Chief Financial Officer

LBJ TMC; Fagaʻalu, Tafuna (AS, AS); On-site; USD 90,000 - 120,000; Full time

Job summary

LBJ Tropical Medical Center in American Samoa is seeking an experienced Chief Financial Officer. The CFO will oversee all financial, accounting, and revenue cycle operations, reporting to the CEO and guiding strategic financial decisions for LBJ and ASMCA.

The role requires a strong track record in hospital finances, Medicare/Medicaid reporting, and GAAP compliance. This is a full-time executive contract with a two-year term, offering a salary range of $90,000 to $120,000 per annum.

Qualifications

• Bachelor's degree in accounting, finance, or a closely related field from a U.S.-accredited college or university
• Ten years of progressive experience as a financial or accounting manager at a senior management level
• At least five years of senior financial management in a hospital/healthcare setting with Medicare/Medicaid reporting
• Advanced computer skills, including MS Office and Dynamics GP or similar software
• Exceptional written and verbal communication skills in English

Responsibilities

• Lead financial strategy for ASMCA and LBJ Tropical Medical Center.
• Manage financial controls and accounting procedures; ensure accurate financial statements.
• Ensure transparency of financial performance for ASMCA and LBJ LBJ Tropical Medical Center.
• Prepare financial strategies to increase revenues and reduce costs; present to CEO and Board.
• Ensure timely audits and compliance with GAAP and CMS requirements.
• Prepare and submit regular monthly, quarterly, and annual financial reports to CEO and Board.

Skills

Exceptional communication in English

Financial analysis and reporting

Education

Bachelor's degree in accounting or finance

Master’s degree in accounting/finance (preferred)

Tools

MS Office

Dynamics GP / financial software

Job description

The Human Resources Department is accepting applications for the following full-time
executive contract position with the American Samoa Medical Center Authority
(ASMCA), which operates LBJ Tropical Medical Center (LBJ). This position is open to
internal and external applicants and is appointed by the ASMCA Board of Directors in
accordance with the Authority’s bylaws.

EXECUTIVE LEADERSHIP POSITION

Job Title: Chief Financial Officer
Department: Finance
Reports To: Chief Executive Officer
Employment Status: Full-Time, Executive Contract (Two-Year Term)
Salary Range: $90,000 to $120,000 per annum
Note: Final employment terms are subject to budget availability and approval by the ASMCA Board of Directors.

POSITION SUMMARY

The Chief Financial Officer (CFO) is the senior financial executive of ASMCA.
Reporting directly to the Chief Executive Officer (CEO), the CFO provides strategic leadership for all financial, accounting, and revenue cycle operations, and shapes decisions that affect LBJ's overall healthcare policies, procedures, and processes. The CFO serves as a key advisor to the CEO, senior management, and the Board of Directors, and is accountable for the financial integrity, sustainability, and long-term stability of the Authority.

