Chief Financial Officer

Hospice of Davidson County -
Lexington, NC

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Job Details

Full-time

Qualifications

Performance dashboard reports
Dashboard development
Data visualization software proficiency
Business intelligence tools
Bachelor's degree
Health insurance knowledge
Data-driven problem-solving
Budget management in healthcare
Financial forecasting analysis
General management
Data analysis software

Full Job Description

Position Description

Chief
Financ
ial
Officer (
CFO
)

Primary Function

The
Chief Financial Officer (CFO) provides leadership and oversight of all
financial management
functions at
Hospice of Davidson County
(Agency)
.
This position reports to the
Chief Administrative Officer (CAO) and
is indirectly supervised by the
Chief Executive Officer (CEO).
The CFO has a dotted-line reporting relationship
to
the CEO.

The CFO develops and implements the Agency’s financial plan of operations and
ensures fiscal integrity, regulatory compliance, and long-term financial sustainability through comprehensive management of accounting, budgeting, revenue cycle, reimbursement, investments, and strategic financial planning
, annual audit(s), and long-range financial planning.

The CFO partners across departments to strengthen financial performance,
optimize
reimbursement and payer relationships, and
identify
opportunities for growth, expansion, and innovation. Through strategic leadership, transparency, and collaboration, the CFO safeguards financial sustainability and reinforces the
A
gency’s
capacity to deliver exceptional care to patients, families, and the community.

Positions Supervised
:
Finance Director: manages payroll, A/P, A/R,
1099s
, and medical billing. Café Chef: manages the day-to-day operations and direct oversight of the café.

Minimum Qualifications

Bachelor's degree in accounting
,
fi
nance, or Business Administration
required
; Master’s or MBA preferred.

CPA, CMA, or CHFP credential preferred.

At least 7 years of progressive finance experience with 3+ years in leadership
roles
.

H
ealthcare or nonprofit sectors
preferred.

Expertise
in budgeting, forecasting, reimbursement, and data analytics.

Knowledge of hospice and palliative care reimbursement models, including managed care and value-based contracts.

Advanced
proficiency
in Excel, financial software, and dashboard tools (Power BI or equivalent).

Strong interpersonal, analytical, and communication skills
.

Must be committed to the Hospice concept and standards.

Must be available for on-call duty.

Possess knowledge of licensing requirements for Hospice in the state of North Carolina.

Leadership Standards:

Exemplifies Leadership and Core Values
Demonstrates and models the
A
gency’s
core values in all decisions and interactions. Holds self and others accountable for upholding adopted values, standards of excellence, and ethical conduct.

Drives Team and
Agency
Success
Communicates with purpose and consistency, producing high-quality work that reflects a strong personal investment in the success of the agency, team, and individual staff members.

Recognizes and Develops Others
Actively recognizes the achievements of colleagues and staff.
educates and mentors colleagues on
financial policies, processes, and best practices, fostering
agency
understanding, accountability, and consistency in fiscal operations.

Fosters a Collaborative and Supportive Culture
Creates and
maintains
a professional, inclusive, and authentic work environment where collaboration, trust, and respect are encouraged and sustained.

Leads Through Innovation and Problem Solving
Proactively
identifies
challenges, contributes to resolution, and presents thoughtful, data-informed recommendations that enhance communication, processes, and
agency
performance.

Engages in Agency and Community Leadership
Actively
represents
the agency by attending and contributing to internal events, cross-departmental meetings, and community forums.
Builds
relationships that strengthen the agency’s visibility, partnerships, and mission impact.

Job Duties
& Responsibilities

Financial Leadership and Strategic Planning

Serve as the Chief Financial Officer under
A
gency
bylaws, ensuring compliance with GAAP, CMS, IRS, and state regulations.

Lead the development, implementation, and evaluation of the
A
gency’s
financial plan of operations, aligning fiscal performance with patient volume (ADC), staffing needs, and service
utilization
.

Prepare and present comprehensive annual and multi-year
operating
and capital budgets that reflect
anticipated
volumes, revenues, expenses, and workforce requirements.

Monitor the economic environment and
advise
executive leadership and the Board on potential impacts, risks, and opportunities to ensure proactive financial planning and organizational stability.

Conduct ongoing cost and
utilization
analyses to
optimize
efficiency and profitability across service lines.

Develop a financial growth plan to support the expansion of services, acquisitions, and strategic partnerships.

Forecast and analyze trends in reimbursement, labor costs, and payer mix to inform financial strategy.

Provide strategic management of investments and cash reserves to ensure
optimal
return on investment (ROI) consistent with risk tolerance and Board policy.

