Medical Cfo Jobs (NOW HIRING)

NOW CFO is seeking an experienced Consulting CFO to join our team in the Portland, Oregon area. This is a full-time opportunity offering a base salary of $170,000–$185,000, depending on experience.

This role is ideal for a hands-on financial executive who can step confidently into client environments, provide high-level CFO guidance, and still roll up their sleeves when the situation calls for it. The ideal candidate will bring extensive construction industry experience, strong financial leadership, and a well-rounded background across additional industries.

As a Consulting CFO, this person will partner directly with business owners, executives, and leadership teams to improve financial visibility, strengthen cash flow management, build better reporting processes, and support strategic decision-making. This role requires someone who can quickly understand different business models, assess financial and operational challenges, and provide practical solutions that help clients move their businesses forward.

Candidates must be based in or willing to commute throughout the Portland metro area and surrounding markets. This role may require travel to client sites across Portland and other areas in Oregon as needed, including Vancouver, Salem, and surrounding communities.

• Serve as a Consulting CFO for clients across construction and other industries
• Partner with business owners, executives, and leadership teams to provide strategic financial guidance
• Oversee and improve financial reporting, budgeting, forecasting, cash flow management, and financial analysis
• Support construction clients with job costing, WIP reporting, percentage-of-completion accounting, project profitability, cost-to-complete analysis, and margin review
• Analyze financial performance and provide actionable insight to improve profitability, cash flow, and operational decision-making
• Evaluate existing accounting and finance processes, identify gaps, and recommend improvements
• Support financial planning, variance analysis, and long-term business strategy
• Partner with Controllers, Accounting Managers, and accounting teams to ensure accurate and timely financial reporting
• Assist with internal controls, accounting policies, audit preparation, lender reporting, and compliance needs
• Build and improve financial models, dashboards, and reporting tools to support better business visibility
• Help clients strengthen accounting procedures while adapting to the unique needs of each business
• Work cross-functionally with operations, finance, ownership, and leadership teams to support client goals
• Manage multiple client priorities in a fast-paced consulting environment

• Bachelor’s degree in Accounting, Finance, Business, or related field preferred
• Strong CFO, VP of Finance, Director of Finance, Controller, or similar senior finance leadership experience
• Extensive construction industry experience required
• Experience with job costing, WIP reporting, percentage-of-completion accounting, project accounting, cash flow management, and project profitability strongly preferred
• Well-rounded industry background preferred, including experience across manufacturing, distribution, real estate, professional services, nonprofit, or other project-based industries
• Strong understanding of GAAP, financial reporting, budgeting, forecasting, and internal controls
• Experience with ERP or accounting systems
• Ability to operate as a strategic financial advisor while also stepping into hands-on financial and accounting work when needed
• Strong analytical, problem-solving, leadership, and communication skills
• Comfortable working directly with business owners, executives, lenders, and internal accounting teams
• Ability to quickly assess client needs, identify financial risks, and provide practical business solutions
• Comfortable managing multiple priorities in fast-paced and changing environments
• Must be based in or willing to commute throughout the Portland, OR market and surrounding areas, including Vancouver and Salem as needed

NOW CFO gives financial leaders the opportunity to work with a variety of clients, industries, and business challenges while continuing to grow as well-rounded executive finance professionals. This role offers the chance to make a meaningful impact by helping clients improve financial visibility, strengthen operations, and make better strategic decisions.

This is an excellent opportunity for a Consulting CFO who enjoys variety, client interaction, strategic problem-solving, and hands-on financial leadership.

If you are an experienced financial executive with deep construction industry experience, a strong generalist background, and a passion for helping businesses improve financial performance, we encourage you to apply.

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