Chief Financial Officer (CFO) - Critical Access Hospital

Chief Financial Officer (CFO)Department: AdministrationStatus: Full-Time | 1.0 FTEFLSA Status: ExemptSchedule: 40+ hours/weekReports To: Chief Executive OfficerLocation: Pagosa Springs Medical Center – Pagosa Springs, Colorado Position HighlightProvide strategic financial leadership for a rural Critical Access Hospital and help ensure the long-term sustainability of essential healthcare services in southwest Colorado.As a member of Pagosa Springs Medical Center's Executive Leadership team, the Chief Financial Officer will shape financial strategy across our Critical Access Hospital, Rural Health Clinic, and Emergency Medical Services operations, partnering closely with the CEO, Board of Directors, clinical leaders, and operational leaders to strengthen financial performance while supporting high-quality patient care.Position SummaryPagosa Springs Medical Center (PSMC) is seeking an experienced and forward-thinking Chief Financial Officer (CFO) to serve as a senior executive leader responsible for the financial strategy, performance, sustainability, and financial integrity of the Medical Center.The CFO provides strategic and operational financial leadership across PSMC's Critical Access Hospital (CAH), Rural Health Clinic (RHC), and Emergency Medical Services (EMS) operations. This role is responsible for ensuring organizational leaders have the financial information, education, and support necessary to make informed decisions and understand their role in achieving the Medical Center's financial goals.This position extends well beyond traditional financial reporting. The CFO serves as an active strategic and operational partner to the CEO and other senior leaders, using financial and operational data to identify trends, anticipate risks, evaluate opportunities, strengthen revenue performance, and support the long-term financial sustainability of PSMC and the essential healthcare services we provide.Key areas of executive responsibility include financial strategy and service-line analysis, revenue cycle leadership, payer contracting and reimbursement, budgeting and financial planning, accounting and financial reporting, Medicare cost reporting, and management financial education and accountability.Why Join PSMC?Serve as a key executive leader for an independent rural Critical Access HospitalInfluence the long-term financial strategy and sustainability of healthcare services for our communityOversee financial strategy across hospital, Rural Health Clinic, and EMS operationsPartner directly with the CEO, Board of Directors, Executive Leadership, clinical leaders, and operational leadersLead organization-wide revenue cycle strategy, from patient access and charge capture through billing, denials, collections, and reimbursementGuide payer strategy and reimbursement analysis in a complex Medicare, Medicaid, and commercial payer environmentLead financial analysis for existing and proposed service lines to support informed growth decisionsBring financial information to life by helping managers and clinical leaders understand how operational decisions affect organizational performanceJoin a mission-driven healthcare organization where financial stewardship directly supports continued access to local healthcareKey ResponsibilitiesFinancial Strategy & Service-Line AnalysisProvide forward-looking financial leadership that supports organizational strategy, patient care, and long-term sustainabilityEvaluate the financial performance and sustainability of existing service lines using volume, revenue, payer mix, reimbursement, expense, contribution margin, capacity, and other operational dataDevelop comprehensive pro forma analyses for proposed new or expanded servicesIncorporate quality metrics into financial analysis to connect clinical outcomes with financial performanceEvaluate market share, saturation, and relevant external operational metricsIdentify opportunities to improve performance, increase revenue, reduce expense, and better meet the healthcare needs of the communityPartner with senior leaders in developing service lines that support PSMC's long-term sustainabilityRevenue Cycle LeadershipProvide executive oversight of the full revenue cycleEnsure effective coordination among clinical, operational, and revenue cycle functionsOversee payer contracting, chargemaster integrity, charge capture and reconciliation, patient access and registration, eligibility and authorization, coding, billing, claims management, denials, collections, and overall revenue cycle performanceStrengthen front-end accuracy, including insurance eligibility verification and pre-authorizationSupport clinical documentation and coding integrity throughout the middle revenue cycleMonitor back-end performance, including days in accounts receivable, cash posting, claims performance, and third-party vendorsDevelop strategies to respond to changing payer requirements and restrictionsEnsure appropriate auditing of claims to reduce unbilled services and documentation-related revenue leakagePayer Contracting & ReimbursementEvaluate payer contracts, reimbursement methodologies, and the financial implications of contract termsEnsure