Hands-On Healthcare CFO for Multi-Facility Finance

Cornerstone Services Inc; Des Moines (IA); On-site; USD 180,000 - 300,000; Full time

Job summary

Cornerstone Services Inc. is seeking an experienced Chief Financial Officer to lead the financial operations of our multi-facility skilled nursing portfolio.

The CFO will oversee accounting, finance, payroll, and reporting, driving accuracy, efficiency, and accountability across sites. You will partner with leadership to develop long-term financial strategy, manage budgets and cash flow, and optimize the revenue cycle, including Medicare/Medicaid.

Qualifications

• Bachelor's degree in Accounting, Finance, or a related field.
• Significant progressive experience in accounting and financial management.
• Demonstrated experience overseeing accounting operations, including AP, AR, payroll, and financial statement preparation.
• Strong understanding of GAAP, financial reporting, internal controls, and cash flow management.
• Proven ability to lead accounting teams and improve financial processes.
• Advanced Microsoft Excel skills and experience with accounting software.
• Strong analytical, organizational, and communication skills.
• Ability to manage multiple priorities and meet financial reporting deadlines.

Responsibilities

• Provide leadership and oversight of the accounting and finance department.
• Manage AP, AR, payroll, and general ledger accounting.
• Oversee monthly close processes, reconciliations, journal entries, and financial statements.
• Ensure timely preparation of financial reports (monthly, quarterly, annual).
• Establish internal controls and standardized accounting procedures.
• Monitor financial performance across multiple facilities.
• Develop budgets, forecasts, and cash flow projections.
• Oversee revenue cycle, billing performance, collections, and cash posting.
• Ensure GAAP compliance and regulatory reporting.
• Lead audits, tax reporting, and liaison with external accountants.

Skills

Leadership

GAAP knowledge

Financial analysis

Communication skills

Strategic planning

Multi-facility operations

Problem solving

Education

Bachelor's degree in Accounting/Finance

Tools

Microsoft Excel

Accounting software

Job description

Cornerstone Services Inc. is seeking an experienced Chief Financial Officer to lead the financial operations of our multi-facility skilled nursing portfolio.

The CFO will oversee accounting, finance, payroll, and reporting, driving accuracy, efficiency, and accountability across sites. You will partner with leadership to develop long-term financial strategy, manage budgets and cash flow, and optimize the revenue cycle, including Medicare/Medicaid.