CFO (Chief Financial Officer)

Reporting & Scope

Reports to: Facility Administrator / Director of Operations

Direct reports: Business office and accounting staff, including accounts receivable, accounts payable, and payroll

Location: Grand Junction, Colorado — on-site

Employment type: Full-time, exempt

Core Responsibilities

Financial Leadership

• Own the facility's financial operation end to end, including monthly close, financial statement preparation, and management reporting.
• Prepare and present monthly profit and loss statements, balance sheets, and variance analysis to facility and corporate leadership.
• Deliver financial analysis that drives operating decisions — census trends, payer mix, cost per patient day, labor and agency spend, and departmental productivity.
• Build and manage the annual operating budget; monitor performance against budget and flag variances early.
• Partner with the Administrator on strategic planning, capital planning, and cash flow forecasting.

Reimbursement & Cost Reporting

• Prepare, review, and file the annual Medicare and Medicaid cost reports; maintain supporting cost logs and documentation throughout the year.
• Serve as the facility's subject matter expert on Medicare, Medicaid, VA, managed care, and private pay reimbursement.
• Ensure all forms and documentation required for correct reimbursement are accurately completed and submitted timely.
• Coordinate and respond to regulatory audits, lender reporting requirements, and external audit requests.

Revenue Cycle & Billing

• Oversee resident billing across all payer types — Medicare, Medicaid, VA, managed care, and private pay.
• Produce and act on the monthly aging accounts report; drive collections and reduce days in AR.
• Ensure accuracy and timeliness of accounts receivable, accounts payable, and payroll functions.
• Post billing, charge slips, adjustments, and collections to the proper ledgers; ensure all ledgers reconcile to control sheets and supporting journals.
• Maintain resident trust accounts, petty cash, and all other facility accounts in compliance with state and federal regulation.

Team & Operations

• Supervise, develop, and hold accountable the accounting and business office team.
• Develop and maintain policies and procedures governing business office and accounting functions.
• Serve on facility committees as required by statute, regulation, or leadership request, including quality assurance.
• Maintain strict confidentiality of resident, employee, and financial information at all times.

Required Qualifications

• Bachelor's degree in accounting or finance; equivalent professional experience will be considered.
• Minimum five (5) years of progressive accounting or finance experience, including supervisory or director-level responsibility.
• Healthcare finance experience required; skilled nursing, long-term care, or post-acute experience strongly preferred.
• Working knowledge of Medicare, Medicaid, VA, and private pay billing and reimbursement in a healthcare setting.
• Proficiency in QuickBooks and strong general ledger and financial reporting skills.
• Demonstrated experience with monthly financial reporting, financial analysis, and accounts receivable and accounts payable management.
• Advanced proficiency in Microsoft Excel.

Preferred Qualifications

• CPA designation, or an advanced degree in accounting or business (MBA).
• Direct experience preparing or filing Medicare and Medicaid cost reports.
• Familiarity with Colorado Medicaid and state supplemental payment programs.
• Experience with PointClickCare, MatrixCare, or comparable long-term care platforms.

Attributes for Success

• Comfortable operating as both a strategic financial partner and a hands‑on operator in a single‑site environment.
• Clear, calm communicator with residents, families, staff, regulators, and lenders.
• Organized and self‑directed, with the judgment to prioritize under competing deadlines.
• Committed to the mission of a resident‑centered care environment.

Compensation & Benefits

Annual base salary range: $120,000 – $180,000. Placement within the range depends on experience, credentials, and depth of skilled nursing reimbursement background.

The employer offers a benefits package that includes medical, dental, and vision coverage, paid time off, and a retirement savings plan. Full benefit details will be provided during the interview process. Relocation assistance may be available for the right candidate.

Work Environment & Physical Requirements

This is an office‑based role within an active skilled nursing facility.

• Primarily sedentary work performed in an office setting, with regular movement throughout the facility.
• Regular use of a computer, telephone, and standard office equipment.
• Frequent verbal communication with residents, families, staff, and external partners, at times in emotionally sensitive circumstances.
• Occasional lifting of office materials up to twenty (20) pounds.
• Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of this position.