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Chief Financial Officer (CFO)

FRANKLIN GENERAL HOSPITAL

Hampton, IA

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JOB DETAILS
SKILLS
Accounting, Acute Care, Analysis Skills, Assisted Living, Best Practices, Budgeting, Business Administration, Cash Flow, Clinical Facilities, Communication Skills, Continuous Improvement, Contract Negotiation, Cost Control, Cost Reporting, Credit and Collections, Finance, Financial Analysis, Financial Management, Financial Operations, Financial Planning, Financial Regulations, Financial Statements, Financial Strategy, Forecasting, Head of Finance, Healthcare, Healthcare Administration, Healthcare Reimbursement, Home Care, Hospital, Investment Capital, Leadership, Long-Term Care, Maintain Compliance, Medical Billing, Medicare Cost Reports, Medicare Reimbursement, Mentoring, Nursing, Operational Strategy, Operational Support, Paycom, Performance Analysis, Performance Tuning/Optimization, Primary Care, Problem Solving Skills, Public Health, Quality Assurance, Quality of Care, Regulations, Regulatory Compliance, Reimbursement, Strategic Planning, Sustainability, Team Building, Team Lead/Manager, Time Management
LOCATION
Hampton, IA
POSTED
14 days ago

Chief Financial Officer (CFO)

25-bed Critical Access Hospital

Location: Franklin General Hospital

Reports to: Chief Executive Officer (CEO)

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Position Summary

The Chief Financial Officer (CFO) provides strategic leadership and oversight of all financial operations for a 25-bed Critical Access Hospital which includes two rural health clinics, an attached long term care facility and assisted living facility.  As a key member of the executive leadership team, the CFO ensures the financial integrity, sustainability and regulatory compliance of the organization while supporting its mission to deliver high-quality, community-centered care.

This role requires a hands-on financial leader experienced in rural healthcare environments, with a deep understanding of Critical Access Hospital reimbursement, cost-based reporting and operational efficiency.

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Key Responsibilities

Financial Strategy & Leadership

  • Partner with the CEO, CNO and leadership team to develop and execute strategic financial plans aligned with organizational goals.
  • Provide financial forecasting, long-range planning, and performance analysis
  • Advise on growth opportunities, service line expansion and capital investments

Financial Operations

  • Responsible for accounting, budgeting, payroll and revenue cycle functions
  • Prepares financial statements, budgets and projections
  • Monitor cash flow, operating performance and financial indicators
  • Ensure accurate and timely monthly, quarterly and annual reporting

Regulatory & Compliance

  • Ensure compliance with Medicare cost reporting and Critical Access Hospital (CAH) reimbursement regulations
  • Oversee audit processes and maintain strong internal controls
  • Ensure compliance with federal, state and local financial regulations

Revenue Cycle & Reimbursement

  • Optimize revenue cycle performance, including billing, collections, and denial management
  • Monitor payer mix and reimbursement trends
  • Ensure accurate cost reporting and maximize cost-based reimbursement opportunities

Operational Support

  • Collaborate with department leaders to improve financial performance and cost efficiency
  • Lead cost containment initiatives without compromising quality of care
  • Support contracting and negotiations with vendors and payors

Leadership & Team Development

  • Lead and mentor the finance and revenue cycle teams
  • Foster a culture of accountability, transparency and continuous improvement

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Qualifications

Required

  • Bachelor's degree in accounting, Finance, Healthcare Administration, or related field
  • Minimum of 3-5 yrs of progressive financial leadership experience in healthcare
  • Strong knowledge of Critical Access Hospital reimbursement and Medicare cost reporting
  • Demonstrated experience in budgeting, forecasting, and financial analysis
  • Proven leadership and team management skills

Preferred

  • MBA or master's degree in a related field
  • Experience with Multiview and Paycom software
  • Experience in a rural healthcare or small community hospitals
  • Familiarity with value-based care models and population health initiatives

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Key Competencies

  • Strategic thinking and problem-solving
  • Strong financial acumen and analytical skills
  • Knowledge of healthcare regulatory environments
  • Effective communication with clinical and non-clinical leaders
  • Ability to balance strategic vision with operational execution

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Compensation & Benefits

  • Competitive salary commensurate with experience
  • Comprehensive benefits package (health, dental, vision, IPERS)
  • Paid time off (PTO)
  • Relocation assistance (if applicable)

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About the Organization

Franklin General Hospital is a rural Critical Access Hospital located in Hampton, IA. We serve Hampton (Pop: 4,300) and Franklin County (Pop: 10,000) and the surrounding communities.

We have 25 acute care beds, two primary care clinics, nursing facility, assisted living facility, home care and public health.

Franklin General Hospital was named a Top 20 Critical Access Hospital in the country for Best Practice in Patient Satisfaction by the Chartis Center for Rural Health in 2024 & 2025.



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About the Company

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FRANKLIN GENERAL HOSPITAL