Chief Financial Officer

Chief Financial Officer (CFO- Must have Skilled Nursing Experience)
Location: Charleston, Illinois (On-Site)
Travel: Required (Multi-State Portfolio)
*Relocation Assistance Available for Qualified Candidates Relocating to Charleston, IL or Surrounding Areas

About the Opportunity

A growing, multi-state skilled nursing organization is seeking a highly experienced and hands-on Chief Financial Officer (CFO) to lead and scale the financial and revenue cycle operations of the company. This is a critical executive role for a leader who not only understands the complexities of skilled nursing finance, but also has a proven ability to drive performance, accountability, and results across both finance and billing functions.

This position requires direct Skilled Nursing Facility (SNF) experience. Applicants without SNF, long-term care, or nursing home finance and reimbursement experience will not be considered.

The CFO will play a key role in supporting continued growth, ensuring strong cash flow, and building a best-in-class back-office infrastructure.

Key Responsibilities

Strategic Financial Leadership

• Serve as a key advisor to ownership and executive leadership on financial strategy, growth initiatives, and risk management
• Lead financial planning, forecasting, and modeling for acquisitions, expansions, and operational improvements
• Drive data-informed decision-making across all levels of the organization

Financial Operations & Oversight

• Oversee all accounting, budgeting, financial reporting, and cash flow management across a multi-state portfolio
• Ensure timely and accurate preparation of financial statements and reporting packages
• Establish and maintain strong internal controls and scalable financial systems

Revenue Cycle & Billing Oversight (CORE FOCUS)

• Directly oversee the entire billing and collections process across all facilities
• Lead and manage back-office operations, including billers and revenue cycle teams
• Ensure timely and accurate billing, with strict adherence to deadlines and regulatory requirements
• Drive collections performance with a target of 95%+ collection rates
• Identify, investigate, and resolve billing discrepancies and revenue leakage
• Implement processes to reduce denials, improve cash flow, and increase operational efficiency
• Hold billing teams accountable to performance metrics, timelines, and quality standards

Skilled Nursing & Reimbursement Expertise

• Oversee and optimize Medicare and Medicaid reimbursement processes
• Analyze payer mix, PDPM performance, and reimbursement trends to maximize revenue
• Partner with clinical and operations teams to align financial outcomes with quality care

Regulatory & Compliance

• Ensure full compliance with all federal and state financial regulations
• Lead and support Change of Ownership (CHOW) processes, including financial structuring and reporting
• Oversee cost reporting, audits, and all regulatory financial submissions

Growth & Transactions

• Lead financial due diligence for acquisitions and support integration efforts post-close
• Partner with legal, compliance, and operations teams during transitions and expansions
• Build financial infrastructure to support a rapidly growing organization

Team Leadership

• Build, lead, and mentor both finance and billing teams
• Establish clear KPIs, accountability structures, and performance expectations
• Create a culture of ownership, urgency, and continuous improvement

Operational Excellence

• Identify opportunities to improve margins, reduce costs, and increase efficiency
• Monitor key financial and operational KPIs across facilities
• Implement best practices and scalable processes across all entities

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field (CPA or MBA strongly preferred)
• MUST have direct Skilled Nursing Facility (SNF) experience
• Applicants must have experience specifically within skilled nursing, long-term care, or nursing home operations/finance
• 7–10+ years of progressive financial leadership experience, including oversight of multi-site operations
• Proven experience managing billing, collections, and revenue cycle operations in SNF settings

Deep Understanding of:

• Medicare and Medicaid reimbursement
• SNF billing processes and compliance requirements
• CHOW (Change of Ownership) processes
• Cost reporting and financial audits
• Demonstrated success improving collections, cash flow, and billing accuracy
• Experience leading and managing back-office billing teams
• Strong leadership, communication, and organizational skills
• Hands-on, roll-up-your-sleeves approach with the ability to operate both strategically and tactically

Additional Requirements

• Willingness and ability to travel across multiple states as needed
• Must be based in or willing to relocate to Charleston, Illinois or nearby surrounding communities
• Relocation assistance/package available for qualified candidates
• High level of integrity, accountability, and attention to detail
• Ability to thrive in a fast-paced, high-growth environment