Chief Financial Officer

Bosque County Hospital District; Clifton (TX); On-site; USD 180,000 - 280,000; Full time

Job summary

Goodall-Witcher Healthcare seeks an experienced Chief Financial Officer to lead the financial strategy and operations for a rural community hospital. The CFO will guide planning, budgeting, forecasting, and revenue cycle oversight to sustain high-quality patient care.

The role requires a CPA (preferred) and at least five years of healthcare finance leadership, with deep knowledge of Medicare/Medicaid reimbursement and CAH finance. Strong collaboration with physicians and leadership is essential.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required.
• CPA designation preferred.
• Progressive financial leadership experience in healthcare finance (5+ years).
• Experience with Medicare/Medicaid reimbursement and CAH finance is strongly preferred.
• Experience managing audits, internal controls, cash management, and regulatory compliance.

Responsibilities

• Lead financial planning, budgeting, forecasting, and reporting functions.
• Oversee accounting operations, financial reporting, audits, and internal controls.
• Manage cash flow, debt financing, investments, and financial risk management.
• Monitor revenue cycle performance and reimbursement processes to maximize outcomes.
• Ensure compliance with Medicare, Medicaid, and other regulatory requirements.
• Prepare annual operating and capital budgets and maintain financial policies.

Skills

GAAP knowledge

Leadership

Communication

Analytical thinking

Education

Bachelor's degree in Accounting or Finance

CPA designation preferred

Tools

Excel

PowerPoint

Word

Job description

Goodall-Witcher Healthcare is seeking an experienced and strategic Chief Financial Officer (CFO) to serve as a key member of the Executive Leadership leadership team. The CFO is responsible for the overall financial leadership of the organization, including financial planning, budgeting, forecasting, revenue cycle oversight, reimbursement, debt management, and long-term financial sustainability.

This position directs all accounting and financial operations, ensuring compliance with Generally Accepted Accounting Principles (GAAP), healthcare regulations, and organizational policies. The CFO provides financial guidance to support strategic decision-making, operational excellence, and the hospital’s mission of delivering high-quality healthcare services to the communities we serve.

Key responsibilities include:

• Leading the organization’s financial planning, budgeting, forecasting, and reporting functions.
• Overseeing accounting operations, financial reporting, audits, and internal controls.
• Managing cash flow, debt financing, investments, and financial risk management.
• Monitoring revenue cycle performance and reimbursement processes to maximize financial outcomes.
• Ensuring compliance with Medicare, Medicaid, and other regulatory requirements.
• Directing the preparation of annual operating and capital budgets.
• Developing and maintaining financial policies, procedures, and internal control systems.
• Providing financial analysis and recommendations to support organizational growth and strategic initiatives.
• Leading, developing, and mentoring Business Office and Finance Department staff.
• Building collaborative relationships with physicians, department leaders, board members, auditors, and regulatory agencies.

The CFO plays a critical role in maintaining the financial health and sustainability of the organization while supporting exceptional patient care.

Requirements

Education & Credentials

• Bachelor’s degree in Accounting, Finance, or related field required.
• CPA designation preferred.

Experience

• Minimum of five (5) years of progressive financial leadership experience in healthcare finance.
• Experience in a Critical Access Hospital (CAH) setting strongly preferred.
• Demonstrated experience in financial management, budgeting, forecasting, financial reporting, and operational analysis.
• Extensive knowledge of healthcare reimbursement methodologies, including Medicare and Medicaid reimbursement.
• Experience with Medicare Cost Reports, Critical Access Hospital reimbursement, and rural healthcare finance required.
• Experience managing audits, internal controls, cash management, and financial compliance programs.

Knowledge, Skills & Abilities

• Strong understanding of GAAP and healthcare financial regulations.
• Proven leadership, team development, and performance management skills.
• Excellent communication, presentation, and relationship-building abilities.
• Strategic thinker with strong analytical and problem-solving capabilities.
• Ability to partner effectively with Executive Leadership leadership, medical staff, department leaders, and governing boards.
• Proficient in Microsoft Excel, Word, and PowerPoint.

Leadership Expectations

• Ability to lead and develop high-performing finance and business office teams.
• Demonstrated success in creating a culture of accountability, collaboration, and continuous improvement.
• Commitment to supporting the mission, vision, and values of a rural healthcare organization.