Chief Financial Officer

Job Details


Chief Financial Officer

SIHO Insurance Services

Columbus, Indiana

The Opportunity:

SIHO Insurance Services, a provider owned, regional health plan administrator and insurer based in Columbus, Indiana is seeking a strategic finance leader to serve as Chief Financial Officer (CFO). This is a rare opportunity to join a mission-aligned organization at a true inflection point and help shape the next chapter.


The Position:


The Chief Financial Officer will serve as a core strategic partner to the CEO and Board, leading all financial, regulatory, and capital strategy for a growing health insurance and services organization headquartered in the Midwest. The CFO will play a pivotal role in transitioning the organization from a multi-year investment and build phase into sustained profitability, scale, and long-term enterprise value creation. This is a highly visible, hands-on leadership role requiring both strategic vision and operational rigor in a complex, regulated insurance environment.


The Ideal Candidate:

• A bachelor's degree from an accredited college or university in healthcare finance, business, or relevant field is required. A graduate degree in healthcare finance, business, or relevant field is strongly preferred.
• Certified Public Accountant (CPA) is preferred.
• Senior finance leadership experience within health insurance, managed care, provider-owned plans, or closely related healthcare services organizations.
• Demonstrated success operating in smaller, growth-oriented, or entrepreneurial environments requiring adaptability and hands-on leadership.
• Deep understanding of insurance financials (commercial and Medicare Advantage), including risk-based capital, regulatory filings, and cost-of-care economics.
• Proven ability to communicate complex financial information clearly to Boards and non-financial stakeholders.
• Experience partnering with executive teams and boards through periods of growth, transformation, or capital investment.
• Experience with engaging with external stakeholders such as regulators, investors, and potential private equity partners.
• Leadership style that combines confidence, accountability, collaboration, and the ability to "lead from the front".

The Organization:

SIHO Insurance Services, headquartered in Columbus, Indiana, was established in 1987 through the cooperative efforts of local physicians, hospitals, and employers who were concerned about the rising cost of health care. SIHO was formed with a vision to provide affordable health care benefits by partnering with local medical providers and employers. One of the fastest growing Health Plan Administrators in the Midwest, SIHO strives to raise the standard of health care and the quality of life in its communities.


As a leader in innovative health benefit solutions for businesses of all sizes, SIHO offers a wide range of products and services including comprehensive third-party administration, wellness programs, population health management, health system and network development, COBRA administration, and flexible spending plan administration. SIHO's promise to its customers is very simple: provide them with the sophistication of a national carrier while keeping the focus on flexibility and cost-effectiveness as a top priority.


The Location:

Columbus, Indiana - with a population of about 50,000 - is known for artistic and architectural appeal. Columbus is ranked sixth in the nation for Architectural Innovation and Design by the American Institute of Architects, right behind Chicago, New York, San Francisco, Boston, and Washington DC.


Columbus also boasts excellent schools, recreational opportunities, and healthcare resources. Residents enjoy a variety of parks, walking and biking trails, and community events throughout the year. The city has a thriving arts and culture scene, including performing arts, galleries, and festivals that foster a strong sense of community. For families, young professionals, and retirees alike, Columbus offers a balance of professional opportunity and high-quality living.


In addition, Columbus benefits from its central location in the Midwest. It is within reasonable driving distance to major cities such as Indianapolis, Louisville, and Cincinnati, making it easy to access additional cultural, dining, and travel opportunities while maintaining the pace and accessibility of smaller city living. Overall, Columbus, Indiana, is a city where candidates can enjoy a rich cultural environment, strong community engagement, and a welcoming, family-friendly atmosphere.


For more information:


Please direct all inquiries, applications, and referrals to:


Richard Heishman


View email address on click.appcast.io

About B.E. Smith Leadership Solutions, Executive and Physician Leadership Search


B.E. Smith Leadership Solutions, Executive and Physician Leadership Search, is a retained executive search firm serving the healthcare and life sciences industries. Ranked as one of the top healthcare recruiting firms in the country, B.E. Smith Leadership Solutions, is known for leading healthcare into the future by its growing base of clients across the country, drawing on a national pool of candidates.


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About Company

At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.