LHH Recruitment Solutions is partnering with a well-established healthcare organization in Rockland County, New York, looking to bring on a Chief Financial Officer (CFO).
This is an excellent opportunity for an accomplished financial executive to join a respected healthcare organization and serve as a key strategic partner to the CEO, Board of Directors, and senior leadership team.
The CFO will provide leadership across financial strategy, accounting operations, revenue cycle management, reimbursement, budgeting and forecasting, financial reporting, regulatory compliance, and overall financial performance. A critical component of this role will be overseeing the organization's healthcare revenue cycle, including billing, collections, accounts receivable, payer performance, reimbursement optimization, and managed care.
The ideal candidate will bring significant financial leadership experience within healthcare, behavioral health, medical services, or another highly regulated healthcare environment, along with a strong understanding of Medicaid, Medicare, managed care, commercial insurance, and healthcare reimbursement models.
Key Responsibilities
- Serve as a strategic financial advisor to the CEO, Board, and executive leadership team, providing insight into financial performance, cash flow, risk, growth opportunities, and long-term financial planning.
- Provide executive oversight of the organization's revenue cycle operations, including patient/service billing, collections, accounts receivable, cash application, denials, reimbursement, and payer performance.
- Monitor and improve key revenue cycle metrics and KPIs, including aging, days in AR, collection performance, denial trends, reimbursement rates, and cash collections.
- Partner with revenue cycle, clinical, operational, and compliance leadership to identify billing and reimbursement issues and implement strategies that improve cash flow, collections, and revenue realization.
- Oversee financial performance across Medicaid, Medicare, managed care, commercial insurance, and other third-party payer arrangements, ensuring accurate billing, reimbursement, and compliance with payer requirements.
- Evaluate payer trends, reimbursement rates, contractual arrangements, and revenue leakage to identify opportunities to strengthen financial performance.
- Lead the organization's accounting and financial operations, including general ledger, AP/AR, payroll, treasury, cash management, financial reporting, and month- and year-end close, ensuring adherence to GAAP.
- Oversee the annual operating budget, forecasting, and multi-year financial planning processes, partnering with operational leaders to assess volumes, reimbursement assumptions, staffing, expenses, and financial performance.
- Develop meaningful financial and revenue cycle dashboards to provide leadership with visibility into revenue, cash flow, payer mix, receivables, denials, collections, reimbursement trends, and operating results.
- Ensure compliance with applicable Medicaid, Medicare, managed care, commercial payer, government funding, and healthcare regulatory requirements.
- Maintain responsibility for applicable New York State financial and cost reporting, including CFR-related and other required regulatory reporting.
- Coordinate annual financial statement audits, tax filings, and other external financial or regulatory reviews, working closely with auditors and outside advisors.
- Maintain a strong internal control environment and ensure appropriate financial, billing, reimbursement, and compliance processes are in place.
- Manage banking, lending, financing, and other external financial relationships, including oversight of liquidity, credit facilities, debt obligations, and capital needs.
- Present financial results, budgets, forecasts, revenue cycle performance, payer trends, and key financial KPIs to the CEO, Board, and appropriate committees.
- Lead, mentor, and develop the finance team while fostering strong financial accountability and collaboration across the organization.
Qualifications
- 10+ years of progressive finance and accounting leadership experience, including experience at the senior or executive level.
- Significant experience within healthcare, behavioral health, medical services, physician practice, healthcare services, or a similarly regulated environment strongly preferred.
- Demonstrated knowledge of healthcare revenue cycle management, including billing, collections, AR, denials, payer management, reimbursement, and cash flow optimization.
- Strong understanding of Medicaid and Medicare reimbursement, managed care, commercial insurance, payer contracts, and healthcare reimbursement models.
- Experience managing and analyzing key revenue cycle indicators such as days in AR, aging, denial rates, collection trends, payer mix, reimbursement rates, and cash collections.
- Demonstrated expertise in budgeting, forecasting, cash flow management, financial reporting, audit oversight, internal controls, and financial analysis.
- Experience with New York State healthcare regulatory and financial reporting requirements, including CFR reporting, is highly desirable.
- Master's degree in Finance, Accounting, Business Administration, Healthcare Administration, or a related discipline preferred.
- CPA strongly preferred.
- Strong executive presence with the ability to communicate financial and revenue cycle performance effectively to the CEO, Board of Directors, operational leadership, clinical stakeholders, and other non-financial audiences.
- Proven ability to lead and develop high-performing finance teams and collaborate across finance, revenue cycle, clinical, operations, and compliance functions.
- Strong proficiency with financial systems, reporting tools, and Microsoft Office, particularly Excel.
- High degree of integrity, discretion, sound judgment, and commitment to confidentiality.
Benefits
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. 3 weeks PTO
Equal Opportunity Employer/Veterans/Disabled
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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance
