Chief Financial and Operations Officer (CFOO) - RiverPeak Health, Riverton, WY

RIVERTON, WY, US April 19, 2026 Full Time
THIS IS A COURTESY POSTING ONLY Please do not complete the employment application on this site/ Apply below Application Link: RiverPeak Employment Chief Financial and Operations Officer (CFOO) Riverton, WY We're looking for a CEOO to come join our team! The Chief Financial Operations Officer (CFOO) serves as a key member of the executive leadership team and is responsible for aligning RiverPeak Health’s financial strategy with operational execution. This role is uniquely positioned to help build the organization from the ground up, establishing financial systems, operational infrastructure, and leadership frameworks necessary to successfully launch and sustain a high-performing rural health system. The CFOO provides executive oversight of finance, revenue cycle, and assigned operational departments, ensuring strong financial stewardship, operational efficiency, regulatory compliance, and high-quality patient care delivery. ESSENTIAL FUNCTIONS 1. Executive Leadership Strategy • Serve as a strategic partner to the CEO, Board, and leadership team • Participate in organizational strategic planning, business development, and growth initiatives • Translate strategic priorities into financial and operational plans • Support Board committees and provide regular financial and operational reporting 2. Financial Leadership Lead all financial functions, including: • Budgeting and forecasting • Financial reporting and analysis • Capital planning • Cash flow and treasury management • Develop and execute financial strategies aligned with a Prospective Payment System (PPS) reimbursement environment, including optimization of case mix index, service line performance, and payer mix • Establish financial systems, policies, and internal controls • Ensure compliance with GAAP, regulatory requirements, and grant/funding obligations • Oversee cost reporting, audits, and reimbursement optimization 3. Revenue Cycle Financial Performance • Lead financial modeling and decision-making in a fixed-reimbursement environment, ensuring sustainable margins and long-term financial viability • Oversee revenue cycle operations, including billing, coding, collections, and payer relationships • Monitor key financial and operational performance indicators • Drive initiatives to improve margin, productivity, and cost efficiency • Support payer contracting and reimbursement strategy 4. Operational Oversight • Provide executive oversight of assigned operational departments • Ensure alignment between clinical operations and financial performance • Lead operational readiness efforts for facility opening (staffing, workflows, systems) • Partner with clinical and administrative leaders to optimize service delivery 5. Organizational Build Start-Up Execution Lead development of: • Financial infrastructure (systems, processes, reporting) • Operational policies and procedures • Staffing models and productivity benchmarks • Support vendor selection, contracting, and implementation (e.g., EHR, outsourced services) • Participate in construction planning, capital equipment decisions, and go-live readiness 6. Team Leadership Culture • Recruit, develop, and lead high-performing teams • Establish clear performance expectations and accountability structures • Foster a culture of collaboration, transparency, and continuous improvement • Partner with HR leadership on workforce planning and engagement 7. Community External Relationships Build relationships with: • Financial institutions and lenders • Auditors and regulatory agencies • Community stakeholders and partners • Represent RiverPeak Health in financial and operational matters MINIMUIM QUALIFICATIONS Required • Bachelor’s degree in Finance, Accounting, Business/Healthcare Administration, or related field • 5–10+ years of progressive leadership experience in healthcare finance and/or operations • Demonstrated experience in financial management, budgeting, and operational leadership • Experience in Prospective Payment System (PPS) hospital or health system Preferred • Master’s degree (MBA, MHA, Accountancy) and/or CPA Experience in: • Payer contracting and negotiation strategies • Service line profitability and margin management • Experience in rural healthcare settings preferred • Prior experience in start-up, growth, or organizational build environments highly desirable Job Type: Full-Time Apply Here: RiverPeak Employment
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