Chief Financial Officer - CFO

River View Health, is a community owned, membership based non-profit organization that was formed in 1898 and continues to be the sole community hospital in Crookston, MN.

River View Health operates a 25 bed Critical Access Hospital, River View Recovery Center; a chemical dependency outpatient treatment program, River View Home Care and five primary care and specialty clinics in the hospitals service area.

We have a robust scholarship program for those furthering their education in a medical field, excellent benefits, and a friendly work environment. Full-time benefits include health insurance, free single vision and basic dental insurance, life insurance, long-term disability and short-term disability, and employer HSA contributions. Other benefits include employer pension matching, shift differential, incentive/premium pay, free annual biometric screening and paid volunteer time off.

River View is an Equal Employment Opportunity employer.

Chief Financial Officer (CFO)

Location: Crookston - Main Campus (on-site)

Work Status: Full-Time

Pay Range: $185,000 - $244,000 (D.O.E - dependent upon experience)

Job Status:Exempt, benefitted position

Position Overview:

The Chief Financial Officer (CFO) provides executive leadership for the financial strategy, integrity, performance, and long-term sustainability of River View Health.

The CFO serves as a strategic partner to the Chief Executive Officer, Board of Directors, Finance Committee, medical staff, and operational leaders. The position is accountable for finance and accounting, budgeting and forecasting, treasury and capital management, reimbursement and cost reporting, revenue-cycle performance, payer economics, and financial decision support.

The CFO translates financial and operational information into practical recommendations that support patient access, quality, workforce stability, service-line performance, and responsible stewardship of community resources.

• Advise the CEO, Executive Leadership Team, Board, and Finance Committee regarding financial performance, liquidity, reimbursement, risk, capital needs, strategic opportunities, and emerging industry conditions.
• Prepare and present clear, timely, and actionable financial reports, forecasts, dashboards, and recommendations.
• Participate in strategic planning, annua l goal setting, organizational performance improvement, and evaluation of affiliations, partnerships, service expansions, and major contracts.
• Promote organization-wide financial accountability by helping clinical and administrative leaders understand the effects of staffing, productivity, purchasing, documentation, charge capture, volume, and payer mix.
• Serve as the principal liaison with external auditors, financial institutions, bondholders, governmental agencies, reimbursement consultants, and other financial partners.

• Direct accounting operations, including the general ledger, financial close, accounts payable, payroll accounting, fixed assets, financial reporting, and related reconciliations.
• Ensure financial statements and management reports are accurate, timely, consistent, and prepared under applicable accounting standards.
• Lead annual operating and capital budgeting, forecasting, scenario modeling, and long-range financial planning.
• Monitor performance against budget and forecast; identify material variances, underlying causes, and corrective actions.
• Oversee cash flow, liquidity, investments, banking relationships, debt obligations, financing arrangements, and applicable bond or loan covenants.
• Maintain effective internal controls, segregation of duties, financial policies, asset safeguards, and audit-ready documentation.
• Coordinate annual financial audits, tax filings, and other required financial reviews.
• Develop financial and operational performance measures appropriate to a rural healthcare organization.

• Maintain current working knowledge of CAH, Rural Health Clinic, Medicare, Medicaid, Medicare Advantage, commercial payer, and other reimbursement methodologies applicable to the organization.
• Direct or oversee preparation, review, and timely filing of Medicare and Medicaid cost reports, related work papers, settlement estimates, and audit responses.
• Ensure accurate cost allocation, statistical reporting, expense classification, revenue-and-expense matching, and reconciliation of…