Chief Financial Officer (CFO) - Rural Healthcare

Location: Midwest United States (On-Site) Employment Type: Full-Time Position Overview 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 communitiesaa415a4b-8b21-40fc-a65c-70d2b25ca29a