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cfo

1 day ago

Carlsbad CA, United States Now CFO Full time

Position: Chief Financial Officer (CFO)

Location: Onsite � Carlsbad, CA

Compensation: $400,000 - $500,000

Schedule: Full-time, Onsite

Position Overview

NOW CFO is representing a multi-entity healthcare organization in a confidential search for a Chief Financial Officer. The organization supports its communities through high-quality, compassionate care and operates with a strong emphasis on clear communication, accountability, and continuous improvement.

The ideal candidate leads with humility and purpose, supports teams openly, and upholds high standards with care. This role requires a leader who drives proactive financial strategy aligned with quality care and long-term stability.

Responsibilities

  • Lead all financial operations across multi-state skilled nursing facilities, including accounting, budgeting, forecasting, and financial reporting.
  • Ensure clear, effective communication with finance teams, executive leadership, ownership, and HUD stakeholders.
  • Drive strategic financial planning to optimize performance, improve efficiency, and support sustainable growth.
  • Ensure compliance with GAAP, HUD financing requirements, and applicable regulatory standards.
  • Oversee cost reporting, reimbursement processes, and financial submissions related to skilled nursing operations.
  • Strengthen internal controls, financial policies, and reporting processes to support scalability, accuracy, and transparency.
  • Partner with operations leadership to evaluate facility-level performance, improve margins, and implement corrective action plans.
  • Manage cash flow, liquidity, and working capital to support day-to-day operations and long-term strategic investments.
  • Lead annual budgeting and long-range financial planning aligned with operational and clinical priorities.
  • Support mergers, acquisitions, and divestitures, including due diligence, transaction execution, integration, and post-transaction optimization.
  • Serve as a strategic advisor to ownership and executive leadership, delivering data-driven insights on financial risks, opportunities, and performance trends.
  • Demonstrate integrity, discretion, and accountability in a fast-paced, results-driven environment.
  • Lead HUD-related financing activities, including refinancing, bridge-to-HUD transactions, rate locks, and lender coordination.
  • Maintain industry expertise through periodic travel and participation in key industry conferences and regulatory forums (e.g., NIC, CAHF/ECAP Summit).
  • Oversee reimbursement and refinance strategy, including AB 186 medical rate negotiations, managed care contracting, and payer collaboration.


Qualifications (Required)

  • Healthcare finance experience
  • Experience with revenues 100M+
  • Accountability - ownership of responsibilities and follow-through on commitments
  • Ambition - Drive for growth.
  • Vision - Anticipate future challenges and opportunities.
  • Clear & honest Communication - communicate directly and respectfully
  • Sincere passionate care � lead with a service mindset
  • Self Starter � Self accountability/reliance. Optimistic.
  • Virtuous Leadership - continuous persistent drive for improvement.
  • Efficiency - anticipating future challenges and opportunities.

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