Interim Chief Financial Officer (CFO) – Pike County Memorial Hospital

H&H is proud to post this opportunity.

Location: North East Missouri – Along the Mississippi River

Pike County Memorial Hospital (PCMH), a 25-bed Critical Access Hospital serving the communities of Northeast Missouri, is seeking an experienced Interim Chief Financial Officer (CFO) to provide immediate leadership and financial oversight during a critical transition period.

About the Role

Reporting directly to the Chief Executive Officer (CEO), the Interim CFO will serve as a key member of the senior leadership team, ensuring the hospital’s financial operations remain compliant, efficient, and strategically aligned. This hands-on role requires a proven financial leader who can step in quickly, stabilize operations, and guide the organization through short-term challenges while laying the groundwork for long-term success.

Key responsibilities include:

Leading day-to-day financial operations, including accounting, budgeting, financial planning, and reporting.
Overseeing patient accounting, revenue cycle management, Materials Management, and Health Information Services.
Ensuring compliance with Critical Access Hospital (CAH) finance regulations and rural healthcare financial policies.
Managing billing, collections, coding, accounts receivable/payable, cash management, and month-end close processes.
Preparing and analyzing financial statements, budgets, Medicare cost reports, managed care contracts, and financial reports.
Coordinating internal and external audits to ensure ongoing compliance and operational integrity.
Advising leadership on financial risks, opportunities, and strategies during the interim period.
Ensuring adherence to third-party payer regulations, DSH audits, and 340B pharmacy program rules.

Who We’re Looking For

We’re seeking an adaptable, results-driven financial executive with a track record of success in interim or turnaround leadership roles in healthcare. The ideal candidate will bring:

Significant experience as a CFO or senior financial leader in a Critical Access Hospital or rural healthcare setting.
Expertise in healthcare finance, reimbursement, and regulatory compliance.
Strong operational skills in revenue cycle management and financial reporting.
Ability to quickly assess, prioritize, and implement solutions in a fast-paced environment.
A collaborative leadership style with a commitment to supporting the hospital’s mission during the interim period.

Pike County Memorial Hospital

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