Chief Financial Officer

Hiring a Chief Financial Officer. Full time, Monday-Friday, day hours, exempt status.

• Provides overall financial leadership and accountability for the hospital’s fiscal performance, including operating results, financial statements, and accounting systems.
• Prepares, analyzes, and presents monthly financial statements to the Board of Trustees.
• Leads the annual budget development process and presents the proposed budget to the Finance Committee and Board of Trustees.
• Directs all fiscal activities, including accounting, budgeting, auditing, cost reporting, tax filings, and preparation of required regulatory and governmental reports.
• Ensures effective financial controls, systems, and procedures to safeguard hospital assets.
• Oversees reimbursement‑related activities, including payer contract negotiations, contractual adjustment percentages and trends, and identification of reimbursement risks or issues.
• Leads hospital capital planning efforts and maintains the hospital’s access to capital markets as appropriate.
• Compiles reports and reconciles accounts in preparation for the annual independent financial audit and Form 990 tax filings.
• Completes and submits annual surveys and reports for the American Hospital Association (AHA), Iowa Hospital Association (IHA), and Iowa Department of Public Health.
• Collaborates with the Human Resources Director to:
  • Establish new employee wage rates
  • Evaluate and recommend mid‑year wage adjustments
  • Establish annual salary minimums and maximums using IHA Salary Survey data
• Provides required financial and operational information for property and liability insurance renewals.
• Prepares and submits the documents required by payors such as Medicare including the CRNA exemption reports annually.
• Provides executive oversight and strategic leadership for the following departments and functions:
  • Revenue Cycle
  • Human Resources
  • Materials Management
  • Information Technology
  • Finance
  • Compliance
  • Environmental Services
• Ensures alignment of financial, operational, compliance, and environmental services strategies to support organizational performance, regulatory compliance, patient safety, and infection prevention standards.
• Oversees the hospital’s Compliance Program in collaboration with the Compliance Officer, ensuring adherence to applicable laws, regulations, and ethical standards.

• Serves as a member of the Hospital Executive Team and attends weekly meetings.
• Serves as a member of the Hospital Leadership Team and attends monthly meetings.
• Attends monthly Board of Trustees meetings and presents financial statements, analyses, and updates.
• Serves as a member of the Compliance Committee and actively promotes and supports the hospital Compliance Program.
• Integrates compliance, quality, financial stewardship, and operational accountability into daily work practices.
• Serves as a professional role model, educator, change agent, and conflict manager for peers and staff.
• Fosters accountability, collaboration, and performance excellence across all areas of responsibility.

• Education:
  
  Bachelor’s degree in Business, Accounting, or Finance required. MBA in Accounting or CPA certification preferred.
• Experience:
  
  Minimum of five (5) years of financial management experience required. Experience in an acute care hospital setting required. Experience in a rural and/or Critical Access Hospital strongly preferred.
• Job Knowledge and
  
  Skills:
  
  Strong understanding of reimbursement and regulatory issues related to Critical Access Hospital healthcare finance. Demonstrated expertise in financial reporting, budgeting, auditing, and regulatory compliance. Exceptional proficiency in Microsoft Word and Excel preferred.

Applicant must pass background check, drug screen and health assessment including applicable vaccinations prior to hire. Position open until filled.

Along with offering a competitive salary, Horn Memorial Hospital provides a comprehensive benefit package including health, financial, professional growth, and support resources.

• Medical, Dental, and Vision Insurance
• Supplemental Health Plans
• Health Savings Account
• Free Vaccinations
• Reduced pharmacy
• Provisions for Leave of…