Strategic CFO for Rural Critical-Access Hospital

Shoshone Medical Center; Kellogg (ID); On-site; USD 180,000 - 260,000; Full time

Job summary

Shoshone Medical Center in Kellogg, Idaho, seeks a seasoned Chief Financial Officer (CFO) to lead financial strategy and operations. You will collaborate closely with the CEO and Board to align financial plans with organizational goals, oversee budgeting, reporting, risk management, and long-range planning, and guide financial performance across the hospital.

The role requires extensive healthcare finance leadership, with a focus on compliance, efficiency, and strategic decision-making to

Qualifications

• Strong knowledge of legal, regulatory, and ethical standards in hospital finance and healthcare administration.
• Understanding of the principles and practices of hospital financial management and administration.
• Bachelor’s degree in Finance, Accounting, Healthcare Management, or a related field.
• MBA or comparable graduate degree (preferred).
• Minimum of 7 years of progressive management experience in the healthcare industry.
• Minimum of 5 years of executive-level financial leadership experience (preferred).
• Experience in a Rural Critical Access Hospital (preferred).
• Experience in financial planning, organizational assessments, and process improvements in healthcare settings.
• Extensive experience working with physicians, clinicians, and hospital leadership teams.

Responsibilities

• Maintain regular communication with the CEO and Board of Directors regarding hospital financial status, operations, and key issues.
• Develop and implement financial strategies that align with the hospital’s mission and strategic goals.
• Oversee all accounting, corporate reporting, financial compliance, and operational efficiency.
• Ensure compliance with all state and federal regulations, accreditation standards, and internal policies.
• Lead financial planning, budgeting, and investment strategies to support long-term sustainability.
• Manage cash flow, financial forecasting, and cost-control measures.
• Work with department managers to establish operating budgets, staffing levels, and performance improvement initiatives.
• Conduct financial audits, oversee internal controls, and ensure accountability in financial management.
• Participate in the hospital’s strategic planning process and support decision-making with financial insights.
• Oversee benefits negotiations to provide competitive compensation and benefits packages.
• Provide administrative oversight in the absence of the CEO and participate in on-call administrative rotations.
• Represent the hospital at Board meetings and other leadership forums.
• Ensure optimal fulfillment of the hospital’s mission in response to community and patient needs.
• Perform other duties as assigned.

Skills

Regulatory knowledge

Financial leadership

Stakeholder collaboration

Healthcare administration

Education

Bachelor's degree in Finance/Accounting/Healthcare Management

MBA preferred

Job description

Shoshone Medical Center in Kellogg, Idaho, seeks a seasoned Chief Financial Officer (CFO) to lead financial strategy and operations. You will collaborate closely with the CEO and Board to align financial plans with organizational goals, oversee budgeting, reporting, risk management, and long-range planning, and guide financial performance across the hospital.

The role requires extensive healthcare finance leadership, with a focus on compliance, efficiency, and strategic decision-making to