Chief Financial Officer (CFO)

Jamie Grayem
Chicago, IL

Chief Financial Officer (CFO), Healthcare Facility

$140K-180K+ Signing Bonus + Paid Relocation + Full Benefits + Signing Bonus

Role Overview: Strategic Financial Leadership

The Chief Financial Officer (CFO) is an integral member of the senior leadership team, responsible for the overall financial and fiscal management of a major healthcare facility. This is a critical leadership position that actively participates in the financial and functional decision-making processes necessary for the successful attainment of the facility’s operational, clinical, and financial goals.

The CFO is accountable for all day-to-day fiscal operations, reporting, revenue cycle performance, and strategic budgeting. This position reports directly to the facility's Chief Executive Officer (CEO).

On-site, 5 days per week.

Seniority: Executive Level

Essential Functions & Strategic Accountabilities

I. Financial Reporting & Controls

  • Ensure the timely and accurate completion of all monthly financial statements and corporate-required reports (including monthly operating reports, certifications, disclosures, and forecasts).

  • Maintain impeccable financial integrity by ensuring all balance sheet accounts are reconciled monthly, in compliance with corporate policies and standards, with timely identification and correction of all outstanding variances.

  • Establish, implement, and rigorously enforce accounting and business office policies, procedures, and internal controls to guarantee a clean annual audit with no material adjustments or deficiencies.

  • Oversee and approve all computer access privileges (SAF’s) to maintain system security and ensure access is terminated for departing employees.

II. Revenue Cycle & Financial Performance

  • Direct the entire Revenue Cycle operation to ensure timely collection of accounts receivable, minimization of uncompensated care, and optimization of net revenue.

  • Proactively monitor and analyze key revenue cycle metrics (e.g., cash collections, AR days, bad debt, and denial rates) to identify issues and implement immediate, effective corrective actions.

  • Ensure Front End Revenue Cycle processes are fully effective, including 100% insurance verification, accurate determination of patient financial portions, proper approval of discounts/charity care, and effective upfront collection logging.

  • Maintain expert working knowledge of federal, state, and managed care reimbursement methodologies to ensure accurate facility payment and precise recording of revenue deductions.

  • Actively participate in managed care contracting and other business development activities to maximize net revenue.

III. Budgeting, Planning & Operational Management

  • Lead the preparation of the annual operating budget and participate in the annual strategic planning process that serves as the basis for the budget.

  • Provide ongoing, in-depth analysis of variances from budget and collaborate with the CEO and department managers to implement necessary changes to achieve financial goals.

  • Prepare annual capital budgets and Capital Equipment Requests, ensuring assets and related depreciation are accurately recorded.

  • Provide financial leadership, guidance, and training to facility managers, offering routine feedback regarding departmental financial performance and productivity goals.

  • Ensure compliance with Group Purchasing contracts and monitor purchasing to keep supply costs within budgeted levels.

IV. Leadership & Management

  • Serve as a trusted strategic partner to the CEO, ensuring open communication and positive collaboration to achieve facility objectives.

  • Supervise and lead the Accounting, Patient Accounting, Health Information Management (HIM), Materials Management, and any other assigned departments. Ensure departments are adequately staffed, trained, and managed.

  • Provide financial expertise and conduct pro-forma analysis for planning and launching new services.

  • Maintain a current, thorough knowledge of healthcare industry trends and regulatory changes to ensure the facility remains prepared and compliant.

Required Qualifications & Skills

Education and Experience

  • Education: Bachelor’s degree in Accounting or a business-related field. Master’s degree preferred.

  • Experience: Minimum 3 years of successful CFO experience in a healthcare setting is required , specifically managing facility-level financial operations. (10+ to 15 years total experience desired).

  • Seniority: Management/Executive level experience required.

  • Preference: Previous experience in the proprietary (for-profit) healthcare system environment is highly preferred.

  • Preference: Previous Behavioral healthcare experience is highly preferred (specifically for profit, inpatient beds).

Required Skills & Abilities

  • Proven, advanced financial analysis skills and ability to think strategically and solve complex problems.

  • Demonstrated ability to lead and manage a multi-level team , including hiring, performance accountability, and corrective action.

  • Expert knowledge of Month End Close procedures and Expense Management .

  • Excellent written and verbal communication skills, including the ability to influence and train facility managers.

  • Ability to lead with a high degree of emotional intelligence and ethics.

  • Proficiency with information technology and software packages, including Microsoft Excel and Word.

  • Ability to work professionally with sensitive, proprietary data while maintaining strict confidentiality.

Licenses/Designations/Certifications

  • CPA Designation is highly preferred.

Posted 2025-11-06

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