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Chief Financial and Operations Officer (CFOO) - RiverPeak Health, Riverton, WY

Billings Clinic

WY

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JOB DETAILS
SKILLS
Accounting, Benchmarking, Billing, Budgeting, Business Administration, Business Development, Business Growth, Business Strategy, Capital Equipment, Cash Flow, Certified Public Accountant (CPA), Channel Strategies, Community Relations, Construction Planning, Continuous Improvement, Contract Negotiation, Cost Reporting, Credit and Collections, Finance, Financial Analysis, Financial Management, Financial Modeling, Financial Operations, Financial Planning, Financial Policies, Financial Reporting, Financial Strategy, Financial Systems, Forecasting, Funding, Generally Accepted Accounting Principles (GAAP), Healthcare, Healthcare Administration, Healthcare Reimbursement, Hospital Systems, Leadership, Loans, Maintain Compliance, Medical Billing, Medical Record System, Operational Strategy, Operations Management, Operations Planning, Operations Processes, Outsourcing, Patient Care, Process Improvement, Productivity Management, Profit & Loss Management, Public/Media/Press/Analyst Relations, Regulations, Regulatory Compliance, Regulatory Requirements, Reimbursement, Revenue Management, Service Delivery, Startup, Stewardship, Strategic Planning, Sustainability, System Operations, Treasury Management, Vendor/Supplier Selection, Workforce Planning
LOCATION
WY
POSTED
30+ days ago

THIS IS A COURTESY POSTING ONLY

Please do not complete the employment application on this site/Apply below

Application Link: RiverPeak Employment

Chief Financial and Operations Officer (CFOO)

Riverton, WY

We''re looking for a CEOO to come join our team!

The Chief Financial & Operations Officer (CFOO) serves as a key member of the executive leadership team and is responsible for aligning RiverPeak Health's financial strategy with operational execution. This role is uniquely positioned to help build the organization from the ground up, establishing financial systems, operational infrastructure, and leadership frameworks necessary to successfully launch and sustain a high-performing rural health system. The CFOO provides executive oversight of finance, revenue cycle, and assigned operational departments, ensuring strong financial stewardship, operational efficiency, regulatory compliance, and high-quality patient care delivery.

ESSENTIAL FUNCTIONS

  1. Executive Leadership & Strategy
  • Serve as a strategic partner to the CEO, Board, and leadership team
  • Participate in organizational strategic planning, business development, and growth initiatives
  • Translate strategic priorities into financial and operational plans
  • Support Board committees and provide regular financial and operational reporting
  1. Financial Leadership

Lead all financial functions, including:

  • Budgeting and forecasting
  • Financial reporting and analysis
  • Capital planning
  • Cash flow and treasury management
  • Develop and execute financial strategies aligned with a Prospective Payment System (PPS) reimbursement environment, including optimization of case mix index, service line performance, and payer mix
  • Establish financial systems, policies, and internal controls
  • Ensure compliance with GAAP, regulatory requirements, and grant/funding obligations
  • Oversee cost reporting, audits, and reimbursement optimization
  1. Revenue Cycle & Financial Performance
  • Lead financial modeling and decision-making in a fixed-reimbursement environment, ensuring sustainable margins and long-term financial viability
  • Oversee revenue cycle operations, including billing, coding, collections, and payer relationships
  • Monitor key financial and operational performance indicators
  • Drive initiatives to improve margin, productivity, and cost efficiency
  • Support payer contracting and reimbursement strategy
  1. Operational Oversight
  • Provide executive oversight of assigned operational departments
  • Ensure alignment between clinical operations and financial performance
  • Lead operational readiness efforts for facility opening (staffing, workflows, systems)
  • Partner with clinical and administrative leaders to optimize service delivery
  1. Organizational Build & Start-Up Execution

Lead development of:

  • Financial infrastructure (systems, processes, reporting)
  • Operational policies and procedures
  • Staffing models and productivity benchmarks
  • Support vendor selection, contracting, and implementation (e.g., EHR, outsourced services)
  • Participate in construction planning, capital equipment decisions, and go-live readiness
  1. Team Leadership & Culture
  • Recruit, develop, and lead high-performing teams
  • Establish clear performance expectations and accountability structures
  • Foster a culture of collaboration, transparency, and continuous improvement
  • Partner with HR leadership on workforce planning and engagement
  1. Community & External Relationships

Build relationships with:

  • Financial institutions and lenders
  • Auditors and regulatory agencies
  • Community stakeholders and partners
  • Represent RiverPeak Health in financial and operational matters

MINIMUIM QUALIFICATIONS

Required

  • Bachelor's degree in Finance, Accounting, Business/Healthcare Administration, or related field
  • 5-10+ years of progressive leadership experience in healthcare finance and/or operations
  • Demonstrated experience in financial management, budgeting, and operational leadership
  • Experience in Prospective Payment System (PPS) hospital or health system

Preferred

  • Master's degree (MBA, MHA, Accountancy) and/or CPA

Experience in:

  • Payer contracting and negotiation strategies
  • Service line profitability and margin management
  • Experience in rural healthcare settings preferred
  • Prior experience in start-up, growth, or organizational build environments highly desirable

Job Type: Full-Time

Apply Here: RiverPeak Employment

About the Company

B

Billings Clinic