Chief Financial Officer

Rural Staffing Services LLC; Ritzville (WA); On-site; USD 150,000 - 180,000; Full time

Benefits offered by this job

Health insurance

403(b) retirement plan

Paid time off

Job summary

East Adams Rural Healthcare in Ritzville, Washington seeks an experienced Chief Financial Officer to lead financial strategy and operations. The role reports to the CEO and serves on the leadership team, guiding accounting, budgeting, revenue cycle, and capital planning to sustain high-quality rural care within the community.

The ideal candidate has significant CFO-level experience in a Critical Access Hospital or small rural setting, with nonprofit healthcare knowledge and strong communication

Qualifications

• Experience as CFO or equivalent leadership in a Critical Access Hospital or small rural hospital.
• 5+ years of healthcare financial or accounting management experience.
• Strong knowledge of Critical Access Hospital finance and nonprofit healthcare environment.
• Ability to present to the Board and collaborate with executives across departments.

Responsibilities

• Oversee accounting, financial reporting, budgeting, and long-range planning.
• Lead revenue cycle oversight, payer contracting, and contract review.
• Manage treasury functions, tax, audits, and internal controls.
• Guide capital planning, RFPs, and contract negotiations.
• Partner with CEO, CNO, COO, and Board to maintain financial strength.

Skills

Financial leadership

Budgeting

Revenue cycle

Strategic planning

Board interaction

Communication skills

Nonprofit healthcare

Education

Master's degree

CPA designation preferred

Job description

Chief Financial Officer

East Adams Rural Healthcare | Ritzville, Washington
$150,000 to $180,000 DOE | Full-Time | On-Site

This is rural healthcare leadership at its best.

East Adams Rural Healthcare is looking for an experienced Chief Financial Officer to join its leadership team in Ritzville, Washington.

And this is an important hire.

The organization is intentionally taking the time to find the right person. Not simply someone who understands the numbers, but a finance leader who understands what those numbers mean to a rural hospital, its employees, its patients, and the community depending on it.

East Adams is led by a genuinely dedicated rural healthcare leadership team. These are leaders who show up, know their people, care deeply about their hospital, and are invested in keeping quality healthcare available close to home.

For the right CFO, this is an opportunity to become part of that team and have a meaningful voice in where the organization goes next.

What You Will Do

Reporting directly to the CEO and serving as a member of the District Leadership Team, the CFO will provide both strategic and hands-on financial leadership across the organization.

The CFO will oversee financial operations including:

• Accounting and financial reporting
• Budgeting and long-range financial planning
• Revenue cycle oversight
• Billing
• Payroll and accounts payable
• Treasury functions
• Payer contracting and contract review
• Capital planning, RFPs, and contract negotiations
• Financial regulatory and compliance requirements
• Patient Navigator and Care Coordination teams
• Departmental budgeting and expense management
• Audits, tax-related matters, and financial controls

This leader will work closely with the CEO, CNO, COO, department leaders, medical staff, and Board of Directors to ensure the organization remains financially strong while continuing to meet the needs of the community.

This Role Goes Beyond Accounting

East Adams is looking for a CFO who can translate financial information into decisions.

Someone who can sit with department leaders and help them understand the story behind the numbers.

Someone who can identify opportunities, ask good questions, strengthen revenue, control unnecessary costs, evaluate new services, and help leadership plan responsibly for the future.

You will regularly interact with and present to the Board of Directors, participate in operational and administrative leadership meetings, and provide financial guidance throughout the organization.

The CFO will also play an important role in evaluating new programs and services, negotiating contracts, identifying opportunities for performance improvement, and helping East Adams continue building a sustainable future for rural healthcare in the region.

Who We Are Looking For

The strongest candidate will bring significant financial leadership experience specifically within a Critical Access Hospital or small rural hospital environment.

East Adams is seeking someone with:

• Previous CFO-level or equivalent leadership experience in a Critical Access Hospital
• At least five years of progressive healthcare financial or accounting management experience
• Strong knowledge of Critical Access Hospital finance
• Demonstrated revenue cycle experience with a track record of improvement and success
• Experience in a nonprofit healthcare environment
• Experience working directly with executive leadership and governing boards
• Strong budgeting, forecasting, financial analysis, and strategic planning skills
• Understanding of payer contracting and healthcare reimbursement
• Strong written and verbal communication skills
• The ability to build relationships across departments and explain complex financial matters clearly

A master's degree and CPA designation are preferred.

Compensation & Benefits

Salary: $150,000 to $180,000 depending on experience

Benefits include:

• Health insurance
• 403(b) retirement plan
• Paid time off

Work location: In person in Ritzville, Washington

Why Ritzville?

Ritzville sits in the heart of Eastern Washington, where agriculture, community, and rural life still matter.

This is the kind of place where healthcare leadership is personal.

You are not managing finances from a distance. You can see the impact of the decisions you make, know the people those decisions affect, and become part of a hospital that is deeply connected to the community around it.

For a finance leader who believes rural healthcare deserves strong, thoughtful, experienced leadership, this could be something pretty special.

If this opportunity feels like it could be the right next chapter for you, we would love to learn more about you.