An interim CFO role overseeing all financial operations for a hospital or health system, covering FP&A, treasury, revenue cycle, budgeting, and board-level reporting.
This interim CFO engagement sits within a hospital or health system environment, requiring a finance leader who can step in quickly and operate hands-on across all core financial disciplines. The role spans accounting, FP&A, treasury, revenue cycle oversight, budgeting, forecasting, and statutory reporting, with direct accountability to executive leadership and the Board.
Beyond day-to-day financial operations, the role involves evaluating operating margins, labour costs, and service-line profitability, while supporting revenue cycle performance across patient collections, payer mix, denials, and AR. The successful candidate will also assist with the transition to a permanent CFO, including documentation and knowledge transfer.
- Lead all financial operations across accounting, FP&A, treasury, revenue cycle oversight, budgeting, and financial reporting
- Deliver timely and accurate financial reporting to executive leadership and the Board
- Drive cash flow forecasting, liquidity management, and working capital initiatives
- Evaluate operating performance, service-line profitability, labour costs, and key hospital financial metrics
- Partner with operational leaders to strengthen financial discipline and support strategic decision-making
- Manage relationships with auditors, lenders, and banks, and support capital planning and cost reduction efforts
- Prior CFO or senior financial leadership experience within a hospital or health system
- Strong understanding of nonprofit healthcare financial operations, including Medicare/Medicaid, managed care, and payer mix
- Proven ability to manage cash flow, liquidity, budgeting, forecasting, and financial reporting in a complex environment
- Experience presenting financial results and recommendations to Boards and executive leadership
- Demonstrated capability to stabilise finance functions and lead teams through change in an interim or transformation setting
- CPA, MBA, or equivalent advanced credential preferred
E78 Talent is a specialist talent and advisory firm placing senior interim and fractional executives across finance, operations, and transformation functions. The firm works with healthcare organisations and other complex industries to source experienced leaders for critical engagements.
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