Assistant Chief Financial Officer (ACFO)

Job Title: Assistant Chief Financial Officer (ACFO)
Department: Finance

FLSA Classification: Exempt
Employment Status: Full-Time

Location: Harrison County Community Hospital (HCCH)
Reports to: Chief Financial Officer (CFO)

Effective Date (Created or latest Revision): 2/20/2025

Job Summary/Objective:
The Assistant Chief Financial Officer (ACFO) serves as a key financial leader, directly supporting the CFO in overseeing all financial operations within the organization. This role is critical in optimizing financial performance, ensuring regulatory compliance, and providing strategic financial guidance. The ACFO is responsible for financial planning, budgeting, reporting, and analysis to maintain the fiscal health of Harrison County Community Hospital. This position requires a highly skilled individual seeking growth opportunities, with the potential to transition into the CFO role over time. The ACFO collaborates with department heads and executive leadership to support decision-making and financial sustainability while ensuring compliance with regulations and organizational policies.

Essential Functions/Duties/Responsibilities:

• Assist the CFO in developing and implementing the organization's financial strategy.
• Direct day-to-day financial operations in compliance with HCCH Board policies, CMS Conditions of Participation, and Missouri state laws.
• Assist in developing and maintaining financial policies, procedures, and internal controls.
• Prepare and analyze financial statements, ensuring accuracy and compliance with healthcare regulations.
• Monitor financial performance, identify trends, and provide recommendations for operational improvements.
• Lead the financial planning and analysis (FP&A) function, ensuring alignment with organizational goals.
• Collaborate with internal departments, including accounting, operations, and HR, to align financial strategies with operational needs, optimize budget management, and financial decision-making.
• Conduct in-depth financial analysis of each department to determine cost-effectiveness and identify areas for improvement.
• Provide direct supervision of the Finance, Revenue Cycle, Materials Management and Health Information departments, helping to enhance financial performance.
• Assist in managing cash flow, investment strategies, and long-term financial planning.
• Develop and manage financial policies, procedures, and internal controls to safeguard assets and ensure financial integrity.
• Prepare and present the annual operating and capital budgets for approval by the CFO, CEO and Board of Directors.
• Interpret complex financial data to provide actionable insights for decision-making.
• Ensure financial operations align with CMS Conditions of Participation for Critical Access Hospitals and Rural Health Clinics.
• Support financial forecasting, cost analysis, and strategic financial initiatives.
• Assist in overseeing audits, ensuring compliance with financial regulations and standards.
• Act as a liaison with external stakeholders, including investors, auditors, and regulatory bodies.
• Stay current on industry trends, financial regulations, and best practices to provide informed financial leadership.
• Evaluate potential new service lines or programs to determine financial viability and revenue potential.
• Identify and implement cost-saving measures across hospital departments while maintaining operational effectiveness.
• Assist in grant management and funding opportunities to support hospital initiatives.
• Participate in executive leadership meetings, providing financial insights and recommendations.
• Maintain relationships with external financial entities, including auditors and banking institutions.

Implement and monitor financial strategies that align with the hospital's goals and objectives.
Participate in executive leadership meetings, providing financial insights and recommendations.

Skills / Abilities:

• Strong analytical and problem-solving skills with a deep understanding of healthcare finance.
• Proficiency in financial reporting and accounting systems.
• Excellent communication and interpersonal skills to interact effectively with leadership and staff.
• Ability to interpret complex financial data and provide actionable recommendations.
• Strong organizational and time-management skills with the ability to manage multiple priorities.
• Knowledge of healthcare finance, reimbursement models, and compliance requirements.
• Proficiency in Microsoft Excel and financial software applications.

Education, Certificates, and License:
Education:

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field required.
• Master's degree in Finance, Accounting, Healthcare Administration, or a related field preferred.

Experience:

• 5+ years of experience in financial management, preferably in a healthcare setting.
• Experience with hospital financial operations, budgeting, and regulatory compliance preferred.
• Previous experience in a leadership or supervisory role within finance preferred.

Physical Requirements:

• Ability to work in a standard office environment with prolonged periods of sitting.
• Occasional lifting of documents and materials up to 25 lbs.
• Ability to use standard office equipment, including computers and financial software.

EEOC Statement:
Harrison County Community Hospital District provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type, without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law.