Cfo Jobs

About The Position

Requirements

• Serve as the senior financial executive of the hospital.
• Responsible for strategic leadership, financial management, and operational oversight of all financial functions.
• Member of the Hospital Executive Leadership Team.
• Partner with the Chief Executive Officer (CEO), medical staff, department leaders, and corporate leadership.
• Ensure the organization's financial strength, regulatory compliance, and long-term sustainability.
• Provide leadership over accounting, budgeting, financial planning and analysis, treasury, revenue cycle oversight, reimbursement, managed care, capital planning, supply chain finance, and financial reporting.
• Develop strategies that improve financial performance while supporting high-quality patient care and organizational growth.
• Ensure timely preparation of monthly financial statements, annual operating and capital budgets, cash flow forecasts, variance analyses, board reports, regulatory financial reports, and annual audited financial statements.
• Provide executive oversight of revenue cycle operations.
• Monitor and improve key performance indicators related to revenue cycle.
• Collaborate with revenue cycle vendors and hospital leadership.
• Oversee reimbursement strategies.
• Analyze reimbursement trends and recommend strategies to optimize revenue.
• Lead the annual budget and long-range financial planning process.
• Prepare monthly financial forecasts and cash flow projections.
• Analyze hospital financial performance and operational trends.
• Evaluate service line profitability and physician practice performance.
• Develop productivity and labor analyses.
• Identify opportunities to improve operating margins and reduce costs.
• Manage hospital cash flow and liquidity.
• Oversee banking relationships and treasury operations.
• Monitor debt obligations and financial covenant compliance.
• Develop capital expenditure plans.
• Evaluate return on investment (ROI) for capital projects and new service lines.
• Ensure compliance with Generally Accepted Accounting Principles (GAAP).
• Maintain strong internal controls and financial governance.
• Coordinate annual independent audits.
• Ensure compliance with CMS, Medicare, Medicaid, state regulations, and other applicable healthcare requirements.
• Support enterprise risk management initiatives.

Responsibilities

• Serve as a strategic advisor to the Hospital CEO and Executive Leadership Team.
• Develop and execute the hospital's financial strategy in alignment with organizational goals.
• Present financial results, forecasts, and strategic initiatives to the CEO, Board of Directors, Finance Committee, and Corporate Leadership.
• Provide financial leadership for hospital expansion, new service lines, physician alignment, and strategic initiatives.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Direct and oversee all hospital financial operations, including: General Accounting, Financial Reporting, Financial Planning & Analysis (FP&A), Budgeting and Forecasting, Treasury and Cash Management, Payroll, Accounts Payable, Capital Asset Management, Fixed Assets, Internal Controls, Financial Systems.
• Ensure timely preparation of: Monthly financial statements, Annual operating and capital budgets, Cash flow forecasts, Variance analyses, Board reports, Regulatory financial reports, Annual audited financial statements.
• Provide executive oversight of revenue cycle operations, including: Patient Financial Services, Patient Access, Health Information Management (HIM), Clinical Documentation Improvement (CDI), Coding, Billing, Collections, Denial Management, Revenue Integrity.
• Monitor and improve key performance indicators including: Days in Accounts Receivable (AR), Net Collection Rate, Clean Claim Rate, DNFB (Discharged Not Final Billed), DFNC (Discharged Final Not Coded), Bad Debt, Cash Collections, Point-of-Service Collections, Revenue Capture.
• Collaborate with revenue cycle vendors and hospital leadership to maximize reimbursement and improve operational efficiency.
• Oversee reimbursement strategies related to: Medicare, Medicaid, Commercial Insurance, Managed Care, Self-Pay, Medicare Cost Reports, Medicaid Cost Reports, Supplemental payment programs (LIP, DSH, UPL, DPP, and applicable state programs), Value-Based Purchasing, Quality incentive programs.
• Analyze reimbursement trends and recommend strategies to optimize revenue.
• Lead the annual budget and long-range financial planning process.
• Prepare monthly financial forecasts and cash flow projections.
• Analyze hospital financial performance and operational trends.
• Evaluate service line profitability and physician practice performance.
• Develop productivity and labor analyses.
• Identify opportunities to improve operating margins and reduce costs.
• Manage hospital cash flow and liquidity.
• Oversee banking relationships and treasury operations.
• Monitor debt obligations and financial covenant compliance.
• Develop capital expenditure plans.
• Evaluate return on investment (ROI) for capital projects and new service lines.
• Ensure compliance with Generally Accepted Accounting Principles (GAAP).
• Maintain strong internal controls and financial governance.
• Coordinate annual independent audits.
• Ensure compliance with CMS, Medicare, Medicaid, state regulations, and other applicable healthcare requirements.
• Support enterprise risk management initiatives.