PSMC has the data and analytical capabilities necessary to understand reimbursement performanceIdentify reimbursement opportunities and financial risksAnalyze organizational cost structures when evaluating payer ratesContinuously monitor payer contract performanceEvaluate and monitor discounted care programs for compliance and accurate reportingBudgeting & Financial PlanningLead development of PSMC's annual operating and capital budgetsEstablish realistic assumptions for patient volumes, revenues, reimbursement, staffing, compensation, operating expenses, capital needs, and organizational growthMonitor short-term liquidity necessary to meet payroll and vendor obligationsEnsure revenue projections appropriately account for Medicare, Medicaid, commercial insurance, and other payer sourcesUtilize financial performance KPIs and efficiency indicators in organizational planningForecast capital, technology, staffing, and operational needsMonitor budget performance and initiate corrective action when appropriateAccounting & Financial ReportingProvide leadership and oversight of PSMC's finance and accounting functionsEnsure accurate and timely monthly financial statementsMaintain appropriate financial controlsOversee cash management and forecastingSupport and actively participate in required audit processesPresent meaningful financial information to senior leadership, the Finance Committee, and Board of DirectorsEnsure accurate financial reporting related to grants and contributionsCritical Access Hospital & Medicare Cost ReportingMaintain strong working knowledge of Medicare reimbursement and cost reporting requirements applicable to a Critical Access Hospital and Rural Health ClinicUnderstand how staffing, operations, service lines, cost allocation, and other financial decisions affect Medicare cost reporting and reimbursementIncorporate CAH reimbursement implications into organizational financial and operational decision-makingEnsure accurate expense tracking and appropriate cost allocationEnsure required Medicare cost reporting is accurate and timelyOversee timely submission of CMS Form 2552-10 following the close of PSMC's fiscal yearExecutive Leadership & Strategic PlanningServe as a strategic and operational partner to the CEO and Executive Leadership teamParticipate with the Board and Executive Leadership in establishing annual strategic and operational goalsDevelop short- and long-term financial plans aligned with PSMC's mission and strategic planIdentify opportunities for responsible growth and service expansionTranslate organizational priorities into measurable action and resultsLead organizational change in a positive and productive mannerUse data, operational insight, and frontline input to identify challenges, implement solutions, and measure resultsRemain effective during emergencies, staffing shortages, operational disruptions, and other high-pressure situationsFinancial Education & AccountabilityTranslate complex financial and revenue cycle information into practical, understandable information for managers and clinical leadersEducate leaders on how staffing, productivity, scheduling, purchasing, charge capture, documentation, patient volumes, and service delivery affect revenue, expense, reimbursement, and overall financial performanceProvide financial education to the Board regarding financial metrics, cash flow trends, and compliance responsibilitiesEstablish clear expectations and promote financial accountability throughout the organizationLeadership & People DevelopmentLead and develop assigned managers, directors, and staffEstablish clear expectations for performance, training, professional development, conduct, and accountabilityFoster a positive, collaborative, high-performing cultureProvide coaching, feedback, and performance management in a fair and consistent mannerSupport staff development, education, and cross-trainingOversee recruitment, interviewing, selection, onboarding, and retention within assigned areas in partnership with Human ResourcesPromote open communication and ensure organizational priorities are effectively communicated to staffBuild effective relationships across clinical, administrative, executive, Board, and community stakeholdersCompliance & GovernanceEnsure compliance with applicable federal, state, and local requirements, including requirements applicable to Critical Access Hospital operationsMaintain readiness for regulatory and licensing surveysMonitor compliance with organizational policies and proceduresSupport appropriate development and maintenance of departmental policiesMaintain confidentiality and compliance with applicable privacy requirementsParticipate in executive, Board, Finance, Strategic Planning, Facilities, Governance, Emergency Management, Revenue Cycle, Utilization Management, Compliance, and other assigned meetings and committeesRequired QualificationsEducationBachelor's degree from an accredited institution in finance, healthcare administration, business administration, or a closely related relevant fieldExperienceMinimum of seven (7) years of progressively responsible healthcare financial management and revenue cycle experienceMinimum of three (3) years of experience in