Chief Financial Officer

Overview

The organization is seeking a Chief Financial Officer (CFO) to serve as the senior financial leader and a key member of the senior leadership team. Reporting directly to the CEO, this role leads the finance and accounting function and acts as a collaborative business partner to leaders across the organization.

This position provides financial insight for executive decision-making, translating financial information into practical recommendations. In addition to strategic financial leadership, the CFO holds full Controller responsibility, including the integrity of financial records and statements, accounting operations, internal controls, audit readiness, and compliance. The ideal candidate can move comfortably between strategic discussions and detailed finance/accounting execution, while building a strong and responsive accounting team.

Responsibilities

Essential Job Functions

• Set and communicate performance expectations and demonstrate belief in team members’ ability to deliver superior results.
• Establish clear goals and metrics that support the organization’s vision and sustainability.
• Create an accountability-focused environment at every level.
• Ensure a strong understanding of quality expectations.

Culture and Team Leadership

• Recognize individual and team accomplishments.

• Involve team members in decisions that affect them through work groups and forums.

• Create a safe environment focused on achieving the best outcome for the patient.

• Proactively support leadership initiatives among peer groups and other leaders.

• Remove barriers to success for both individuals and the team.

• Assist others in achieving organizational objectives focused on being safe, sustainable, and leaders in the community.

Job Duties

Partner With the CEO & Senior Leadership Team

• Serve as the senior financial advisor to the CEO and an active, collaborative member of the senior leadership team.
• Build strong working relationships with senior and operational leaders and maintain open, timely communication on financial performance, priorities, risks, and opportunities.
• Participate in leadership discussions by asking questions, sharing perspective, constructively challenging assumptions, and helping evaluate options and make informed decisions.
• Translate financial information into clear, practical insights leaders can use.
• Partner early on significant initiatives, operational changes, investments, contracts, and other decisions with financial impact.
• Proactively raise concerns and opportunities and collaborate on solutions.
• Support a shared-accountability culture in which Finance is viewed as an accessible business partner.

Finance, Planning & Performance

• Lead budgeting, forecasting, cash planning, financial modeling, allocations, and long-range financial planning.
• Provide timely financial reporting and meaningful analysis of performance, variances, cost trends, and operational drivers.
• Work with board members and department leaders to understand financial results, identify trends, and improve budget ownership and decision-making.
• Develop and monitor financial and operational metrics to support leadership’s understanding of organizational health and performance.
• Evaluate the financial impact of strategic initiatives and operational decisions and provide clear recommendations.
• Oversee accounting operations and accountability for the accuracy, integrity, and reliability of accounting records and financial statements.
• Ensure effective accounting policies, procedures, internal controls, documentation, and appropriate segregation of duties.
• Identify practical opportunities to strengthen accounting processes, controls, systems, and workflows.
• Lead the annual financial audit and work with external auditors on financial statements, schedules, supporting documentation, audit requests, and resolution of findings.
• Coordinate preparation and review of year-end financial statements and ensure readiness for Board review and discussion.
• Prepare clear financial reports, analysis, forecasts, and supporting materials for the CEO, senior leadership team, and Board.
• Participate in Board financial discussions as requested, explaining results, significant variances, trends, risks, and other matters clearly.
• Maintain year-round audit readiness and coordinate with external tax professionals and other financial or regulatory partners as needed.

Strengthen Healthcare & Revenue Cycle Performance

• Provide financial leadership related to revenue cycle performance, including reimbursement, payer trends, denials, underpayments, collections, accounts receivable, and bad debt.
• Monitor key revenue cycle metrics and payer performance, including days in A/R, collection rates, denial trends, underpayments, bad debt, and reimbursement by payer and service line.
• Partner with operational, clinical, and billing leaders to understand revenue performance and identify opportunities to improve documentation, charge capture, billing, collections, and reimbursement.
• Evaluate financial impact of Medicare, Medicaid, commercial payer, and other reimbursement trends.
• Use healthcare finance expertise to connect revenue cycle performance to broader operational and strategic decisions.
• Provide financial oversight of third-party billing and revenue cycle partners and ensure leadership has visibility into performance, trends, risks, and opportunities.
• Identify emerging reimbursement or payer issues and proactively communicate potential financial impacts to leadership.

Financial Systems & Process Improvement

• Evaluate finance and accounting systems and processes to identify opportunities for automation, efficiency, and stronger controls.
• Recommend and implement practical system and process improvements.
• Partner across departments to improve financial workflows, including purchasing, approvals, reporting, and other key processes.

Lead & Develop the Accounting Team

• Lead, support, and develop the accounting team with clear expectations, accountability, and open communication.
• Create a team environment that values responsiveness, accuracy, collaboration, problem-solving, and continuous improvement.
• Ensure Finance works effectively with other departments and provides timely, helpful financial support.
• Model an approachable, curious, collaborative, accountable leadership style and engage directly when issues need to be worked through.

Requirements

• Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field.
• At least 7 years of progressive accounting and financial leadership experience, including responsibility for financial reporting and accounting operations.
• Demonstrated experience serving as a senior financial leader and business partner to executive and operational leadership.
• Strong Controller-level experience with general ledger oversight, month-end and year-end close, reconciliations, financial statement preparation, GAAP, internal controls, and external audits.
• Healthcare finance experience with a strong understanding of revenue cycle management, reimbursement, collections, and bad debt.
• Experience leading budgeting, forecasting, financial analysis, cash-flow planning, and financial reporting.
• Experience working directly with external auditors and supporting financial statement preparation and Board-level financial reporting.
• Experience presenting financial information, analysis, and recommendations to executive leadership and/or Boards.

Preferred Qualifications

• CPA or CMA designation.
• Experience in air ambulance, EMS transport, healthcare services, hospital finance, or a related healthcare environment.
• Knowledge of Medicare, Medicaid, commercial payer reimbursement, and healthcare billing practices.
• Ability to work effectively in a fully remote environment. Required travel to Anchorage headquarters approximately once per month.

Key Competencies

• High attention to detail and accuracy.
• Strong analytical and problem-solving abilities.
• Ability to work in a fast-paced environment with urgency and accountability.
• Excellent communication, leadership, and cross-functional collaboration.

Compensation & Benefits

• $220,000–$260,000 yearly salary

Location & Travel

• This position may be based remotely.
• Required travel to Anchorage headquarters approximately once per month, generally for three to four days. Additional travel may be required based on organizational and business needs.
• The CFO must be able to work effectively with a geographically dispersed organization and maintain strong, consistent communication and partnership with leadership and the Finance team regardless of work location.