CFO

HCA Healthcare; San Antonio (TX); On-site; USD 180,000 - 270,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) plan with match

Education support

Wellbeing support

Paid time off & family leave

Job summary

South Texas Radiology Imaging Centers (STRIC) is seeking an accomplished CFO to steward financial strategy, performance, and risk across 23 imaging sites in San Antonio, TX. You will lead enterprise FP&A, accounting, tax, treasury, and payer strategy, partnering with clinical and operational leaders to drive growth and operational excellence.

The role requires 10+ years of progressive healthcare finance leadership, strong GAAP reporting, and experience with ERP/EPM modernization.

Qualifications

• Bachelor’s degree in Accounting or Finance required.
• CPA strongly preferred; MBA/MHA preferred.
• 10+ years of progressive finance leadership, multi-site healthcare experience.
• Proven track record in FP&A, GAAP reporting, audit, and internal controls.

Responsibilities

• Provide strategic leadership to CEO and executive team; co-lead enterprise strategy and long-range planning.
• Own enterprise FP&A including forecasting, budgeting, and rolling outlooks.
• Oversee accounting, reporting, and audits; ensure GAAP compliance and strong internal controls.
• Lead revenue cycle and payer contracting strategy; analyze payer mix and contract performance.
• Direct capital planning, liquidity management, and investment evaluation.

Skills

Strategic leadership

FP&A

GAAP reporting

Revenue cycle

Multi-site healthcare

Education

Bachelor’s degree (Accounting/Finance)

CPA preferred

MBA/MHA preferred

Tools

ERP/EPM systems

Job description

This position is incentive eligible.

Do you have the career opportunities as a(an) CFO you want with your current employer? We have an exciting opportunity for you to join South Texas Radiology Imaging Centers.

Job Summary and Qualifications

The Chief Financial Officer (CFO) is STRIC’s chief steward of financial strategy, performance, and risk. As a key member of the executive leadership team, the CFO leads enterprise financial planning and analysis, accounting and reporting, tax return coordination, revenue cycle and payer strategy, capital planning and treasury, enterprise risk management, and financial systems/data. The CFO partners with clinical and operational leaders across STRIC’s 23 imaging sites to drive sustainable growth, operational excellence, and exceptional patient and physician experience.

Essential Duties & Responsibilities

Strategy & Enterprise Leadership

• Serve as a strategic advisor to the CEO and executive team; co‑lead enterprise strategy, annual operating plans, and multi‑year cashflow projections.
• Provide actionable insights on service line and site performance, guide decisions on market expansion, modality mix, pricing, and capacity planning.
• Prepare and deliver materials to the Joint Policy Board; communicate performance, risks, and opportunities with clarity.

Financial Planning & Analysis (FP&A)

• Own enterprise FP&A including forecasting, budgeting, rolling outlooks, and long‑range planning.
• Develop driver‑based models linking volumes, capacity, and payer mix to revenue and margin.
• Standardize analytics and dashboards (e.g., per‑site profitability, modality contribution, unit costs, productivity).

Accounting, Reporting & Audit

• Oversee CAO function and ensure integrity, timeliness, and accuracy of financial statements in accordance with GAAP.
• Shorten close cycles and strengthen reconciliations and internal controls.
• Coordinate external audits and tax filings for STRIC and related entities; implement sustainable corrective actions from findings.

Revenue Cycle & Payer Strategy

• Lead end‑to‑end revenue cycle (patient access, coding, billing, denials, collections) to achieve best‑in‑class performance and patient experience.
• Own managed care/payer contracting strategy; analyze payer mix and contract performance; negotiate value‑driven agreements.
• Implement root‑cause analytics for underpayments, denials, and bad debt; drive cross‑functional policy and process improvements.

Treasury, Capital Planning & Investments

• Direct capital allocation and portfolio management, including ROI/NPV analysis for imaging equipment, IT, site expansions, and new services.
• Manage liquidity, cash forecasting, and banking relationships; optimize working capital and debt structure.
• Establish disciplined business‑case standards and post‑investment reviews.

What qualifications you will need:

Education

• Bachelor’s degree in Accounting, Finance, or related field required.
• CPA strongly preferred; MBA/MHA preferred.

Experience

• 10+ years of progressive finance leadership, including multi‑site healthcare or outpatient services experience.
• Demonstrated success leading revenue cycle and payer contracting strategies.
• Proven track record in FP&A, GAAP reporting, audit, and internal controls.
• Experience with ERP/EPM modernization and analytics; data‑driven operations.

Benefits

South Texas Radiology Imaging Centers, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short‑term disability coverage and leaves of absence
• Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

South Texas Radiology Imaging Centers (STRIC) offers full-service, outpatient diagnostic imaging and interventional radiology in San Antonio, Texas. Professional interpretation and interventional procedures are provided by South Texas Radiology Group, P.A. (STRG). STRG has more than 70 Board‑Certified Radiologists, many with sub‑specialties such as neuroradiology, musculoskeletal, body, cardiac, breast, and interventional radiology. They have built strong experience and a trusted reputation over more than fifty years.

Registered technologists who are highly trained and experienced perform safe and accurate imaging exams using advanced imaging technology. South Texas Radiology Imaging Centers (STRIC) is one of the largest outpatient diagnostic imaging providers in San Antonio, with twenty‑two locations across San Antonio, Boerne, and Schertz, Texas.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.