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Cedar Valley Hospice · 12 hours ago

Chief Administrative Officer

Waterloo, IA

Full-time

Onsite

Director/Executive

7+ years exp

Cedar Valley Hospice is seeking a Chief Administrative Officer to provide strategic leadership and oversight of all financial functions. This role includes responsibilities such as financial planning, budgeting, reporting, and ensuring compliance to support the organization's mission and growth.

Health CareHome Health CareHospitalMedicalNon Profit

Hiring Manager

Annika Wall

Responsibilities

Serve as a strategic advisor to the Chief Executive Officer and Executive Team on financial performance, trends, and long-term planning

Develop and implement financial strategies that support high-quality patient care, mission alignment, and organizational sustainability

Provide financial insights to guide decision-making related to program development, staffing, facilities, and community partnerships

Oversee daily financial operations, including accounting, payroll, accounts payable, accounts receivable, and cash flow management

Lead the preparation of monthly, quarterly, and annual financial statements and analysis

Ensure accurate and timely reporting of hospice billing, reimbursement, and revenue cycle activities (Medicare, Medicaid, private insurance, and self-pay)

Manage the annual audit process and coordinate with external auditors

Oversee financial components of the organization’s 401(k) plan and employee benefits processes, ensuring accurate contributions, compliance with regulatory requirements, and effective coordination with HR and third-party administrators

Oversees year-end tax reporting

Responsible for bid management for organizational services

Lead the development of the annual operating and capital budgets

Monitor financial performance against budget and provide variance analysis and recommendations

Conduct financial forecasting and scenario modeling to support strategic decision-making

Oversee data analytics for financial, operational, and clinical performance metrics to inform strategic planning, identify trends, and drive organizational improvement

Oversees efforts to implement performance data dashboards with visibility to all departments responsible for census growth

Analyze financial impact of changing census levels and length of stay, working closely with Chief Clinical Officer and Chief Growth Officer to understand cause and effect, and report plans to improve sustainability to Chief Executive Officer

Develop growth targets by year and by quarter, ensuring along with Chief Growth Officer that the organization’s growth goals support the strategic plan and appropriately ambitious, detailed and compliant

Ensure compliance with all federal, state, and non-profit financial regulations, including Medicare Conditions of Participation and OMB requirements when applicable

Maintain strong internal controls and safeguard organizational assets

Oversee insurance coverage, risk management practices, and investment policies

Responsible for all required organizational filings and distribution

Responsible for reviewing and updating financial policies and operating procedures

Supervise and mentor the Finance team, promoting a culture of accountability, accuracy, and continuous improvement

Collaborate with clinical, development, and other leaders to align financial resources with organizational priorities

Present financial updates to the Board of Directors and Finance Committee

Support grant management, including financial reporting and compliance

Support organizational contract management, including new and existing contracts

Provide financial guidance for fundraising strategies, donor stewardship, and restricted funds

Participate in organizational initiatives, quality improvement committees, and strategic planning

Qualification

Financial leadershipGAAP knowledgeMedicare billingCPA certificationData analysisMicrosoft Office SuiteCommunication skillsProblem-solving skillsTeam leadershipIntegrity

Required

Bachelor's degree in Accounting, Finance or related field required

CPA or Master's degree strongly preferred

Minimum 7–10 years of progressive financial leadership experience, preferably in healthcare or a non-profit organization

Hospice, home health, or Medicare-based reimbursement experience highly desirable

Strong understanding of GAAP, non-profit accounting, and Medicare billing

High level of integrity, ethical standards, and commitment to mission-driven work

Demonstrated ability to lead teams, manage complex financial environments, and partner with executive leadership

Excellent communication, analytical, and problem-solving skills

Ability to translate complex financial data into clear, actionable insights for non-financial stakeholders

Proficiency in Microsoft Office Suite, including advanced Excel skills (financial modeling, pivot tables, and data analysis)

Current Iowa driver's license, reliable vehicle, and car insurance

Employment at Cedar Valley Hospice requires being fully vaccinated for COVID-19 (Boosters are not required) OR have an approved request for reasonable accommodations for a medical, pregnancy, or religious reason, by the start date

Pre-employment/post-offer physical, TB, and drug screen required