CFO - Fairfield Hospital

Location: Fairfield

The Chief Financial Officer (CFO)
-Fairfield Hospital is a key member of the executive leadership team, responsible for the strategic oversight and operational execution of all financial functions of the hospital. This role requires a high degree of professional judgment, confidentiality, and technical expertise.

The CFO ensures the integrity of financial systems, maintains strong internal controls, and leads the development of accurate, timely, and meaningful financial reporting. This leader directs the hospital's Critical Access Hospital (CAH) cost report strategy, ensuring reimbursement opportunities are maximized and all financial decisions align with federal and state regulatory requirements-including CMS CAH Cost Report preparation and submission.

This position plays a central role in financial turnaround efforts, including expense restructuring, service line profitability analysis, scenario modeling, and long-range financial forecasting. The CFO also oversees contract evaluation, capital planning, financial risk assessment, and revenue cycle performance.

In addition to technical leadership, the CFO provides strong people leadership-developing staff capabilities, strengthening financial processes, and fostering a culture of accountability, performance, and continuous improvement across all financial and revenue cycle functions.

Essential Duties & Responsibilities

Cash Flow & Liquidity Management

* Provide executive leadership for cash flow strategy to support operational stability and long-term sustainability

* Oversee weekly cash forecasting, monitoring liquidity needs, reimbursement timing, and financial risk indicators

* Implement burn rate reduction strategies, optimizing spend and aligning cash outflows with organizational priorities

* Maintain strong banking relationships and ensure timely fulfillment of financial obligations

Revenue Cycle Ownership

* Provide executive oversight of the full revenue cycle, including patient access, billing, coding, denials management, collections, and cash posting

* Drive KPI-based performance across AR  90 days, DNFB, denial rates, and cash collections

* Identify and resolve systemic reimbursement issues in collaboration with clinical and operational leaders

* Ensure revenue cycle operations support financial performance and regulatory compliance

Cost Report & Reimbursement Strategy

* Lead the hospital's CAH reimbursement strategy with a strong cost report focus

* Oversee the preparation, accuracy, and timely submission of the annual CMS CAH Cost Report and all supporting documentation

* Provide quarterly reimbursement projections, including interim settlements and cost-based reimbursement impacts

* Evaluate all capital, operational, and service line decisions through a cost report lens to maximize reimbursement and sustainability

Financial Turnaround Execution

* Lead financial turnaround initiatives, including expense restructuring and operational efficiency improvements

* Conduct service line profitability analysis and implement corrective action plans

* Develop scenario models and pro forma financials to support strategic decision-making

* Provide financial leadership during periods of organizational change and reimbursement pressure

Financial Reporting & Analysis

* Ensure the accuracy, integrity, and timeliness of all financial statements and reports

* Direct the monthly close process, including reconciliations across all key accounts

* Analyze financial results, explain variances, and provide actionable recommendations

* Deliver decision-ready reporting to leadership, the CEO, and the Board

Compliance, Controls & Regulatory Oversight

* Maintain strong internal controls in compliance with GAAP, CMS, and Medicare/Medicaid requirements

* Ensure adherence to all federal and state billing and reimbursement regulations

* Oversee accurate accounting and statistical recordkeeping for reimbursement programs

* Ensure audit readiness and ongoing regulatory compliance

Contracting & External Relationship Management

* Evaluate and oversee general contracts, managed care agreements, participation agreements, leases, reagent rental agreements, and capital purchases

* Serve as the hospital's authorized signatory for contractual agreements unless otherwise directed by the CEO

* Maintain relationships with auditors, vendors, payors, financial institutions, and regulatory partners

* Advise leadership on financial implications of contract terms and reimbursement structures

Leadership, Culture & Staff Development

* Lead and develop finance, accounting, and revenue cycle teams

* Foster a performance-driven culture rooted in accountability, accuracy, and continuous improvement

* Provide coaching and mentorship to strengthen staff competency in GAAP, reimbursement, and financial systems

* Align departmental goals with organizational strategy and KPIs

Budgeting, Forecasting & Capital Planning

* Lead development of annual operating and capital budgets aligned with strategic priorities

* Provide financial projections,…