Cfo- USA Based Applicants Only Sponsorship Not Available

Chief Financial Officer (CFO)
Warm Valley Health Care- an Eastern Shoshone Tribal Facility

Position Summary
Warm Valley Health Care is seeking an experienced and mission-driven Chief Financial Officer (CFO) to lead the financial strategy oversight and sustainability of our health system and affiliated programs including operations under the Eastern Shoshone Title V compact. The CFO serves as the senior financial leader and a key advisor to the CEO and the Tribal Health Board ensuring integrity compliance and excellence in all financial operations.

This position plays a critical role in supporting high-quality culturally centered healthcare for the Eastern Shoshone community by guiding budgeting accounting revenue cycle management grants and contracts audits purchasing and financial reporting. The ideal candidate is a collaborative executive leader committed to transparency strategic thinking and strengthening the long-term financial health of the organization.

Essential Duties & Responsibilities

1. Financial Strategy & Leadership

• Develop and execute short- and long-term financial strategies aligned with organizational mission and Tribal priorities.

• Serve on the executive leadership team providing financial insight to support strategic initiatives capital projects and new service lines.

• Deliver clear financial analysis and recommendations to leadership and the Tribal Health Board.

• Promote a culture of accountability transparency and stewardship.

2. Budgeting & Financial Planning

• Lead annual operating and capital budget development across departments.

• Monitor financial performance analyze variances and recommend necessary adjustments.

• Prepare multi-year forecasts and cash flow analyses.

• Ensure budgets align with grant requirements Title V funding and organizational goals.

3. Accounting Reporting & Internal Controls

• Oversee all accounting functions including payables receivables payroll fixed assets and purchasing.

• Ensure timely and accurate internal and external financial reporting.

• Maintain strong internal controls to safeguard assets and prevent fraud.

• Ensure compliance with GAAP OMB Uniform Guidance and tribal/federal regulations.

4. Revenue Cycle & Reimbursement

• Oversee the full revenue cycle including billing coding collections and payment posting.

• Monitor reimbursement trends and implement process improvements.

• Partner with clinical and operational leaders to ensure accurate documentation and charge capture.

• Support optimization of the EHR and practice management systems as they relate to financial operations.

5. Grants Contracts & Title V Compact Funding

• Manage financial components of grants contracts and compacts including budgets drawdowns and reporting.

• Ensure compliance with all funding agency requirements.

• Collaborate with program managers and grant writers on proposals and budget development.

• Track restricted/unrestricted funds and ensure proper allocation of costs.

6. Audit Compliance & Risk Management

• Lead annual independent audits single audits and program reviews.

• Develop and implement corrective action plans for audit findings.

• Ensure compliance with all tribal federal and healthcare financial policies.

• Work with legal and compliance teams to identify and mitigate risks.

7. Treasury Cash Management & Capital Planning

• Oversee cash flow investment of excess funds (per tribal policy) and banking relationships.

• Ensure adequate liquidity for operations and capital needs.

• Develop capital financing strategies in collaboration with tribal leadership.

• Oversee procurement and capital asset management.

8. Leadership Supervision & Team Development

• Lead finance accounting and revenue cycle teams including hiring training and performance oversight.

• Foster teamwork cross-training and continuous improvement.

• Provide financial education and support to managers and staff.

• Model culturally respectful patient-centered leadership.

9. Communication & Tribal Relations

• Present accessible financial updates to leadership boards and stakeholders.

• Support transparent communication of financial information to the community.

• Collaborate with tribal departments such as Tribal Finance HR and Planning.

10. Other Duties

• Participate in committees workgroups and organizational initiatives.

• Stay current with healthcare financial trends and regulatory changes.

• Perform additional duties as assigned.

Minimum Qualifications

• Bachelors degree in Accounting Finance Business Administration or related field.

• Minimum seven (7) years of progressive financial management experience including at least three (3) years in a leadership role.

• Healthcare finance experience preferably in tribal health IHS FQHC rural health or similar settings.

• Strong knowledge of GAAP budgeting financial reporting and internal controls.

• Experience with audits grants/contracts management and federal funding sources.

• Proficiency with financial management systems and EHR/practice management systems.

Preferred Qualifications

• CPA CMA or Masters degree in a related field.

• Experience working with tribal governments or tribal health systems including Title V self-governance operations.

• Knowledge of Medicaid Medicare and commercial billing including tribal-specific considerations.

• Experience in rural or underserved healthcare environments.

• Demonstrated success leading teams through growth or system transitions.

Knowledge Skills & Abilities

• Strong analytical and problem-solving skills.

• Ability to clearly explain complex financial information to non-financial audiences.

• Excellent leadership communication and team-building abilities.

• High level of integrity ethics and confidentiality.

• Ability to work collaboratively with tribal leadership and cross-functional teams.

• Cultural humility and respect for the Eastern Shoshone Tribes values and traditions.

APPLICATION REQUIREMENTS:

• Submit a completed application with supporting documents via the online portal. Applications are available at Warm Valley Health Care or for more information contact Stacie Fagerstone Executive Director-HR via email at .

Preference will be given to qualified Eastern Shoshone tribal members then other qualified federally recognized Indian tribal members and then other qualified candidates.

• Applicants must submit a copy of Tribal Enrollment card or CIB for Indian Preference.
• Veterans who meet the minimum qualifications and provide documentation of an honorable discharge (DD214) from any branch of military service are entitled to receive preference points during the interview process.

Any offer of employment is contingent upon a negative drug test reference checks and background check. Refusal to undergo required testing or testing positive will render the applicant ineligible for employment.

EOE

• Must pass pre-employment drug screening.


• Successfully pass the employment background check.