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Critical Access Hospital Cfo Jobs (NOW HIRING)

Chief Financial Officer (CFO) - Critical Access Hospital We are seeking a strategic and experienced Chief Financial Officer to lead the financial operations of our Critical Access Hospital. This ...

Days/Afternoons (United States of America) Hospital Site CFO | Tiffin Hospital | Tiffin, OH The Hospital Chief Financial Officer leads the financial operations of their respective site.

$180 - $240/hr

Lead financial strategy and growth as Chief Financial Officer of Amberwell Health in Atchison ... or critical access hospital setting. The Community Atchison, Kansas, is a historic community ...

... critical operational functions. The role oversees six Director-level leaders and will partner ... Senior-level financial management experience within the acute care hospital healthcare industry ...

... critical operational functions. The role oversees six Director-level leaders and will partner ... Senior-level financial management experience within the acute care hospital healthcare industry ...

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Critical Access Hospital Cfo information

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$35.5K

$123.6K

$248K

How much do critical access hospital cfo jobs pay per year?

As of Sep 4, 2026, the average yearly pay for critical access hospital cfo in the United States is $123,586.00, according to ZipRecruiter salary data. Most workers in this role earn between $88,000.00 and $143,500.00 per year, depending on experience, location, and employer.

What is a Critical Access Hospital CFO?

A Critical Access Hospital (CAH) CFO is responsible for overseeing the financial operations of a small rural hospital designated as a Critical Access Hospital. They manage budgeting, financial reporting, reimbursement processes, and regulatory compliance to ensure the hospital remains financially viable. The CFO also works with hospital leadership to develop strategies for cost control, revenue cycle management, and funding opportunities. Their role is vital in maintaining the hospital's financial health while ensuring the community continues to receive essential healthcare services.

What are the main responsibilities and challenges a Critical Access Hospital CFO faces on a day-to-day basis?

A Critical Access Hospital CFO is responsible for overseeing all financial operations, including budgeting, financial reporting, reimbursement, and managing audits, often while working with limited resources. Due to the rural setting, CFOs frequently wear multiple hats and collaborate closely with administrative and clinical staff to optimize both financial performance and patient care. Challenges often include dealing with complex reimbursement models, regulatory compliance, and balancing cost containment with quality service. This role requires strong adaptability and resourcefulness to ensure the long-term viability of the hospital in a community-focused setting.

What are the key skills and qualifications needed to thrive in the Critical Access Hospital CFO position, and why are they important?

A Critical Access Hospital CFO must have a strong background in accounting, financial management, and healthcare administration, typically supported by a bachelor's or master's degree in finance or a related field and relevant experience. Familiarity with hospital financial software, cost reporting tools, and certifications like CPA or HFMA are highly valued in this role. Excellent leadership, communication, and problem-solving skills are critical for managing teams and interacting with stakeholders. These competencies are vital for ensuring the hospital's financial stability and regulatory compliance while navigating the unique funding challenges of rural healthcare environments.

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Infographic showing various Critical Access Hospital Cfo job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 67% Full Time, 26% Part Time, and 6% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $123,586 per year, or $59.4 per hour.

Full-time

Re-posted 6 days ago


Job description

This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.
SUMMARY OF RESPONSIBILITIES
The Chief Financial Officer serves as the organization's senior financial strategist, responsible for forward-looking financial leadership, liquidity management, revenue integrity, and financial decision support for the CEO and Board of Directors. The CFO ensures the organization is financially stable, resilient, and prepared for emerging financial risks.
ESSENTIAL JOB FUNCTIONS
Strategic Finance & Leadership
  • Partner with the CEO and Board of Directors to establish financial strategy, priorities, and long-term sustainability objectives.
  • Lead the development and ongoing refinement of multi-year financial plans aligned with organizational strategy, operational capacity, and community needs.
  • Provide forward-looking financial analysis, forecasting, and scenario modeling to support strategic and operational decision-making.

