Job Description

Location: Midwest United States (On-Site)
Employment Type: Full-Time

We are seeking a seasoned Chief Financial Officer (CFO) to lead the financial operations of a rural healthcare organization in the Midwest. This executive will partner closely with the CEO and Board of Directors to stabilize financial performance, execute a comprehensive turnaround strategy, and position the organization for long-term sustainability.

The ideal candidate brings deep rural healthcare experience, a hands-on leadership approach, and a proven ability to drive financial and operational improvement in complex environments.

Key Responsibilities

Financial Leadership & Turnaround Strategy

• Assess the organization’s current financial position, including cash flow, accounts receivable, cost structure, and reimbursement performance
• Lead the development and execution of a comprehensive financial recovery plan
• Establish clear milestones, accountability, and reporting cadence to track progress

Executive & Board Partnership

• Serve as a strategic advisor to the CEO on financial and operational matters
• Deliver transparent, timely, and actionable financial reporting to the Board of Directors
• Build credibility and confidence with internal and external stakeholders

Cash Flow & Revenue Optimization

• Stabilize cash flow and liquidity through revenue cycle improvements and disciplined expense management
• Identify and implement opportunities to optimize reimbursement and payer contracts

Revenue Cycle Management

• Oversee and strengthen revenue cycle operations, including billing, collections, and denial management
• Drive measurable improvements in key performance indicators

Healthcare Reimbursement Oversight

• Provide leadership on reimbursement strategies, including Medicare and rural health programs such as Critical Access Hospitals (CAH) and Rural Health Clinics (RHC)

Organizational & Operational Leadership

• Evaluate and strengthen the finance and revenue cycle teams
• Identify talent gaps and build a sustainable, high-performing organizational structure
• Partner with operational leaders to prioritize and execute high-impact improvement initiatives

Stakeholder Engagement

• Collaborate with lenders, regulatory agencies, and community partners to support the organization’s financial recovery and long-term viability
• Represent the organization in financial discussions with external stakeholders

Technology, Analytics & Reporting

• Enhance financial systems, reporting, and forecasting capabilities
• Improve data visibility to support informed decision-making

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required
• CPA preferred (or required, depending on candidate profile)
• Minimum 10 years of progressive financial leadership experience, including at least 5 years in a CFO or senior finance leadership role
• Direct experience in rural healthcare environments, including Critical Access Hospitals (CAH) and/or Rural Health Clinics (RHC)
• Strong knowledge of Medicare reimbursement and rural healthcare financial dynamics
• Demonstrated success in financial turnaround, cash flow stabilization, and operational improvement

Preferred Attributes

• Proven ability to lead in turnaround or financially distressed environments
• Hands-on, execution-focused leadership style
• Strong communication and stakeholder management skills
• Commitment to serving rural communities