Chief Finance Officer

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.

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 1224 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

Bachelors 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

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

Competitive executive salary performance-based bonus

Medical insurance

Paid time off / holidays

Equity or long-term incentive plan