Chief Financial Officer

Serenity Estates; Charleston (IL); On-site; USD 180,000 - 280,000; Full time

Benefits offered by this job

Relocation assistance

Job summary

Serenity Estates in Charleston, Illinois, is seeking a hands-on Chief Financial Officer to lead all financial and revenue-cycle activities across a multi-state SNF portfolio. This role demands deep SNF finance experience and a proven ability to scale back-office operations, drive cash flow, and implement strong controls.

The successful candidate will partner with executive leadership to shape strategy, optimize payer mix, and ensure regulatory compliance while building an agile, data-driven

Qualifications

• Must have direct Skilled Nursing Facility (SNF) experience.
• 7–10+ years of progressive financial leadership in multi-site operations.
• Experience managing billing, collections, and revenue cycle in SNF.

Responsibilities

• Lead financial planning, forecasting, and modeling for acquisitions and expansions.
• Oversee accounting, budgeting, reporting, and cash flow across states.
• Direct billing and revenue cycle operations with 95%+ collection goals.
• Oversee Medicare/Medicaid reimbursement and PDPM performance.
• Ensure regulatory compliance and CHOW-related financial processes.
• Build and mentor finance and billing teams.

Skills

SNF experience

Financial leadership

Billing & revenue cycle

Regulatory compliance

Education

Bachelor's degree in Accounting/Finance

CPA or MBA preferred

Job description

Chief Financial Officer (CFO- Must have Skilled Nursing Experience)
Location: Charleston, Illinois (On-Site)
Travel: Required (Multi-State Portfolio)
*Relocation Assistance Available for Qualified Candidates Relocating to Charleston, IL or Surrounding Areas

About the Opportunity

A growing, multi-state skilled nursing organization is seeking a highly experienced and hands-on Chief Financial Officer (CFO) to lead and scale the financial and revenue cycle operations of the company. This is a critical executive role for a leader who not only understands the complexities of skilled nursing finance, but also has a proven ability to drive performance, accountability, and results across both finance and billing functions.

This position requires direct Skilled Nursing Facility (SNF) experience. Applicants without SNF, long-term care, or nursing home finance and reimbursement experience will not be considered.

The CFO will play a key role in supporting continued growth, ensuring strong cash flow, and building a best-in-class back-office infrastructure.

Key Responsibilities

Strategic Financial Leadership

• Serve as a key advisor to ownership and executive leadership on financial strategy, growth initiatives, and risk management
• Lead financial planning, forecasting, and modeling for acquisitions, expansions, and operational improvements
• Drive data-informed decision-making across all levels of the organization

Financial Operations & Oversight

• Oversee all accounting, budgeting, financial reporting, and cash flow management across a multi-state portfolio
• Ensure timely and accurate preparation of financial statements and reporting packages
• Establish and maintain strong internal controls and scalable financial systems

Revenue Cycle & Billing Oversight (CORE FOCUS)

• Directly oversee the entire billing and collections process across all facilities
• Lead and manage back-office operations, including billers and revenue cycle teams
• Ensure timely and accurate billing, with strict adherence to deadlines and regulatory requirements
• Drive collections performance with a target of 95%+ collection rates
• Identify, investigate, and resolve billing discrepancies and revenue leakage
• Implement processes to reduce denials, improve cash flow, and increase operational efficiency
• Hold billing teams accountable to performance metrics, timelines, and quality standards

Skilled Nursing & Reimbursement Expertise

• Oversee and optimize Medicare and Medicaid reimbursement processes
• Analyze payer mix, PDPM performance, and reimbursement trends to maximize revenue
• Partner with clinical and operations teams to align financial outcomes with quality care

Regulatory & Compliance

• Ensure full compliance with all federal and state financial regulations
• Lead and support Change of Ownership (CHOW) processes, including financial structuring and reporting
• Oversee cost reporting, audits, and all regulatory financial submissions

Growth & Transactions

• Lead financial due diligence for acquisitions and support integration efforts post-close
• Partner with legal, compliance, and operations teams during transitions and expansions
• Build financial infrastructure to support a rapidly growing organization

Team Leadership

• Build, lead, and mentor both finance and billing teams
• Establish clear KPIs, accountability structures, and performance expectations
• Create a culture of ownership, urgency, and continuous improvement

Operational Excellence

• Identify opportunities to improve margins, reduce costs, and increase efficiency
• Monitor key financial and operational KPIs across facilities
• Implement best practices and scalable processes across all entities

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field (CPA or MBA strongly preferred)
• MUST have direct Skilled Nursing Facility (SNF) experience
• Applicants must have experience specifically within skilled nursing, long-term care, or nursing home operations/finance
• 7–10+ years of progressive financial leadership experience, including oversight of multi-site operations
• Proven experience managing billing, collections, and revenue cycle operations in SNF settings

Deep Understanding of:

• Medicare and Medicaid reimbursement
• SNF billing processes and compliance requirements
• CHOW (Change of Ownership) processes
• Cost reporting and financial audits
• Demonstrated success improving collections, cash flow, and billing accuracy
• Experience leading and managing back-office billing teams
• Strong leadership, communication, and organizational skills
• Hands-on, roll-up-your-sleeves approach with the ability to operate both strategically and tactically

Additional Requirements

• Willingness and ability to travel across multiple states as needed
• Must be based in or willing to relocate to Charleston, Illinois or nearby surrounding communities
• Relocation assistance/package available for qualified candidates
• High level of integrity, accountability, and attention to detail
• Ability to thrive in a fast-paced, high-growth environment