Peopleos

We are seeking an experienced, hands-on Chief Financial Officer to lead the financial transformation of our growing Medicaid Home Health and Hospice organization (~$15M annual revenue). This is a highly operational executive role responsible for rebuilding and modernizing our financial infrastructure while providing strategic leadership to support sustainable growth.

The CFO will have executive oversight of Finance, Accounting, Treasury, Revenue Cycle, Billing, Accounts Receivable, Accounts Payable, Financial Planning & Analysis, and Financial Systems. Key priorities include stabilizing cash flow, cleaning up historical accounting records, strengthening internal controls, optimizing revenue cycle operations, improving collections, modernizing accounting systems, and delivering accurate, timely financial reporting.

The ideal candidate is a builder and operator who is equally comfortable rolling up their sleeves to solve day-to-day operational challenges and serving as a strategic advisor to the CEO and Board of Directors. Success will be measured by improved cash flow, stronger EBITDA, reliable financial reporting, and a scalable finance organization.

Key Responsibilities

● Lead all accounting, finance, treasury, budgeting, forecasting, and reporting functions

● Serve as principal financial advisor to the CEO and Board of Directors

● Audit, reconcile, and clean up 12–24 months of historical accounting records

● Strengthen internal controls, accounting policies, and approval workflows

● Modernize accounting systems and improve the monthly close process (target: 10 business days)

● Provide executive oversight of Billing, Accounts Receivable, and Accounts Payable

● Improve AR aging, accelerate collections, and manage vendor payments and working capital

● Oversee Medicaid billing, reimbursement accuracy, payer audits, denials, and appeals

● Manage payer contracts, reimbursement methodologies, and fee schedules

● Build integrated three-statement financial models and a rolling 13-week cash flow forecast

● Develop executive dashboards tracking EBITDA, cash flow, AR, collections, and margins

RequirementsRequired

● Bachelor's degree in Accounting, Finance, or related field

● CPA strongly preferred

● 10+ years of progressive financial leadership experience, including senior finance or CFO-level responsibility

● Demonstrated success leading accounting cleanups, financial turnarounds, or organizational transformations

● Strong expertise in GAAP accounting, treasury management, budgeting, forecasting, financial modeling, and internal controls

● Experience building and leading high-performing accounting and finance teams

Preferred

● Home Health, Hospice, or healthcare industry experience

● Medicaid reimbursement and revenue cycle management experience

● Experience overseeing Billing, AR, AP, and collections

● Knowledge of ADR management, payer audits, and contract management

● Experience implementing or modernizing accounting/financial systems

● Multi-location or multi-entity healthcare experience

Benefits

• Competitive executive salary + performance-based bonus

• Medical insurance

• Paid time off / holidays

• Equity or long-term incentive plan