Cash Flow, Liquidity & Risk Management
  • Maintain clear visibility into cash position and liquidity, including rolling cash flow forecasts.
  • Proactively identify financial, operational, and reimbursement risks and recommend mitigation strategies before issues become structural or crisis-driven.
  • Ensure the organization is never surprised by material changes in cash position, revenue performance, or financial exposure.

Financial Operations & Oversight
  • Provide executive oversight of accounting operations, budgeting, and internal controls to ensure accuracy, compliance, and audit readiness.
  • Ensure timely and accurate financial reporting, with emphasis on interpretation, trend analysis, and actionable insight.
  • Provide leadership and oversight of the Controller function, which is responsible for accounting execution, financial close, and compliance.

Revenue Integrity & Reimbursement
  • Oversee revenue integrity across the full revenue cycle, ensuring revenue is properly stated, collectible, and sustainable.
  • Identify and address revenue leakage, reimbursement variance, payer methodology issues, and process breakdowns impacting cash flow.
  • Maintain expert knowledge of federal and state reimbursement methodologies and ensure financial strategy reflects current regulatory and payment realities.

Board & Executive Communication
  • Communicate financial performance to the CEO and Board through clear narratives, forward projections, and scenario-based analysis that support governance and decision-making.
  • Present the financial implications of strategic options, operational changes, and external risks in a clear and actionable manner.

Compliance & Governance
  • Ensure compliance with all applicable federal, state, and regulatory requirements.
  • Oversee audits, insurance coverage, and internal controls to support clean audit opinions.
  • Adhere to corporate compliance standards, policies, and procedures.

Leadership & Organizational Culture
  • Collaborate with leadership and department managers to implement financial plans, productivity benchmarks, and performance improvements.
  • Support a team-oriented, mission-driven culture that balances financial stewardship with patient care and community service.

Requirements
KNOWLEDGE AND ABILITY
  • Strong analytical, critical-thinking, and problem-solving skills.
  • Ability to translate complex financial data into clear strategic insight and executive-level guidance.
  • Effective written and verbal communication skills.
  • Ability to manage change, lead teams, and operate effectively in a complex, high-pressure environment.
  • Proficiency in Microsoft Office and financial reporting systems. Trubridge experience preferred

EDUCATION AND EXPERIENCE
  • Bachelor's degree in finance, accounting, or related field required
  • Master's in finance, accounting, or healthcare administration preferred
  • Minimum of five years of hospital financial management experience required
  • Prior hospital CFO experience required with demonstrated responsibility for financial strategy, cash flow management, and executive decision support.
  • Critical Access Hospital experience preferred

PERSONAL AND PUBLIC CONTACT
The CFO will have frequent contact with executive leadership, Board members, staff, patients, vendors, auditors, lenders, and regulatory agencies.
PHYSICAL/MENTAL CONDITIONS
The Chief Financial Officer must be able to lift up to and over 25 lbs. The position requires bending, stooping, crouching, walking, pushing and pulling. The employee is regularly required to sit; use hand to finger, handle or feel; reach with hands and arms and talk or hear. The position requires frequent standing and walking. There is occasional climbing or balancing, stooping, kneeling, crouching or crawling. Some disagreeable odors, blood-borne, and air-borne pathogens present. Hearing, speech and vision must be adequate to perform job duties in person and over the phone. Have the ability to tolerate moderate to high stress levels and work closely with others.
EQUIPMENT USED
The Chief Financial Officer will use the following equipment: computer and various computer programs, copy machine, scanner, fax machine and telephone usage.
OSHA TASK CATEGORY III
Tasks that involve little or no exposure to blood, body fluids, or tissues.
COMPLIANCE
Responsible for abiding by all policies and procedures to include the Code of Ethics and the principles and standards set forth for conducting business and affairs.
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
The Chief Financial Officer will be responsible for abiding by all policies and procedures relating to HIPAA