Chief Financial Officer

Provides strategic financial leadership and oversight of all fiscal operations for Osborne County Memorial Hospital, ensuring compliance with regulatory requirements and supporting the hospital’s mission to deliver high-quality care in a rural critical access setting.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Includes the following, but is not limited to any other duties or tasks that may be assigned:

FINANCIAL MANAGEMENT

• Oversees preparation and analysis of monthly and annual financial statements
• Develops and monitors operating and capital budgets
• Ensures compliance with federal, state, and local financial regulations
• Manages cash flow, investments, and financial risk mitigation strategies
• Coordinates annual audit and works with external auditors

REVENUE CYCLE OVERSIGHT

• Oversight of business office, accounts payable, health information management, and payroll departments
• Monitors payer contracts and reimbursement trends
• Collaborates with Business Office and HIM to optimize revenue cycle performance

LEADERSHIP & STRATEGY

• Advises CEO and Board of Directors on financial matters and strategic planning
• Participates in executive decision-making and hospital-wide initiatives
• Leads finance team and fosters professional development

REPORTING & COMPLIANCE

• Prepares reports for internal and external stakeholders, including regulatory agencies
• Ensures accurate and timely submission of cost reports and financial filings
• Maintains internal controls and financial policies

COLLABORATION & COMMUNICATION

• Works closely with department heads to align financial goals with operational needs
• Communicates financial information clearly to non-financial audiences

Represents hospital in financial discussions with vendors, partners, and community stakeholders

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION AND/OR EXPERIENCE
Bachelor’s degree in Accounting, Finance, or related field required; Master’s degree or CPA preferred. Minimum of 5 years of healthcare financial leadership experience, preferably in a critical access or rural hospital setting.

CERTIFICATES, LICENSES, REGISTRATIONS
CPA or HFMA certification preferred.

LANGUAGE SKILLS
Provide accurate, concise and effective oral and written communication. Promote a positive environment conducive to teamwork, innovation and morale. Ability to read, analyze, and interpret financial reports, contracts, and regulations. Ability to effectively present information and respond to questions from staff, board members, and the general public.

MATHEMATICAL SKILLS
Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Ability to compute rate, ratio, percent, and create financial models.

REASONING ABILITY
Ability to solve complex financial problems and make sound decisions in a dynamic healthcare environment. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, talk, and hear. The employee may occasionally be required to walk, stand, and lift up to 10 pounds. Specific vision abilities required include close vision and the ability to adjust focus.

WORK ENVIRONMENT

The work environment is typically an office setting with moderate noise. Occasional travel may be required for meetings, conferences, or training.