Rural Healthcare CFO — Strategic Finance Leader (Town of Texas)

In1958, the citizensof Muenster, not satisfied with available medical services, set out to build a new hospital. J.M. Weinzapfel donated the land and spearheaded the efforts to make the hospital a reality. In1960, the BenedictineOrder of Sisters promised Muenster residents that they would provide nurses to operate the hospital. Sister MildredFelderhoff leads theway as the first hospital administrator.

Mission

The mission of Muenster Hospital District is to promote health and wellness to our community through providing quality and personalized care in a trusted. Hometown atmosphere.

Vision

Transforming the health and wellness of the rural communities we serve.

Values

Integrity - Promoting the highest level of integrity to ensure public trust and patient confidence.

Compassion - Treating all people with the highest regard, respect, and dignity.

Public Service - Providing the highest level of professional services to the community.

Efficiency - Continually providing efficient use of time and resources at all levels.

Support - Creating an atmosphere of trust, support, and open communication.

Job Description

Summary

Muenster Hospital District is seeking a strong financial leader to support the continued stability, growth, and long-term success of Muenster Memorial Hospital. As a member of the senior leadership team, this role will participate in financial, operational, and strategic decision-making necessary to support the hospital’s mission of providing quality, community-focused healthcare.

The ideal candidate will have experience in rural healthcare, Critical Access Hospital finance, revenue cycle, budgeting, reporting, cash flow management, and regulatory compliance. This position requires a leader who can work closely with hospital leadership, department directors, the Board, auditors, payors, vendors, and community partners.

Duties and Responsibilities

The Chief Financial Officerwill be responsible for the overall financial operations of the Hospital District, including accounting, budgeting, audit preparation, financial reporting, reimbursement, revenue cycle oversight, and financial planning.

Key responsibilities include:

• Oversee financial operations, including accounting, budgeting, audits, cost reporting, tax-related activities, and financial planning.
• Work with the CEO and senior leadership team to develop and implement policies, procedures, goals, objectives, and financial plans.
• Provide financial leadership and guidance to department leaders to support ownership, accountability, and informed decision-making.
• Monitor cash flow, accounts receivable, revenue cycle performance, expenses, and overall financial performance.
• Ensure the Hospital District meets financial, regulatory, reporting, and compliance requirements.
• Assist in the development of pro formas for new services, capital projects, and revenue-generating initiatives.
• Identify cost-saving opportunities and assist leadership in developing action plans for implementation and follow-up.
• Support organization-wide performance improvement efforts through financial analysis and reporting.
• Prepare and present financial reports to the CEO, Board of Directors, medical staff, and leadership team as needed.
• Serve as a liaison with outside parties, including banks, auditors, consultants, payors, Medicare/Medicaid contractors, and other financial partners.
• Participate in operational reviews, leadership meetings, Board meetings, and community meetings as appropriate.
• Provide oversight for assigned departments or staff, including budgeting, time approvals, evaluations, and expense approvals.
• Maintain confidentiality regarding financial, personnel, and patient-related information.
• Perform other duties as assigned.

Knowledge, Skills, and Abilities

The successful candidate should demonstrate:

• Knowledge of Critical Access Hospital operations and rural healthcare finance.
• Strong understanding of revenue cycle, reimbursement, cost reporting, and cash flow management.
• Ability to analyze financial data and communicate findings clearly to leadership and the Board.
• Strong problem-solving skills related to revenue, expenses, billing, collections, and financial operations.
• Ability to establish and maintain effective working relationships with staff, leadership, the Board, providers, vendors, and the community.
• Sound judgment, emotional maturity, professionalism, and the ability to manage change.
• Strong verbal, written, and listening skills.
• Ability to lead teams, support department directors, and promote accountability.
• Ability to maintain confidentiality and handle sensitive information appropriately.
• Public relations and community communication skills.

Work Experience, Education, and Certifications

Preferred qualifications include:

• Previous CFO, Controller, or senior financial leadership experience in a hospital or healthcare setting.
• Critical Access Hospital experience preferred.
• Minimum of five years of progressive financial/accounting management experience preferred.
• Minimum of three years of revenue cycle experience preferred.
• Experience in rural healthcare, governmental entities, or nonprofit healthcare preferred.
• Experience with Medicare cost reporting, Medicaid, audits, budgeting, and financial reporting preferred.
• Meditech experience preferred.
• Master’s degree, CPA, or other relevant certification preferred but not required.
• Experience with construction financing, capital projects, or facility planning is a plus.

About Muenster Hospital District

Muenster Hospital District is committed to serving the healthcare needs of Muenster and the surrounding rural communities. As a local Hospital District, we are focused on providing accessible, high-quality care while maintaining the financial strength and operational stability needed to serve our community for years to come.