Chief Financial Officer; CFO

Chief Financial Officer (CFO) Signet Health
• Midland, TX, US

Signet Health Behavioral Management Company is actively hiring for the following position with our brand‑new hospital between Midland/Odessa, Texas.

Reports To:

Chief Executive Officer (CEO)

The Chief Financial Officer (CFO) serves as the principal financial executive of a newly established, nonprofit psychiatric hospital, the Permian Basin Behavioral Health Center. The CFO is a key architect of the organization’s financial sustainability, transparency, and mission stewardship. As a founding executive leader, the CFO is responsible for designing, implementing, and overseeing all financial functions from pre‑opening through operational stabilization and long‑term growth.

The CFO balances financial discipline with mission‑driven priorities, ensuring the hospital remains fiscally sound while expanding access to high‑quality behavioral health services for the community, including underserved and vulnerable populations. The role requires deep expertise in behavioral health finance, nonprofit hospital operations, reimbursement strategy, and regulatory compliance, as well as strong partnership with executive leadership, physicians, and the Board.

• Serve as a strategic partner to the CEO and a trusted financial advisor to the Board of Directors.
• Integrate financial strategy with the hospital’s nonprofit mission, community benefit obligations, and charitable purpose.
• Support Board governance by providing timely, accurate, and transparent financial reporting and analysis.
• Participate actively in organizational strategy, service line planning, and long‑range financial sustainability discussions.
• Ensure financial decisions align with ethical standards, nonprofit fiduciary duties, and public trust expectations.
• Start‑Up, Pre‑Opening & Organizational Development
  • Lead all financial planning and execution for hospital start‑up activities, including:
    • Start‑up capital budgeting and cost controls
    • Ramp‑up cash flow modeling through census stabilization
  • Establish the hospital’s financial infrastructure from inception, including:
    • Accounting systems and chart of accounts
    • Financial policies and procedures
    • Internal controls and segregation of duties
  • Collaborate with executive and clinical leadership on licensure, accreditation, and readiness activities, ensuring financial compliance and documentation are survey‑ready.
  • Support grant funding, philanthropic contributions, and donor‑restricted fund tracking during start‑up, as applicable.
• Financial Planning, Budgeting & Performance Management
  • Develop and oversee the annual operating and capital budgets in collaboration with department leaders and clinical leadership.
  • Implement multi‑year financial planning and rolling forecasts tied to census, acuity, and payer mix assumptions.
  • Monitor organizational financial performance against budget, benchmarks, and strategic goals.
  • Establish and report on key financial and operational KPIs, translating financial data into actionable insights.
  • Proactively identify financial risks and opportunities and recommend mitigation or optimization strategies.
• Revenue Cycle Management & Reimbursement Strategy
  • Oversee all aspects of the revenue cycle, including:
    • Coding, billing, and claims management
    • Denials prevention and appeals
    • Accounts receivable and cash collections
  • Lead payer contracting strategy across Medicaid, Medicare (if applicable), managed Medicaid, and commercial payers, with specific expertise in behavioral health reimbursement structures.
  • Optimize payer mix and reimbursement methodologies while maintaining access for mission critical populations.
  • Ensure compliance with federal and state billing regulations, including nonprofit‑specific reimbursement requirements.
  • Monitor evolving behavioral health payment models, parity regulations, and value‑based care opportunities.
• Accounting, Audit, and Financial Reporting
  • Oversee all accounting functions, including general ledger, payroll, accounts payable/receivable, and fixed assets.
  • Ensure timely and accurate monthly, quarterly, and annual financial…