Description

Organization Overview

For over 47 years, Bethany St. Joseph Corporation has provided an array of programs and services for older adults and individuals with health concerns and prides itself as an employer of choice in its service area. BSJ Corporation is a non-profit, non-stock corporation which owns and manages a variety of properties in the Seven Rivers Region of western Wisconsin.

We are committed to clinical excellence, operational efficiency, regulatory compliance, and sustainable growth.

We are seeking a strategic, operationally focused Chief Financial Officer (CFO) to lead financial operations and drive performance across our locations.

Position Summary

The CFO serves as a key member of the executive team, reporting to the CEO and is responsible for the financial strategy, capital planning, revenue optimization, and overall fiscal health of the organization. This role provides oversight across all facilities, ensuring consistent financial standards, regulatory compliance, and scalable infrastructure to support growth initiatives and operational excellence.

The ideal candidate brings deep expertise in skilled nursing finance, multi-site healthcare operations, and Medicare/Medicaid reimbursement environments.

Key Responsibilities

Strategic Financial Leadership

• Develop and execute financial strategy aligned with growth objectives
• Lead long-term financial planning, capital allocation, and expansion strategy
• Advise CEO and executive team on financial performance, risk management, and investment opportunities
• Support acquisitions, due diligence, and integration of new facilities /management agreements

Multi-Facility Financial Oversight

• Oversee budgeting, forecasting, and financial reporting for all owned and managed facilities
• Standardize financial processes, internal controls, and reporting structures
• Monitor facility-level performance metrics, census trends, labor costs, and reimbursement mix
• Drive margin improvement initiatives and cost-containment strategies

Reimbursement & Revenue Cycle Management

• Ensure optimization of Medicare, Medicaid, and managed care reimbursement
• Oversee cost reporting and reimbursement audits
• Lead revenue cycle operations and cash flow management
• Ensure compliance with federal and state healthcare regulations

Financial Operations & Compliance

• Direct accounting, treasury, tax, and audit functions
• Maintain strong internal controls and risk management frameworks
• Manage lender relationships, banking partnerships, and capital financing
• Oversee external audits and financial reporting requirements

Leadership & Team Development

• Build and lead a high-performing team 
• Promote a culture of accountability, transparency, and operational excellence

Requirements

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field (MBA or advanced degree preferred)
• 7–10+ years of progressive financial leadership experience
• Minimum 5 years in skilled nursing, long-term care, or post-acute healthcare
• Preferred experience managing multi-facility financial operations
• Strong knowledge of Medicare/Medicaid reimbursement, PDPM, and cost reporting
• Proven ability to drive operational improvement through financial analytics
• Strong executive presence and communication skills

Key Competencies

• Strategic thinker with operational discipline
• Data-driven decision maker
• Skilled in navigating complex regulatory environments
• Experienced in high-growth or turnaround environments
• Collaborative leader with strong cross-functional partnership skills