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Johnson County Healthcare
Buffalo, WY

Posted 2/5/2024

Position Description:

The Chief Financial Officer (CFO) is responsible for overseeing all financial and revenue cycle operations at the Johnson County Healthcare Center. The CFO works closely with the CEO and other organizational leaders to develop and implement financial and revenue cycle strategies that support the organization’s mission and goals.

Essential Duties and Responsibilities:

Develop and implement financial strategies that support the organization’s goals and objectives. Oversee all financial operations of the organization, including accounting, budgeting, forecasting, and financial reporting. Oversee all revenue cycle operations of the organization, including patient accounts, billing, coding, health information management, payor contracting, price transparency, and collections. Ensure compliance with financial regulations and laws. Manage relationships with payors, banks, and other financial institutions. Provide financial analysis and guidance to the CEO, other executives, and the Board of Trustees. Develop and maintain financial models and projections. Manage the organization’s cash flow and liquidity. Lead the annual budgeting process. Lead strategic pricing initiatives. Negotiate contracts with vendors and payors. Collaborate with the CEO and other executives in identifying and evaluating new service line and funding opportunities. Ensure that adequate financial controls are in place and adjust as necessary. Lead the development of the annual cost report. Evaluate service delivery costs and make recommendations for improvement. Oversee all purchasing and payroll activity for staff and participants. Demonstrates clear ownership of workplace and patient safety. Protects patient privacy and confidentiality in accordance with HIPAA and privacy laws. Report mistakes, near misses, adverse events and quality and safety concerns. Participates in the development and implementation of safety and quality improvement activities. Other duties as may be assigned.


  • 403(b) matching
  • Dental insurance
  • Health insurance
  • Vision insurance
  • Health savings account with qualifying health plan
  • Life insurance
  • Paid sick time
  • Paid time off

About JCHC:

Was ranked a top 100 critical access hospital in the nation in 2022, JCHC is a non-profit, community hospital that is owned and operated by a hospital district. JCHC is a 25 bed critical access hospital, 50 bed nursing home and an outpatient clinic. Eight Family Doctors, four PAs and one General surgeon are on staff, along with over 200 employees. JCHC is a modern facility that recently built a new ED and remodeled many departments, including the x-ray dept. A new nursing home was completed in the spring of 2016.

About Buffalo:

5,000 residents live at the foot of the Big Horn mountain range in north-central Wyoming. A busy main street and abundant outdoor activities year round attract visitors. The school system is comprised of five schools and four of the buildings are new. There are larger communities within an easy driving distance for shopping, but most people can find all that they need in town.

Job Requirements:

Education: Bachelor’s Degree in Accounting, Finance, Business or other related field; Master’s preferred.

Licensure/Certification: Certified Public Accountant preferred.

Experience: Five years of experience in healthcare reimbursement, general ledger, payroll, internal audit, budgeting, revenue cycle, financial analysis, managed care contracting, information systems, debt financing, and materials management required. Experience in a critical access hospital and/or rural health clinic preferred.

Job Type: Full-time

Salary: From $140,000.00 per year


Timothy Cashman – [email protected]