ACG Cares
Hunter Ambrose Int. | Kansas City, Missouri
Chief Financial Officer – Critical Access Hospital (Rural) Employer:
North Valley Hospital (via Hunter Ambrose Int.) Location:
Tonasket, Washington (north-central Washington, Okanogan County) Employs:
~270 staff across CAH, rural clinic, extended care Schedule:
Hybrid — minimum 8 days/month on-site (candidate expense); remaining work remote
Why This Role Matters North Valley Hospital is a mission-driven Critical Access Hospital serving small rural communities. After completing a complex EMR transition, the hospital is now stabilizing financially and preparing for strategic growth. As CFO, you will play a central leadership role shaping financial strategy, sustainability, and long-term operational growth.
Position Overview & Scope of Responsibility As CFO, you will report to the CEO and lead finance, accounting, HIM, materials management, and patient accounting. Your responsibilities will include:
Full oversight of financial operations — budgeting, forecasting, monthly financial cycles, capital planning
Leading revenue-cycle optimization: patient access, documentation, billing, collections, denials, cost reporting
Developing Board-level financial reporting, pro-forma modeling, and scenario planning for growth initiatives
Guiding reimbursement strategies (including CMS/CAH cost-based methodologies) and payer contracting
Managing vendor contracts, negotiating strategic agreements, and monitoring vendor performance
Implementing AI-supported analytics and workflow tools to enhance financial and revenue-cycle performance
Supporting hospital leadership through major strategic initiatives, including planned growth of outpatient therapy, imaging, swing-bed utilization, infusion services
Candidate Profile & Qualifications
Bachelor’s degree in Accounting required; CPA or MBA strongly preferred
At least 3 years in CFO or VP of Finance role in a hospital, Critical Access Hospital (CAH), or ambulatory care setting — rural experience strongly desired
Demonstrated expertise in CMS reimbursement and CAH cost-based methodologies
Track record in cost reporting, financial modeling, pro-forma analysis, and revenue-cycle optimization
Experience with vendor management, contract negotiation, and performance oversight
Familiarity with project-management frameworks (Lean, Agile, Gantt, Sprints)
Experience leading finance operations through EMR transitions or other substantial organizational changes
Comfortable working in a leadership role that requires hands‑on involvement, flexibility, and cross‑department collaboration
What’s Attractive About the Opportunity
Competitive base salary:
$150,000 – $200,000 , depending on credentials (CPA/MBA) and experience
Sign‑on bonus up to
$10,000
(with commitment), with relocation assistance negotiable for candidates relocating to the region
High-impact role with direct influence on strategic planning and financial sustainability in a community‑oriented hospital
Hybrid schedule balancing remote work with essential on‑site leadership presence
Opportunity to lead growth initiatives and help shape the future direction of a rural hospital
Ideal Candidate The ideal CFO is a seasoned, hands‑on healthcare finance leader with strong rural hospital or CAH experience. You are operationally savvy, capable of managing end‑to‑end financial workflows, and comfortable wearing many hats in a lean, community‑based environment. You are familiar with payer/reimbursement complexities, revenue‑cycle challenges, and you’re ready to lead a financially stabilizing hospital through growth and strategic projects.
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Chief Financial Officer – Critical Access Hospital (Rural) Employer:
North Valley Hospital (via Hunter Ambrose Int.) Location:
Tonasket, Washington (north-central Washington, Okanogan County) Employs:
~270 staff across CAH, rural clinic, extended care Schedule:
Hybrid — minimum 8 days/month on-site (candidate expense); remaining work remote
Why This Role Matters North Valley Hospital is a mission-driven Critical Access Hospital serving small rural communities. After completing a complex EMR transition, the hospital is now stabilizing financially and preparing for strategic growth. As CFO, you will play a central leadership role shaping financial strategy, sustainability, and long-term operational growth.
Position Overview & Scope of Responsibility As CFO, you will report to the CEO and lead finance, accounting, HIM, materials management, and patient accounting. Your responsibilities will include:
Full oversight of financial operations — budgeting, forecasting, monthly financial cycles, capital planning
Leading revenue-cycle optimization: patient access, documentation, billing, collections, denials, cost reporting
Developing Board-level financial reporting, pro-forma modeling, and scenario planning for growth initiatives
Guiding reimbursement strategies (including CMS/CAH cost-based methodologies) and payer contracting
Managing vendor contracts, negotiating strategic agreements, and monitoring vendor performance
Implementing AI-supported analytics and workflow tools to enhance financial and revenue-cycle performance
Supporting hospital leadership through major strategic initiatives, including planned growth of outpatient therapy, imaging, swing-bed utilization, infusion services
Candidate Profile & Qualifications
Bachelor’s degree in Accounting required; CPA or MBA strongly preferred
At least 3 years in CFO or VP of Finance role in a hospital, Critical Access Hospital (CAH), or ambulatory care setting — rural experience strongly desired
Demonstrated expertise in CMS reimbursement and CAH cost-based methodologies
Track record in cost reporting, financial modeling, pro-forma analysis, and revenue-cycle optimization
Experience with vendor management, contract negotiation, and performance oversight
Familiarity with project-management frameworks (Lean, Agile, Gantt, Sprints)
Experience leading finance operations through EMR transitions or other substantial organizational changes
Comfortable working in a leadership role that requires hands‑on involvement, flexibility, and cross‑department collaboration
What’s Attractive About the Opportunity
Competitive base salary:
$150,000 – $200,000 , depending on credentials (CPA/MBA) and experience
Sign‑on bonus up to
$10,000
(with commitment), with relocation assistance negotiable for candidates relocating to the region
High-impact role with direct influence on strategic planning and financial sustainability in a community‑oriented hospital
Hybrid schedule balancing remote work with essential on‑site leadership presence
Opportunity to lead growth initiatives and help shape the future direction of a rural hospital
Ideal Candidate The ideal CFO is a seasoned, hands‑on healthcare finance leader with strong rural hospital or CAH experience. You are operationally savvy, capable of managing end‑to‑end financial workflows, and comfortable wearing many hats in a lean, community‑based environment. You are familiar with payer/reimbursement complexities, revenue‑cycle challenges, and you’re ready to lead a financially stabilizing hospital through growth and strategic projects.
#J-18808-Ljbffr