Regional CFO (Full-time/Billings) at Billings Clinic in Billings, Montana

Job Description:

Billings Clinic has management contracts with several hospitals (Affiliates) and is responsible to deliver value to the Affiliates under the management contracts (MSA). The incumbent in this position coordinates the Financial Services delivered under the MSA to the Affiliates and is responsible to contribute to the growth and profitability of the assigned affiliate hospitals by professionally consulting with or managing their financial services and activities. Participates in strategic planning in conjunction with the affiliate hospital CEO, Board of Directors, and other members of the Regional Team. Responsibilities include interacting with auditors, federal and state agencies on cost reports/audits, consulting with Affiliates in preparation of annual financial and capital budgets, consulting with affiliate business office staff and related [charge entry and patient billing] revenue cycle and [management of] account receivable management, establishment of accounting policies/procedures, review and analysis of cost reports and tax returns, evaluation of vendor contracts/payments, evaluation of capital purchases, evaluation of supply chain management, helping affiliates secure bank loans, evaluating internal controls, recommending charge master reviews and coding reviews, review information system's functionality and recommend improvements, proformas for new services, compliance with HIPAA and CMS, etc. The successful candidate should have a passion for working with the Affiliates to keep them viable and thriving.


Essential Job Functions


• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.
• Formulates initiatives and leads the affiliate hospital CEO and Board Members through strategic financial/budgeting planning sessions and motivates team to execute strategic objectives.
• a) Works collaboratively with the Board of Director's Finance Committees.
• b) Attends affiliate Board Meetings
• c) Interacts with bankers and helps secures bank loans as appropriate
• d) Acts as a Liaison between the Billing Clinic Central Business Office and the client sites.
• Ensures the success and credibility of affiliate hospital through the delivery of innovative, quality, cost efficient financial programs. Trends financial results and works with Regional and Affiliate teams to develop Financial Improvement plans.
• Recommends comprehensive financial/budgeting programs, including well defined protocols, policies and procedures. Provides consultation services for the community and health care providers.
• Develops/maintains financial and budgetary goals/objectives and assists with the development of business plans which support the affiliate hospital's goals and objectives. Communicates and coordinates corporate and administrative information for use by the affiliate hospital leadership and governing bodies, including feasibilities, projections, and results reporting.
• a) Monitors the affiliate hospital's business office staff, evaluation of appropriateness of charge entry and patient billing, evaluating vendor contracts and validating vendor payments, evaluation of payer payments for compliance with regulatory requirements. Recommends best practices, including charge master reviews, coding reviews, and management of the days in accounts receivable.
• b) Monitors the affiliate hospital's supply chain management, evaluate capital purchases and access alternative funding for capital purchases, and establishment of a common ordering system. Recommends best practices, including GPO contract compliance.
• c) Evaluates payroll and human resource rates and hours paid, performs ad hoc productivity analysis.
• d) Evaluates and reviews workers compensation practices
• e) Reviews preparation of financials (GASB and FASB)
• f) Interact with and assist auditors with annual audited financial statements as needed.
• g) Interact with federal and state agencies on cost reports audits at Affiliate's request.
• h) Reviews annual financial and capital budgets
• i) Recommends accounting policies
• j) Reviews and analyzes cost reports, recommends best practices including monthly estimates of the current year cost report due to/from.
• k) Reviews and analyzes tax returns
• l) Evaluates internal controls, assists Affiliates in responding to management letter comments.
• m) Reviews and evaluates grant revenue compliance
• Practices process improvement principles and oversees assessment and improvement of the quality of the financial services. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Ensures accounting compliance with applicable legal, state and/or federal requirements and/or regulatory standards (i.e., HIPAA and CMS)
• a) Prepares analysis (Proformas) for new services as needed
• b) Prepare ad hoc reporting as needed
• c) Provides support to affiliate CEOs and Regional Team with a variety of special requests
• Develops, retains, recruits, and leads a talented finance team committed to accomplishing the goals and objectives of Billings Clinic and the affiliate hospital. Conducts appropriate performance actions to include motivation, training, coaching, and counseling of employees. Acts as a mentor, promotes and encourages professional growth and development of all staff. Takes responsibility for own professional growth and development needs; meets all system educational requirements.
• Demonstrates and encourages an ethic of open communication and teamwork with the affiliate site. Builds an environment of shared commitment to the affiliate's goals and responsibility to achieve quality outcomes. Maintains a high level of satisfaction within the affiliate hospital among physicians and employees by providing an environment conducive to maximum individual and collective productivity.
• Provides oversight for affiliate hospital information systems' functionality and coordinates and interacts with Billings Clinic Information Services Department for support.
• Performs all other duties as assigned to meet the needs of the departments, service lines, and organization.
• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements.
• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.


Minimum Qualifications


Education


• Graduate Degree in business or health care administration and/or Certified Public Accountant


Experience


• Eight (8) years financial management experience as well as health care experience


Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered.