CFO (Chief Financial Officer) - Skilled Nursing Facility

A skilled nursing and rehabilitation provider in Grand Junction, Colorado is seeking a Chief Financial Officer to own

the full financial operation of the facility. This is a hands-on executive role: the CFO leads accounting, reimbursement,

and billing operations while serving as the operational partner to facility leadership on census, payer mix, and margin

performance.

The employer is not identified in this posting. Candidate identity and employer identity will be protected throughout the process, and no candidate materials are released without prior written consent.

Reports to: Facility Administrator / Director of Operations

Direct reports: Business office and accounting staff, including accounts receivable, accounts payable, and payroll

Location: Grand Junction, Colorado — on-site

Employment type: Full-time, exempt

• Own the facility's financial operation end to end, including monthly close, financial statement preparation, and management reporting.
• Prepare and present monthly profit and loss statements, balance sheets, and variance analysis to facility and corporate leadership.
• Deliver financial analysis that drives operating decisions — census trends, payer mix, cost per patient day, labor and agency spend, and departmental productivity.
• Build and manage the annual operating budget; monitor performance against budget and flag variances early.
• Partner with the Administrator on strategic planning, capital planning, and cash flow forecasting.

• Prepare, review, and file the annual Medicare and Medicaid cost reports; maintain supporting cost logs and documentation throughout the year.
• Serve as the facility's subject matter expert on Medicare, Medicaid, VA, managed care, and private pay reimbursement.
• Ensure all forms and documentation required for correct reimbursement are accurately completed and submitted timely.
• Coordinate and respond to regulatory audits, lender reporting requirements, and external audit requests.

• Oversee resident billing across all payer types — Medicare, Medicaid, VA, managed care, and private pay.
• Produce and act on the monthly aging accounts report; drive collections and reduce days in AR.
• Ensure accuracy and timeliness of accounts receivable, accounts payable, and payroll functions.
• Post billing, charge slips, adjustments, and collections to the proper ledgers; ensure all ledgers reconcile to control sheets and supporting journals.
• Maintain resident trust accounts, petty cash, and all other facility accounts in compliance with state and federal regulation.

• Supervise, develop, and hold accountable the accounting and business office team.
• Develop and maintain policies and procedures governing business office and accounting functions.
• Serve on facility committees as required by statute, regulation, or leadership request, including quality assurance.
• Maintain strict confidentiality of resident, employee, and financial information at all times.

• Bachelor's degree in accounting or finance; equivalent professional experience will be considered.
• Minimum five (5) years of progressive accounting or finance experience, including supervisory or director-level responsibility.
• Healthcare finance experience required; skilled nursing, long-term care, or post-acute experience strongly preferred.
• Working knowledge of Medicare, Medicaid, VA, and private pay billing and reimbursement in a healthcare setting.
• Proficiency in Quick Books and strong general ledger and financial reporting skills.
• Demonstrated experience with monthly financial reporting, financial analysis, and accounts receivable and accounts payable management.
• Advanced proficiency in Microsoft Excel.

• CPA designation, or an advanced degree in accounting or business (MBA).
• Direct experience preparing or filing Medicare and Medicaid cost reports.
• Familiarity with Colorado Medicaid and state supplemental payment programs.
• Experience with Point Click Care , Matrix Care, or comparable long-term care platforms.

• Comfortable operating as both a strategic financial partner…