Chief Financial Officer

NOW CFO; Carlsbad (CA); On-site; USD 150,000 - 250,000; Full time

Job summary

A multi-entity healthcare organization seeks a Chief Financial Officer to lead financial operations across several skilled nursing facilities. This role involves overseeing budgeting, compliance with GAAP, and driving financial strategy for efficiency and long-term growth. The ideal candidate has significant healthcare finance experience and proven leadership abilities, ensuring effective communication with all stakeholders while maintaining high standards of accountability and service. Join a team committed to compassionate care and continuous improvement.

Qualifications

• 5+ years of healthcare finance experience managing revenues over $100M.
• Proven accountability and commitment to responsibilities.

Responsibilities

• Lead all financial operations across multi-state skilled nursing facilities.
• Drive strategic financial planning to optimize performance and efficiency.
• Oversee compliance with GAAP and HUD financing requirements.

Skills

Healthcare finance experience

Clear & honest communication

Virtuous leadership

Efficiency

Job description

NOW CFO is representing a multi-entity healthcare organization in a confidential search for a Chief Financial Officer. The organization supports its communities through high-quality, compassionate care and operates with a strong emphasis on clear communication, accountability, and continuous improvement.

The ideal candidate leads with humility and purpose, supports teams openly, and upholds high standards with care. This role requires a leader who drives proactive financial strategy aligned with quality care and long-term stability.

Responsibilities

• Lead all financial operations across multi-state skilled nursing facilities, including accounting, budgeting, forecasting, and financial reporting.
• Ensure clear, effective communication with finance teams, executive leadership, ownership, and HUD stakeholders.
• Drive strategic financial planning to optimize performance, improve efficiency, and support sustainable growth.
• Ensure compliance with GAAP, HUD financing requirements, and applicable regulatory standards.
• Oversee cost reporting, reimbursement processes, and financial submissions related to skilled nursing operations.
• Strengthen internal controls, financial policies, and reporting processes to support scalability, accuracy, and transparency.
• Partner with operations leadership to evaluate facility-level performance, improve margins, and implement corrective action plans.
• Manage cash flow, liquidity, and working capital to support day-to-day operations and long-term strategic investments.
• Lead annual budgeting and long-range financial planning aligned with operational and clinical priorities.
• Support mergers, acquisitions, and divestitures, including due diligence, transaction execution, integration, and post-transaction optimization.
• Serve as a strategic advisor to ownership and executive leadership, delivering data-driven insights on financial risks, opportunities, and performance trends.
• Demonstrate integrity, discretion, and accountability in a fast-paced, results-driven environment.
• Lead HUD-related financing activities, including refinancing, bridge-to-HUD transactions, rate locks, and lender coordination.
• Maintain industry expertise through periodic travel and participation in key industry conferences and regulatory forums (e.g., NIC, CAHF/ECAP Summit).
• Oversee reimbursement and refinance strategy, including AB 186 medical rate negotiations, managed care contracting, and payer collaboration.

Qualifications (Required)

• Healthcare finance experience
• Experience with revenues 100M+
• Accountability - ownership of responsibilities and follow-through on commitments
• Ambition - Drive for growth.
• Vision - Anticipate future challenges and opportunities.
• Clear & honest Communication - communicate directly and respectfully
• Sincere passionate care – lead with a service mindset
• Virtuous Leadership - continuous persistent drive for improvement.
• Efficiency - anticipating future challenges and opportunities.