Chief Financial Officer

Hunter Ambrose Int. | Kansas City, Missouri

Employer: North Valley Hospital (via Hunter Ambrose Int.)
Location: Tonasket, Washington (north-central Washington, Okanogan County)
Employs: ~270 staff across CAH, rural clinic, extended care
Schedule: Hybrid — minimum 8 days/month on-site (candidate expense); remaining work remote

North Valley Hospital is a mission-driven Critical Access Hospital serving small rural communities. After completing a complex EMR transition, the hospital is now stabilizing financially and preparing for strategic growth. As CFO, you will play a central leadership role shaping financial strategy, sustainability, and long-term operational growth.

As CFO, you will report to the CEO and lead finance, accounting, HIM, materials management, and patient accounting. Your responsibilities will include:

• Full oversight of financial operations — budgeting, forecasting, monthly financial cycles, capital planning

• Leading revenue-cycle optimization: patient access, documentation, billing, collections, denials, cost reporting

• Developing Board-level financial reporting, pro-forma modeling, and scenario planning for growth initiatives

• Guiding reimbursement strategies (including CMS/CAH cost-based methodologies) and payer contracting

• Managing vendor contracts, negotiating strategic agreements, and monitoring vendor performance

• Implementing AI-supported analytics and workflow tools to enhance financial and revenue-cycle performance

• Supporting hospital leadership through major strategic initiatives, including planned growth of outpatient therapy, imaging, swing-bed utilization, infusion services

• Bachelor’s degree in Accounting required; CPA or MBA strongly preferred

• At least 3 years in CFO or VP of Finance role in a hospital, Critical Access Hospital (CAH), or ambulatory care setting — rural experience strongly desired

• Demonstrated expertise in CMS reimbursement and CAH cost-based methodologies

• Track record in cost reporting, financial modeling, pro-forma analysis, and revenue-cycle optimization

• Experience with vendor management, contract negotiation, and performance oversight

• Familiarity with project-management frameworks (Lean, Agile, Gantt, Sprints)

• Experience leading finance operations through EMR transitions or other substantial organizational changes

• Comfortable working in a leadership role that requires hands‑on involvement, flexibility, and cross‑department collaboration

• Competitive base salary: $150,000 – $200,000
  , depending on credentials (CPA/MBA) and experience

• Sign‑on bonus up to $10,000 (with commitment), with relocation assistance negotiable for candidates relocating to the region

• High-impact role with direct influence on strategic planning and financial sustainability in a community‑oriented hospital

• Hybrid schedule balancing remote work with essential on‑site leadership presence

• Opportunity to lead growth initiatives and help shape the future direction of a rural hospital

The ideal CFO is a seasoned, hands‑on healthcare finance leader with strong rural hospital or CAH experience. You are operationally savvy, capable of managing end‑to‑end financial workflows, and comfortable wearing many hats in a lean, community‑based environment. You are familiar with payer/reimbursement complexities, revenue‑cycle challenges, and you’re ready to lead a financially stabilizing hospital through growth and strategic projects.