Our Client, Horizon Health, based in Howard, South Dakota, has retained the services of Community Link Consulting to manage the recruitment of a Chief Financial Officer (CFO) to join its team.
Lead Financial Strategy for a Mission-Driven Healthcare Organization
Horizon Health Care is seeking a strategic, collaborative CFO to join our executive leadership team. This is a unique opportunity to play a critical role in advancing access to high-quality, affordable healthcare across rural communities.
At Horizon, we are committed to keeping communities well by delivering integrated medical, dental, and behavioral health services to patients regardless of their ability to pay.
Role Overview:
The CFO provides overall financial leadership for the organization and serves as a key advisor to the CEO and leadership team. This role drives financial strategy, ensures compliance, and supports operational excellence across a growing network of community health centers.
Work Location and Travel: Open to in-person, hybrid, or remote; travel to clinic locations, continuing education workshops and other meetings as needed.
Salary Range: $150,000 – 170,000
What You’ll Do
Lead Financial Strategy & Planning
- Develop and manage the annual budget, providing ongoing analysis of revenue and expenditures to support informed decision-making.
- Partner with the CEO and leadership team to identify opportunities for growth, sustainability, and new revenue streams.
Drive Organizational Financial Performance
- Provide strategic financial guidance to department and clinic leaders to strengthen budget management and operational effectiveness.
- Analyze monthly financial statements and key trends to ensure accurate reporting and actionable insights.
Strengthen Financial Infrastructure & Controls
- Design and implement accounting policies, procedures, and internal controls to safeguard organizational assets and ensure compliance.
- Oversee all financial operations, including accounting, payroll, billing, and collections.
Optimize Revenue Cycle Operations
- Lead the development and implementation of billing, coding, and collections processes to improve cash flow and revenue integrity.
Ensure Regulatory & Grant Compliance
- Prepare and submit required federal and state financial reports and surveys.
- Lead financial components of grant applications and ensure compliance with applicable regulations (including HRSA and federal grant requirements).
- Prepare for and support successful completion of financial components of site reviews and audits.
Support Governance & Executive Decision-Making
- Prepare and present financial statements, key performance metrics, and analysis to the Board of Directors and executive leadership.
- Serve as a trusted advisor to the CEO and Board, translating financial data into strategic insights.
Lead and Develop High-Performing Teams
- Provide oversight, direction, and development for accounting, payroll, and billing and collections staff.
- Foster a collaborative, accountable, and service-oriented team culture.
Maintain Compliance & Operational Standards
- Ensure adherence to HIPAA privacy and security requirements.
- Maintain compliance with OSHA and organizational safety standards.
- Support emergency preparedness initiatives and organizational readiness.
Engage as an Executive Leader
- Actively contribute to Executive and Leadership Team discussions and organizational initiatives.
- Participate in ongoing training and professional development to stay current on healthcare financial practices.
- Present and translate complex financial information to multiple levels of the organization, including executive leadership, boards, managers, and frontline staff, in a clear and actionable manner.
Additional Responsibilities
- Perform other duties as assigned.
What You Bring
Education & Experience
- Bachelor’s Degree in Accounting, Finance, or related field
- 3–5+ years of leadership experience (healthcare preferred)
Key Competencies
- Strategic thinking with strong financial and analytical skills
- Ability to translate financial data into actionable insights
- Strong leadership, communication, and team development abilities
- Experience managing multiple priorities in a fast-paced environment
- Strong business acumen with experience leveraging accounting systems, financial reporting tools, and organizational data to support decision-making
Why Horizon Health Care?
- Mission-driven impact: Serve rural communities and expand access to care
- Comprehensive care model: Integrated medical, dental, and behavioral health services
- Community-focused culture: Deliver care with integrity, collaboration, and respect
- Growth opportunity: Be a key leader shaping the future of a dynamic organization
Horizon Health Care’s Culture:
Horizon Health’s culture is built on the Non-Negotiable attributes of Respect, Teamwork, Accountability, Integrity, Professionalism, and being Rurally-Focused—ensuring every team member upholds these attributes daily. The organization values all contributions equally, supports individual growth, and aims to be your "forever employer" that enhances both employee satisfaction and community health outcomes.
NOTE: This position description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time, with or without notice.
Equal Employment Opportunity Policy
Employer provides equal employment opportunity and treatment regardless of race, religion, color, creed, sex (including pregnancy, lactation, childbirth or related medical conditions), sexual orientation, age (40 and over), gender identity, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status or any other status protected by federal, state or local law. Employer conforms to the spirit as well as to the letter of all applicable laws and regulations. These protections extend to all management practices and decisions, including recruitment and hiring, appraisal systems, promotions, training, and career development programs.
Benefits
- Medical, Dental, Vision Insurance
- FSA Plan
- Supplemental Insurance
- Life and Disability Insurance
- 401K Plan with employer match
- Vacation, Holiday, and Sick Time
- Volunteer Time Off
- And More!
Pay: $150,000.00 - $170,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Education:
Experience:
- Federally Qualified Health Center: 1 year (Preferred)
- healthcare leadership: 3 years (Required)
Work Location: Remote
