Hospital CFO

St. Joseph Regional Medical Center; Lewiston (ID); On-site; USD 180,000 - 320,000; Full time

Job summary

St. Joseph Regional Medical Center in Lewiston, Idaho, is seeking a Hospital Chief Financial Officer to lead financial operations and strategic planning for the hospital and its departments.

The role oversees accounting, reporting, budgeting, and compliance, partnering with executives to drive fiscal performance while supporting patient care and community health initiatives. This position emphasizes data-driven decision making, risk management, and staff development in a collaborative,

Qualifications

• Bachelor’s Degree in Accounting or Finance required.
• GAAP knowledge and strong verbal, interpersonal, and quantitative skills.
• CPA or Master’s degree strongly preferred.

Responsibilities

• Oversee general accounting, patient business services, and financial reporting.
• Direct data processing, systems, materials management, and medical records.
• Train staff and monitor performance to ensure fiscal responsibilities.
• Assist the CEO with long- and short-range hospital plans and budgeting.
• Create operating and capital budgets aligned with objectives.
• Prepare cash flow analyses and budget variance analyses.
• Monitor financial performance and report trends and opportunities.
• Direct internal financial reporting for audits and compliance.
• Lead cost reduction and revenue enhancement initiatives.
• Ensure timely regulatory submissions and payroll/tax reports.

Skills

Leadership

Team leadership

Financial analysis

GAAP knowledge

Regulatory knowledge

Education

Bachelor’s Degree in Accounting or Finance

CPA or Master’s Degree preferred

Job description

Description

Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care. Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about. If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

Job Summary

The Hospital Chief Financial Officer provides leadership and direction to financial and support departments, ensuring the overall fiscal responsibility of the hospital.

Essential Functions

• Financial Administration: Oversee general accounting, patient business services (including third-party reimbursement), and financial and statistical reporting in accordance with established policies and procedures.
• Data Processing and Systems: Provide direction in data processing, distributed systems, materials management, and medical records functions.
• Training and Performance Monitoring: Train subordinates in relevant areas and monitor their performance to ensure fiscal responsibilities are met.
• Operational Planning: Assist the CEO in developing long- and short-range hospital operations plans, including service demand analyses, resource availability analyses, and cost-benefit analyses of proposed capital and staff expansions.
• Budget Development: Create long- and short-range operational and capital budgets supported by the hospital's plans and objectives.
• Financial Analysis: Prepare cash flow analyses and budget variance analyses, recommend budget modifications, and assist managers in developing departmental budgets.
• Performance Monitoring: Monitor, interpret, and analyze hospital financial performance to achieve established plans and objectives, identifying and reporting undesirable trends and potential business opportunities.
• Internal Financial Reporting: Direct the preparation of internal financial reports, including work papers for annual financial audits, ensuring timely and accurate preparation that reliably reflects the hospital's financial position.
• Cost Reduction and Revenue Enhancement: Lead efforts to analyze and explore means of reducing hospital operating costs and increasing revenues, based on knowledge of market trends, financial reports, and operating procedures.
• Regulatory Compliance: Ensure timely and accurate submission of all financial data and associated reports required by government and other regulatory agencies, including payroll tax reports, public disclosure reports, and third-party payer cost reports.

Knowledge/Skills/Abilities/Expectations

• Leadership: Must be a strong, hands-on, and approachable leader who values teamwork and has an outgoing and friendly personality.
• Motivation and Inspiration: Ability to motivate and inspire staff to achieve optimal results while maintaining high employee satisfaction.
• These qualifications ensure that the candidate has the necessary educational background, relevant experience, and essential skills to effectively lead financial operations at ScionHealth and contribute to the organization’s mission of providing exceptional patient care and health outcomes.

Qualifications

Education

• Bachelor’s Degree in Accounting or Finance Required
• Knowledge of generally accepted accounting principles (GAAP) and strong verbal, interpersonal, and quantitative skills developed through completion of this degree.
• CPA or Master's Degree Strongly Preferred

Licenses/Certifications

• None Required

Experience

• CFO-Level, Controller or VP/Director of Finance Experience: A minimum of 3 years working as a CFO, Controller or VP/Director of Finance in an acute-care hospital or in a hospital system required.
• Management Experience: At least 3 years of progressive management experience in a healthcare organization is required.