Chief Financial Officer; CFO; Critical Access Hospital

Chief Financial Officer (CFO)

Pagosa Springs Medical Center - Pagosa Springs, Colorado

Salary Range $ - $ Position Type Full Time Education Level 4 Year Degree

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.

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.

• 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

• 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 metrics into financial analysis to connect clinical outcomes with financial performance
• Evaluate market share, saturation, and relevant external operational metrics
• Identify opportunities to improve performance, increase revenue, reduce expense, and better meet the healthcare needs of the community
• Partner with senior leaders in developing service lines that support PSMC's long-term sustainability

• Provide executive oversight of the full revenue cycle
• Ensure effective coordination among clinical, operational, and revenue cycle functions
• Oversee payer contracting, charge master integrity, charge capture and reconciliation, patient access and registration, eligibility and authorization, coding, billing, claims management, denials, collections, and overall revenue cycle performance
• Strengthen front-end accuracy, including insurance eligibility verification and pre-authorization
• Support clinical documentation and coding integrity throughout the middle revenue cycle
• Monitor back-end performance, including days in accounts receivable, cash posting, claims performance, and third-party vendors
• Develop strategies to respond to changing payer requirements and restrictions
• Ensure appropriate auditing of claims to reduce unbilled services and documentation-related revenue leakage

• Evaluate payer contracts, reimbursement methodologies, and the financial implications of contract terms
• Ensure PSMC has the data and analytical capabilities necessary to understand reimbursement performance
• Identify reimbursement opportunities and financial risks
• Analyze organizational cost structures when evaluating payer rates
• Continuously monitor payer contract performance
• Evaluate and monitor discounted care programs for compliance and accurate reporting

• Lead development of PSMC's annual operating and capital budgets
• Establish realistic assumptions for patient volumes, revenues,…