Oversee all aspects of financial modeling, forecasting, and long-term planning for the
Agency
.

Provide scenario-based analysis to assess the impact of strategic decisions, including growth, acquisitions, and new service lines.

Support data-driven decision-making through proactive financial modeling and performance reporting.

Accounting, Compliance, and Audit

Direct all accounting operations, including general ledger, accounts payable, accounts receivable, payroll reconciliation, and month-end close.

Ensure
accurate
financial reporting and compliance with GAAP, Medicare cost reporting, and nonprofit accounting standards.

Oversee annual audit, tax filings (Form 990), and coordination with external auditors and CPA firm
(
s
)
.

Develop, implement, and oversee financial policies, internal controls, and investment policies that ensure fiscal transparency and asset protection.

Maintain restricted fund accounting for grants, donations, and endowments
in accordance with
donor intent and FASB ASC 958 standards.

Oversee proper classification and tracking of temporarily restricted and unrestricted contributions and reconcile monthly between the
donor
database and the general ledger.

E
nsure
accurate
recording, reporting, and release of restricted funds and in-kind donations.

Ensure compliance with the
Agency
’s
Gift Acceptance Policy and provide financial support for donor stewardship and grant reporting.

Monitor
potential compliance risks within revenue, accounting, or contracting functions.

Coordinate fiscal components of the
A
gency’s
risk management and insurance programs.

Partner with the Compliance Officer to
maintain
audit readiness and financial documentation integrity.

Serve as
Agency
liaison to the Board
Sub
Committees
and QAPI
,
providing transparent fiscal governance and financial reporting.

Revenue Cycle and Reimbursement Management

Oversee all functions of the revenue cycle, including billing, collections,
accounts
receivable management, payment posting, and denial resolution.

Ensure compliance with payer regulations for Medicare, Medicaid, Managed Care, and other insurers.

Monitor Days in AR, clean claim rate, denial rate, and cash collections to ensure
optimal
cash flow.

Collaborate
across
teams to improve claim accuracy and timeliness.

Analyze reimbursement trends and support the negotiation of payer contracts, cap management, and value-based initiatives.

Develop revenue dashboards that integrate operational and clinical data to improve forecasting accuracy.

Budget Development and Management

Manage the annual budget process,
establishing
timelines, templates, and collaboration protocols.

Coordinate department-level budget meetings and ensure consistency across divisions.

Analyze monthly budget-to-actual variances and report to the CAO, CEO, and Board.

Maintain control of capital expenditures, ensuring alignment with budgeted priorities.

Provide education and support to department leaders to enhance budget literacy and accountability.

Board Governance and Reporting

Serve as the financial liaison to the Board of Directors, presenting financial reports, key metrics, and strategic recommendations.

Support Board
C
ommittees
by preparing and presenting detailed financial information and compliance updates.

Collaborate with the CAO and CEO to ensure transparent governance and informed fiscal oversight.

Applies performance and compliance data to guide policy development and
A
gency
decisions.

Performance Indicators

Timeliness and accuracy of financial reports and dashboards.

Positive audit results and compliance with policies.

Growth in diversified payer contracts and value-based initiatives.

Improved
Revenue Cycle Management (
RCM
)
efficiency and reduced denials.

Implementation of financial dashboards and data tools.

Successful launch and
tracking
innovative service lines.

Attends required in-services on an annual basis:

Risk Management

Bloodborne Pathogens/TB

Body Mechanics

Fire Safety

General Safety/Hazardous Materials

Patient/Staff Relations

Disaster Plan/Drill

Maintains a safe and clean work area to promote
workplace
safety.

Maintains confidentiality of Protected Health Information (PHI) at all times
.

Document services and expenditures for reimbursement purposes.

Performs other duties or special projects as requested by the
CAO or
CEO.

Participates in the QAPI program.

Participates
in
Hospice committees as needed.

Performs job duties
in accordance with
all Hospice policies, procedures, and professional
standards

Abides by the Hospice Professional Code of Conduct.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation
(
s
)
may
be made to enable individuals with disabilities to perform essential functions.

While performing the duties of this job, the employee
is regularly required to
stand, walk, sit, use hand to finger, handle or feel objects,
tools
or controls; and reach with hands and arms to talk or to hear.

The employee
is occasionally required to
stand, walk, climb, or balance; stoop, kneel, crouch, or craw and detect odors. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close, distance, color, peripheral and depth
perception
and the ability to adjust focus.

Status and Hours of Work

Full-time, Exempt. Eligible for full
A
gency
benefits package.
Usual
working hours are 8 a.m. to 5 p.m., Monday through Friday, or as needed to perform duties. This position is not eligible for overtime pay.

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