Montana Rural Healthcare CFO Opportunities
$150,000–$250,000 year
On-siteMontana, United States
Job Summary
Provide strategic and operational leadership for financial functions, developing budgets, forecasts, and long-term sustainability strategies. Oversee accounting, reporting, cash flow, audits, and internal controls while supporting revenue cycle performance, payer relations, and collections. Manage relationships with auditors, banks, vendors, government agencies, and external partners to ensure compliance with financial, regulatory, and grant requirements. Partner with operational and clinical leaders to improve performance, support capital planning, and navigate growth, transition, or financial uncertainty. Evaluate the financial impact of workforce shortages, travel, housing, equipment, weather, and supply-chain challenges to maintain essential healthcare services.
Required Qualifications
- Progressive healthcare finance leadership experience
- Experience as a CFO, Vice President of Finance, Controller, Finance Director, or comparable senior leader
- Strong knowledge of budgeting, forecasting, accounting, audits, reimbursement, cash management, and financial reporting
- Experience presenting complex financial information clearly to boards, executive teams, department leaders, tribal partners, and community stakeholders
- An understanding of rural and frontier healthcare operations, reimbursement, workforce challenges, and service-line sustainability
- Experience with Critical Access Hospitals, FQHCs, Rural Health Clinics, public hospital districts, tribal healthcare organizations, regional health systems, long-term care providers, or community healthcare organizations
- A bachelor's degree in accounting, finance, business, healthcare administration, or a related field
- A collaborative, transparent, practical, and relationship-focused leadership style
- The ability to relocate or travel regionally when required
Desired Qualifications
- Experience supporting multi-site organizations or services spread across significant geographic distances
- Experience with grants, federal funding, rural reimbursement, tribal healthcare finance, or public-sector reporting
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