Chief Financial Officer; CFO; Critical Access Hospital

Chief Financial Officer (CFO)
Department:
Administration Status:
Full-Time | 1.0 FTEFLSA Status:
Exempt

Schedule:

40+ hours/week

Reports To:

Chief Executive Officer

Location:

Pagosa Springs Medical Center – Pagosa Springs, Colorado Position Highlight Provide strategic financial leadership for a rural Critical Access Hospital and help ensure the long-term sustainability of essential healthcare services in southwest Colorado.

As a member of Pagosa Springs Medical Center's Executive Leadership team, the Chief Financial Officer will shape financial strategy across our Critical Access Hospital, Rural Health Clinic, and Emergency Medical Services operations, partnering closely with the CEO, Board of Directors, clinical leaders, and operational leaders to strengthen financial performance while supporting high-quality patient care.

Position Summary Pagosa Springs Medical Center (PSMC) is seeking an experienced and forward-thinking Chief Financial Officer (CFO) to serve as a senior executive leader responsible for the financial strategy, performance, sustainability, and financial integrity of the Medical Center.

The CFO provides strategic and operational financial leadership across PSMC's Critical Access Hospital (CAH), Rural Health Clinic (RHC), and Emergency Medical Services (EMS) operations. This role is responsible for ensuring organizational leaders have the financial information, education, and support necessary to make informed decisions and understand their role in achieving the Medical Center's financial goals.

This position extends well beyond traditional financial reporting. The CFO serves as an active strategic and operational partner to the CEO and other senior leaders, using financial and operational data to identify trends, anticipate risks, evaluate opportunities, strengthen revenue performance, and support the long-term financial sustainability of PSMC and the essential healthcare services we provide.

Key areas of executive responsibility include financial strategy and service-line analysis, revenue cycle leadership, payer contracting and reimbursement, budgeting and financial planning, accounting and financial reporting, Medicare cost reporting, and management financial education and accountability.

Why Join PSMC?

Serve as a key executive leader for an independent rural Critical Access Hospital Influence the long-term financial strategy and sustainability of healthcare services for our community

Oversee financial strategy across hospital, Rural Health Clinic, and EMS operations

Partner directly with the CEO, Board of Directors, Executive Leadership, clinical leaders, and operational leaders

Lead organization-wide revenue cycle strategy, from patient access and charge capture through billing, denials, collections, and reimbursement

Guide payer strategy and reimbursement analysis in a complex Medicare, Medicaid, and commercial payer environment

Lead financial analysis for existing and proposed service lines to support informed growth decisions

Bring financial information to life by helping managers and clinical leaders understand how operational decisions affect organizational performance

Join a mission-driven healthcare organization where financial stewardship directly supports continued access to local healthcare

Key Responsibilities Financial Strategy & Service-Line Analysis Provide forward-looking financial leadership that supports organizational strategy, patient care, and long-term sustainability

Evaluate the financial performance and sustainability of existing service lines using volume, revenue, payer mix, reimbursement, expense, contribution margin, capacity, and other operational data Develop comprehensive pro forma analyses for proposed new or expanded services

Incorporate quality…