CFO (Chief Financial Officer)

A skilled nursing and rehabilitation provider in Grand Junction, Colorado is seeking a Chief Financial Officer to own the full financial operation of the facility. This is a hands-on executive role: the CFO leads accounting, reimbursement, and billing operations while serving as the operational partner to facility leadership on census, payer mix, and margin performance. The employer is not identified in this posting. Candidate identity and employer identity will be protected throughout the process, and no candidate materials are released without prior written consent. REPORTING & SCOPE Reports to: Facility Administrator / Director of Operations Direct reports: Business office and accounting staff, including accounts receivable, accounts payable, and payroll Location: Grand Junction, Colorado — on-site Employment type: Full-time, exempt CORE RESPONSIBILITIES Financial Leadership • Own the facility's financial operation end to end, including monthly close, financial statement preparation, and management reporting. • Prepare and present monthly profit and loss statements, balance sheets, and variance analysis to facility and corporate leadership. • Deliver financial analysis that drives operating decisions — census trends, payer mix, cost per patient day, labor and agency spend, and departmental productivity. • Build and manage the annual operating budget; monitor performance against budget and flag variances early. • Partner with the Administrator on strategic planning, capital planning, and cash flow forecasting. Reimbursement & Cost Reporting • Prepare, review, and file the annual Medicare and Medicaid cost reports; maintain supporting cost logs and documentation throughout the year. • Serve as the facility's subject matter expert on Medicare, Medicaid, VA, managed care, and private pay reimbursement. • Ensure all forms and documentation required for correct reimbursement are accurately completed and submitted timely. • Coordinate and respond to regulatory audits, lender reporting requirements, and external audit requests. Revenue Cycle & Billing • Oversee resident billing across all payer types — Medicare, Medicaid, VA, managed care, and private pay. • Produce and act on the monthly aging accounts report; drive collections and reduce days in AR. • Ensure accuracy and timeliness of accounts receivable, accounts payable, and payroll functions. • Post billing, charge slips, adjustments, and collections to the proper ledgers; ensure all ledgers reconcile to control sheets and supporting journals. • Maintain resident trust accounts, petty cash, and all other facility accounts in compliance with state and federal regulation. Team & Operations • Supervise, develop, and hold accountable the accounting and business office team.• Develop and maintain policies and procedures governing business office and accounting functions. • Serve on facility committees as required by statute, regulation, or leadership request, including quality assurance. • Maintain strict confidentiality of resident, employee, and financial information at all times. REQUIRED QUALIFICATIONS • Bachelor's degree in accounting or finance; equivalent professional experience will be considered. • Minimum five (5) years of progressive accounting or finance experience, including supervisory or director-level responsibility. • Healthcare finance experience required; skilled nursing, long-term care, or post-acute experience strongly preferred. • Working knowledge of Medicare, Medicaid, VA, and private pay billing and reimbursement in a healthcare setting. • Proficiency in QuickBooks and strong general ledger and financial reporting skills. • Demonstrated experience with monthly financial reporting, financial analysis, and accounts receivable and accounts payable management. • Advanced proficiency in Microsoft Excel. PREFERRED QUALIFICATIONS • CPA designation, or an advanced degree in accounting or business (MBA). • Direct experience preparing or filing Medicare and Medicaid cost reports. • Familiarity with Colorado Medicaid and state supplemental payment programs. • Experience with PointClickCare, MatrixCare, or comparable long-term care platforms. ATTRIBUTES FOR SUCCESS • Comfortable operating as both a strategic financial partner and a hands-on operator in a single-site environment. • Clear, calm communicator with residents, families, staff, regulators, and lenders. • Organized and self-directed, with the judgment to prioritize under competing deadlines. • Committed to the mission of a resident-centered care environment. COMPENSATION & BENEFITS Annual base salary range: $120,000 – $180,000. Placement within the range depends on experience, credentials, and depth of skilled nursing reimbursement background. The employer offers a benefits package that includes medical, dental, and vision coverage, paid time off, and a retirement savings plan. Full benefit details will be provided during the interview process. Relocation assistance may be available for the right candidate. WORK ENVIRONMENT & PHYSICAL REQUIREMENTS This is an office-based role within an active skilled nursing facility. • Primarily sedentary work performed in an office setting, with regular movement throughout the facility. • Regular use of a computer, telephone, and standard office equipment. • Frequent verbal communication with residents, families, staff, and external partners, at times in emotionally sensitive circumstances. • Occasional lifting of office materials up to twenty (20) pounds. • Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of this position.