Davis, California
Jacksonville , Florida
Posted: 04-Dec-25
Location: Tonasket, Washington
Type: Full Time
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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:
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Full oversight of financial operations — budgeting, forecasting, monthly financial cycles, capital planning
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Leading revenue-cycle optimization: patient access, documentation, billing, collections, denials, cost reporting
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Developing Board-level financial reporting, pro-forma modeling, and scenario planning for growth initiatives
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Guiding reimbursement strategies (including CMS/CAH cost-based methodologies) and payer contracting
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Managing vendor contracts, negotiating strategic agreements, and monitoring vendor performance
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Implementing AI-supported analytics and workflow tools to enhance financial and revenue-cycle performance
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Supporting hospital leadership through major strategic initiatives, including planned growth of outpatient therapy, imaging, swing-bed utilization, infusion services
Candidate Profile & Qualifications
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Bachelor’s degree in Accounting required; CPA or MBA strongly preferred
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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
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Demonstrated expertise in CMS reimbursement and CAH cost-based methodologies
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Track record in cost reporting, financial modeling, pro-forma analysis, and revenue-cycle optimization
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Experience with vendor management, contract negotiation, and performance oversight
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Familiarity with project-management frameworks (Lean, Agile, Gantt, Sprints)
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Experience leading finance operations through EMR transitions or other substantial organizational changes
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Comfortable working in a leadership role that requires hands-on involvement, flexibility, and cross-department collaboration
What’s Attractive About the Opportunity
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Competitive base salary: $150,000 – $200,000, depending on credentials (CPA/MBA) and experience
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Sign-on bonus up to $10,000 (with commitment), with relocation assistance negotiable for candidates relocating to the region
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High-impact role with direct influence on strategic planning and financial sustainability in a community-oriented hospital
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Hybrid schedule balancing remote work with essential on-site leadership presence
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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.