a senior financial or revenue cycle leadership role, such as CFO, VP of Finance, Director of Finance, Controller, or Director of Revenue CycleDemonstrated experience with:Service-line financial analysisHospital and medical center revenue cycleGovernment and commercial payer reimbursement and contractingFinancial and operational analysisFinancial reporting and presentationBudget preparation and financial planningMedicare cost reportingStrategic planningCertifications & Leadership RequirementsCurrent AHA BLS Heart Saver certificationICS 100, 200, 300, 400, 700, and 800Ability to effectively lead multidisciplinary teams in a rural healthcare environmentDemonstrated understanding of patient safety, healthcare operations, regulatory compliance, workforce management, and financial stewardshipStrong financial acumen, strategic planning, cross-functional leadership, regulatory knowledge, and crisis-management skillsStrong communication, problem-solving, organizational, and interpersonal skillsPreferred QualificationsPrevious experience with the following is highly desirable:Critical Access Hospital (CAH) financial operations and reimbursementRural Health Clinic (RHC) financial operations and reimbursementEMS/Ambulance servicesFinancial leadership within a rural healthcare environmentWhat We're Looking ForThe successful CFO will:Understand that strong financial performance and exceptional patient care are interconnectedBring a deep understanding of healthcare finance, revenue cycle, reimbursement, and financial operationsUnderstand the unique financial and operational realities of rural healthcare and Critical Access Hospital operationsThink beyond historical financial reporting to identify trends, anticipate risks, and evaluate future opportunitiesUse financial and operational data to drive informed decision-makingBalance quality, access, workforce needs, and financial sustainabilityCommunicate complex financial concepts effectively to clinical leaders, operational leaders, executives, and Board membersEstablish clear expectations and follow through on commitmentsBuild collaborative relationships across clinical and administrative teamsDemonstrate sound judgment in high-pressure and rapidly changing situationsPromote accountability while developing and supporting organizational leadersValue continuous improvement and use data to measure resultsEmbody PSMC's WISER values of Wholeness, Integrity, Stewardship, Excellence, and RespectSchedule & Work EnvironmentThis is a full-time, exempt executive leadership position anticipated to work 40+ hours per week. The CFO works in an office and hospital environment and maintains frequent communication with employees, organizational leaders, providers, vendors, Board members, and other internal and external stakeholders.The position requires active participation in organizational leadership and governance, including the CEO's daily management huddle, Board and Board committee meetings, Revenue Cycle, Utilization Management, Compliance, Emergency Management, and other assigned committees.Compensation & BenefitsCompensationAnnual salary range: $200,000 - $240,000, based on qualifications and experienceBenefits (Full-Time Executive Leadership)320 hours of paid time off (PTO) annuallyMedical, dental, and vision insuranceLife and AD&D insuranceLong-term disability coverageOption for short-term disability coverageRetirement plan with employer contributionEmployee Assistance Program and wellness resourcesAbout Pagosa Springs Medical CenterPagosa Springs Medical Center is a Critical Access Hospital serving Pagosa Springs and Archuleta County in southwest Colorado. Our organization provides essential hospital, emergency, outpatient, Rural Health Clinic, EMS, and other healthcare services to residents and visitors throughout our rural mountain community.As a Critical Access Hospital, maintaining strong financial stewardship and understanding the unique Medicare reimbursement and cost-reporting environment are essential to our ability to sustain high-quality healthcare close to home. The CFO plays a central role in balancing access, quality, workforce needs, organizational growth, and long-term financial sustainability.Located in the beautiful San Juan Mountains, Pagosa Springs offers an exceptional quality of life with year-round opportunities for hiking, skiing, fishing, mountain biking, rafting, hunting, and other outdoor recreation.At PSMC, you'll join a collaborative organization guided by our WISER values: Wholeness, Integrity, Stewardship, Excellence, and Respect.Apply TodayIf you're an experienced healthcare financial executive who combines strong financial and revenue cycle expertise with strategic thinking, collaborative leadership, and an understanding of the unique challenges and opportunities of rural healthcare, we'd love to hear from you.Join Pagosa Springs Medical Center as our Chief Financial Officer and help ensure the financial strength and long-term sustainability of the essential healthcare services our community depends on.Anticipated End Date for Posting: December 31, 2026. PSMC may extend the application period if additional recruitment is necessary. #J-18808-Ljbffr Pagosa Springs Medical Center