ACFO

About the Opportunity

Mammoth Hospital is seeking an experienced, hands‑on Assistant Chief Financial Officer (ACFO) to join our leadership team during an important period of system growth and operational modernization. This role is ideal for a finance leader who enjoys rolling up their sleeves, working closely with operations, and shaping the financial future of a dynamic rural health organization.

The ACFO role is intentionally structured as a two‑year development phase
, providing broad exposure across all areas of Finance with the goal of preparing the successful candidate to step into the CFO position
.

• Partner closely with clinical and operational leaders to understand organizational needs and ensure finance is fully embedded in day‑to‑day decision making.
• Support the hospital’s transition to a new financial and purchasing system
  , including helping managers learn new workflows and processes.
• Provide leadership in budgeting, forecasting, financial reporting, audits, and overall fiscal management.
• Contribute to organization‑wide initiatives focused on quality, safety, standardization, and reducing waste
  .
• Participate in leadership or organizational improvement efforts, and long‑term financial planning.
• Identify financial trends, risks, and opportunities to ensure responsible growth and stability.

• Active CPA
• Minimum 3+ years of audit experience
  , ideally with healthcare exposure
• Minimum 5+ years of leadership experience in hospital or health‑system finance (e.g., Controller, Director of Finance)
• Strong analytical and communication skills
• Ability to lead in a hands‑on, detail‑oriented environment
• Willingness to relocate to Mono or Inyo County

• Master’s degree in Accounting, Finance, Business Administration, or a related field
• Experience supporting financial system transitions or organizational change management

The ideal candidate is:

• A strong financial leader who enjoys being close to operations
• Comfortable navigating change and helping guide others through it
• Both detail‑oriented and able to see the bigger picture
• Energized by the opportunity to work in a small, collaborative hospital environment
• Motivated by mission, service, and improving rural patient care
• Excited about living in an outdoor‑oriented mountain community

Mammoth Hospital is a high‑performing rural health system serving a small but growing community in the Eastern Sierra. The organization is experiencing meaningful growth and is focused on strengthening safety, quality, standardization, and financial sustainability across the enterprise.