ESSENTIAL DUTIES & RESPONSIBILITIES

1. Execute the financial strategy of ASMCA to advance and improve the quality of
   the healthcare delivery system at LBJ Tropical Medical Center, ensuring that
   consistent, quality medical services are provided to all residents of American
   Samoa seeking medical attention and treatment.
2. Manage financial controls and accounting procedures to ensure that all financial
   transactions are fully captured and properly reflected in the financial statements of
   LBJ Tropical Medical Center.
3. Ensure full transparency over the financial performance and all financial
   transactions of ASMCA and LBJ Tropical Medical Center.
4. Prepare financial strategies to increase revenues and reduce costs at LBJ Tropical
   Medical Center and submit them to the CEO for review and subsequent
   transmittal to the Board of Directors for consideration and decision.
5. Propose action plans to ensure successful attainment of the annual financial
   objectives of LBJ Tropical Medical Center, as follows:
   a. Fully collect all projected revenues documented in the approved fiscal year
   budget.
   b. Ensure actual expenditures do not exceed budgeted expenditures detailed in the approved fiscal year budget.
   c. Ensure total actual expenditures do not exceed total actual revenues for the
   fiscal year.
   d. Collect accounts receivable promptly, with a target of less than 30 days
   outstanding, and keep the allowance for bad debts within industry standards.
   e. Pay accounts payable promptly so that no balance exceeds 60 days, avoiding
   late payment charges and other fees.
6. Support the CEO in preparing monthly and annual financial plans and the annual
   budget plan.
7. Prepare and submit regular monthly, quarterly, and annual financial reports to the
   CEO, and then to the Board of Directors, including:
   a. Budget-to-actual comparisons of revenue collections and expenditures.
   b. Payroll and overtime expenditures, including a monthly overtime report by
   department detailing overtime hours and associated costs.
   c. Accounts payable and accounts receivable aging reports.
   d. Cash-flow projections.
   Monthly reports are due five days after the close of each month.
8. Manage cash flow, accounts payable, accounts receivable, financial recovery
   planning, revenue cycle improvement, and expenditure controls at LBJ Tropical
   Medical Center.
9. Ensure the timeliness and accuracy of patient billing and payment processing.
10. Maintain accounts payable in compliance with industry standards to preserve the
    financial integrity of LBJ Tropical Medical Center, and ensure prompt and full
    collection of accounts receivable, with a target of less than 30 days outstanding.
11. Prepare and submit the annual Medicare cost report in a timely manner, ensuring
    it comprehensively reflects the cost of services provided by LBJ Tropical Medical Center.
12. Complete timely annual independent audits of the financial operations of LBJ Tropical Medical Center, ensure compliance with applicable financial reporting standards, and submit the audit report within the stated timeframe for inclusion in the Single Audit Report of the American Samoa Government. Develop and implement corrective action plans to resolve recurring audit findings, with the aim of obtaining an unqualified opinion.
13. Develop and implement an internal financial and operational procedures manual for the Finance Department, with internal controls that comply with Generally Accepted Accounting Principles (GAAP) and meet the requirements of auditors and the Centers for Medicare & Medicaid Services (CMS).
14. Uphold the integrity and accountability of the Finance Department.
15. Achieve measurable financial performance objectives established by the CEO and the Board of Directors, including targets for revenue collection, budget compliance, accounts receivable and accounts payable aging, cash-flow management, and resolution of audit findings. The CFO’s performance will be evaluated periodically, and at least annually, by the CEO and the Board of directors to assess effectiveness in improving financial management and organizational accountability.

POSITION QUALIFICATIONS

Minimum

1. Bachelor's degree in accounting, finance, or a closely related field from
   a U.S.-accredited college or university (or equivalent).
2. Ten (10) years of progressive experience as a financial or accounting
   manager at a senior management level in a major authority, entity,
   and/or institution.
3. At least five (5) years of experience in senior financial management in a
   hospital or healthcare setting, with demonstrated experience with Medicare and Medicaid reporting.
4. Advanced computer skills, including proficiency in MS Office, Microsoft Dynamics GP financial reporting, and/or other accounting software.
5. Exceptional written and verbal communication skills in English.
6. Proven ability to prepare and analyze financial statements and to plan strategically with a focus on results.

Preferred

1. Master’s degree in accounting, finance, or a closely related field from a U.S.-
   accredited college or university (or equivalent).
2. Professional accounting designation or certification, such as CPA, CA, CMA,
   or CGFM.

Evidence of Competencies

Applicants must submit documentation demonstrating the qualifications above,
including:

• A record of progressive accomplishments in senior financial and accounting
  management.
• Evidence of strong written and verbal communication skills (for example, a cover
  letter and professional references).
• Evidence of advanced proficiency in accounting and financial reporting software.
• Evidence of the ability to prepare and analyze financial statements.

Physical Requirements

This is primarily an office-based executive position. It requires extended periods of
sitting, standing, and computer use, movement throughout the facility (including stairs),
and occasional lifting of up to 15 pounds. Reasonable accommodation may be made to
enable qualified individuals with disabilities to perform the essential functions of this
position.

ASMCA is an Equal Opportunity Employer. All qualified applicants will receive
consideration for employment without regard to race, color, religion, sex, national origin, age, disability, or any other status protected by applicable law.