What are the responsibilities and job description for the Chief Financial and Operations Officer (CFOO) - RiverPeak Health, Riverton, WY position at Billings Clinic?
You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years.
Chief Financial and Operations Officer (CFOO) - RiverPeak Health, Riverton, WY
General Administration Division (RIVERPEAK HEALTH)
req11703
Shift: Day, Evenings, Nights, Weekends
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)
THIS IS A COURTESY POSTING ONLY
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
- 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
- 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
- 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
- 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
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus
Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.