PERMIAN REGIONAL MEDICAL CENTER

Permian Regional Medical Center is a rural health hospital in Andrews Texas, that was recognized as a top 20 hospital in the USA by Becker’s Hospital Review and highly rated by the Centers for Medicare & Medicaid Services (CMS).

Position Description:

The Chief Financial Officer (CFO) is a hands-on leader responsible for overseeing all fiscal affairs, including Accounting, Business Office, Materials Management (MM), Social Services, Health Information Management (H.I.M.), Reimbursement, and Ambulatory IT. The CFO should also work in collaboration with Information Technology (IT) and Case Management. This role requires a robust background in accounting, finance, and Revenue Cycle Management (RCM), with the ability to roll up sleeves and dive into detailed financial analysis, modeling, and reporting using tools like Excel.

The CFO must have a comprehensive understanding of RCM processes, including billing, collections, denials management, and payer contract compliance, and be adept at working with multiple outsourced service lines, ensuring seamless coordination, performance oversight, and alignment with hospital financial goals. The CFO supervises hiring, job assignments, and performance of employees in the aforementioned departments; prepares and furnishes monthly financial reports and information to the Board of Directors and CEO; assists department directors with financial results, budgeting, and forecasting; audits payroll expenses and payable invoices; and collaborates with the CEO to prepare and present the annual operating budget to the Board. The CFO excels in building strong, trust-based relationships with cross-departmental teams, the local community board, staff, physicians, patients, and external stakeholders, thriving in a dynamic, high-performing environment that demands adaptability and collaboration to maintain the hospital’s prestigious CMS rating and national recognition.

Additional responsibilities include assisting with external, internal, and governmental audits; preparing Medicare and Medicaid Cost Reports, Texas Department of Health (TDH)/American Hospital Association (AHA) Surveys, and other regulatory filings for all facilities; ensuring inventories are maintained at appropriate levels; implementing and maintaining data controls and Electronic Data Processing (EDP) changes; coordinating Meaningful Use participation in accordance with CMS guidelines for the hospital and providers; filing quarterly reports for Delivery System Reform Incentive Payment (DSRIP) projects; and managing reports for Uncompensated Care Pool (UPL) programs, including private and nursing home components. The CFO oversees Case Management to ensure efficient patient care coordination, resource utilization, and compliance with financial and regulatory requirements, collaborating closely with clinical teams to optimize patient outcomes and financial performance. The CFO must be technology-savvy, with proficiency in financial software, data analytics tools, and emerging healthcare technologies to drive efficiency and innovation in a fast-paced, high-achieving setting. Knowledge of medical technology (MediTech) and experience with Strata software are a plus.

This position demands exceptional collaboration with cross-departmental teams, including operations and outsourced service lines, to align financial strategies with operational and clinical goals, foster interdepartmental relationships, and support hospital-wide initiatives. The CFO will work closely with the local community board, cultivating enduring relationships built on transparency, trust, and a shared commitment to community-focused decision-making that upholds the hospital’s elite status. Other related duties and responsibilities as directed by the CEO, with the ability to coordinate and prioritize tasks effectively in a dynamic environment. Maintains a genuine, friendly, caring, and professional attitude; attends meetings and in-services to stay informed; learns fire, safety, and disaster plans; requests paid personal leave (PPL) days in advance; takes initiative in unsupervised situations; handles confidential information appropriately; uses good body mechanics to prevent accidents; demonstrates ability to learn new tasks and accept new responsibilities.

Minimum Qualifications:

Bachelor's degree in Accounting, Finance, or a related field.
At least 7 years of progressive experience in accounting and finance, with a minimum of 3 years in a leadership role within a healthcare setting, preferably in a rural hospital environment.
Proven expertise in financial modeling, budgeting, cost reporting, case management financial oversight, and regulatory compliance (e.g., Meaningful Use, Medicare/Medicaid).
Robust understanding of Revenue Cycle Management (RCM), including experience managing and optimizing outsourced service lines.

Knowledge and Skills:

Advanced proficiency in Microsoft Excel (including pivot tables, and complex formulas) and other financial analysis tools.
Strong understanding of healthcare finance, revenue cycle management, reimbursement methodologies, case management processes, and management of outsourced service lines.
Technology-savvy with experience in implementing and optimizing IT systems, electronic health records (EHR), and data analytics platforms preferred; experience with Strata software and knowledge of medical technology (MediTech) are a plus.
Exceptional interpersonal and communication skills for building and maintaining strong relationships with cross-functional teams, including operations and outsourced vendors, the local community board, staff, physicians, patients, and external stakeholders in a dynamic, high-performing environment.
Ability to work collaboratively in a team-oriented setting while maintaining independence in decision-making, with a proven ability to adapt to the demands of a top-tier, CMS-rated hospital.

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