Chief Financial Officer (CFO)

GHJ; Kentucky; On-site; USD 180,000 - 280,000; Full time

Job summary

GHJ Search and Staffing, acting as the recruitment division of GHJ, seeks a seasoned healthcare CFO to lead all financial operations for a Critical Access Hospital. The role demands strong budgeting, cash flow, and governance oversight in a hospital setting.

You will oversee Medicare cost reporting, capital planning, and revenue-cycle performance, partnering with executive leadership to guide financial strategy and expansion. On-site in Madison, GA with relocation assistance available.

Qualifications

• Extensive healthcare finance experience with leadership responsibilities.
• Hands-on revenue cycle leadership across patient access, billing, and collections.
• Deep understanding of Medicare cost reports and Critical Access Hospital reimbursement.
• Strong budgeting, cash management, and financial planning skills.
• MBA, MHA, or related finance degree preferred; CPA not required.

Responsibilities

• Lead all financial operations including accounting, budgeting, forecasting, and cash management.
• Provide hands-on leadership across the revenue cycle: patient access, case management, billing, and collections.
• Oversee Medicare cost reporting and ensure compliance with CAH reimbursement rules.
• Develop strategies to strengthen cash flow and manage debt obligations.
• Partner with executive leadership on capital investments and facility expansion.
• Monitor revenue cycle performance, including DNFB and other key metrics.
• Deliver financial reporting, analysis, and strategic recommendations to CEO and Board.
• Lead and develop finance and operations teams; support clinical managers in budgeting.
• Oversee audits, internal controls, and financial risk management.

Skills

Healthcare finance leadership

Revenue cycle leadership

Medicare cost reporting

Budgeting & cash management

Financial analysis

Leadership & communication

Education

MBA / MHA / Finance

Job description

GHJ Search and Staffing serves as the recruitment division of GHJ, a prominent national accounting and advisory firm. Our team provides qualified Accounting and Finance professionals on a temporary and permanent basis across a broad range of industries. GHJ’s relationship with our Global Advisory and Accounting Network provides the resources needed to better understand client’s needs, attract a higher caliber of candidates and assess candidate potential.

Key Responsibilities

• Lead all financial operations, including accounting, budgeting, forecasting, financial reporting, and cash management.
• Provide hands-on leadership across the revenue cycle, including patient access, case management, health information management, billing, and collections.
• Oversee Medicare cost reporting and ensure compliance with Critical Access Hospital reimbursement requirements.
• Develop strategies to strengthen cash flow, manage debt obligations, and maintain financial stability.
• Partner with executive leadership on capital investments, facility expansion, and long-term financial planning.
• Monitor revenue cycle performance, including collections, DNFB, and other key financial metrics.
• Provide financial reporting, analysis, and strategic recommendations to the CEO, Board of Directors, and Finance Committee.
• Lead and develop finance and operational teams while helping clinical managers strengthen budgeting and financial management practices.
• Oversee audits, regulatory compliance, internal controls, and financial risk management.

Qualifications

• Critical Access Hospital finance experience required; rural hospital experience may be considered.
• Strong, hands-on revenue cycle leadership experience, including patient access, billing, collections, and related functions.
• Thorough understanding of Medicare cost reports and Critical Access Hospital reimbursement.
• Significant progressive healthcare finance experience with demonstrated leadership responsibility.
• Strong accounting, financial analysis, budgeting, and cash management expertise.
• Experience with hospital capital projects, debt financing, and financial planning preferred.
• Master's degree in Business Administration, Healthcare Administration, Finance, or related field preferred; CPA not required.
• Excellent leadership, communication, and relationship-building skills.
• Willingness to relocate to or reside within the Madison/Morgan County area.

Why Join?

• Exceptional Growth: Join a rapidly expanding hospital with revenue growing more than 20% annually and an established surgical and specialty services program.
• Executive Impact: Partner directly with an experienced CEO and help shape the hospital's financial strategy and future expansion.
• Meaningful Capital Projects: Support investments in advanced imaging, surgical capabilities, and expanded healthcare services.
• Independent Hospital Environment: Work within a community-focused organization where leadership decisions directly influence patient care and local healthcare access.
• Strong Leadership Team: Collaborate with an experienced Controller, dedicated Revenue Cycle Director, and supportive executive team.
• Community & Lifestyle: Enjoy the opportunity to build a career in Madison, Georgia, approximately one hour east of Atlanta, with relocation assistance available.
• Comprehensive Benefits: Medical, dental, retirement benefits, paid time off, tuition reimbursement, and additional employee benefits.