudent and necessary risk to achieve balanced results (e.g., cost, growth, people, service, quality).
  • Performing as a financial consultant to the facility.
  • Establishing realistic and aggressive financial goals, targets, and metrics consistent with home office and facility strategic and operational objectives (e.g., meet upfront collection and cash goals, reduce A/R days year over year, meet 3.0 days in DNFC Gross A/R, meet HIM coding compliance accuracy for all patient types, manage a 24/7 HIM Department, attain HIM coding quality goals).
  • Setting and maintaining fiscal year pace and rigor for facility management (e.g., business planning and reporting cycle, CFO and Controller sign off on monthly balance sheet reconciliation with unresolved items less than 30 days old).
  • Building consensus and commitment across disparate people with often competing priorities.
  • Continually analyzing and interpreting financial performance and recommending and/or executing corrective action as needed (e.g., managed care and physician contracts, and strategic direction).
  • Maintaining high quality standards (e.g., oversee preparation of financial statements, reports, business plans and manpower plans; ensures 5 bar internal audits with no Sarbanes-Oxley items; maintains and addresses monthly internal control checklist).
  • Shaping roles and assignments in a way that maximizes individual capability and performance contribution.
  • Regularly providing performance and professional development feedback, coaching, and guidance to improve performance and build career potential (e.g., all direct reports receive regular feedback and well managed development plans).
  • Engaging in team bench strength assessments and recruitment or promotion action plans that meet current/future talent requirements (e.g., Controllers, ACFO developed for CFO promotion readiness).

Benefits

  • Annual Incentive Plan bonus of 10%-50% depending on role level.
  • Sign-on and relocation bonuses may be eligible for management level positions.
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