Job Description

Partners in Home Care is hiring! Come work with Missoula's premier home health employer.

Partners in Home Care is a nationally accredited non-profit organization that has been providing quality home health care services to patients and families throughout Western Montana since 1987. We are passionately committed to assisting patients and families in achieving optimal health, independence, and comfort through high quality, cost-effective home and community health-related services.

We offer the following benefits to our employees:

  • Competitive Pay
  • Flexible Scheduling
  • Medical, Dental, Vision, and Life Insurance (that's affordable!)
  • Extensive Paid Leave (including paid holidays!)
  • 401K with Company Match
  • Continuing Education Stipend
  • Tuition Reimbursement

POSITION: Chief Financial Officer
REPORTS TO: Chief Executive Officer
DIRECT REPORTS: Staff Accountant II (1), AP/Payroll Coordinator (1), Medical Billing (7)
LOCATION: Missoula, MT
STATUS: Full Time (FTE 1.0) Exempt (not eligible for overtime)

Job Summary

The Chief Financial Officer (CFO), under the direction of the Chief Executive Officer (CEO), provides leadership and strategic direction for all aspects of financial operations, including budgeting, reporting, and auditing, and identifies opportunities and needs relating to fiscal functions to develop and implement the necessary processes, programs and budgets. The CFO has responsibility for the overall financial management of finance departments, including accounting, and revenue cycle operations. The CFO participates as a productive member of the leadership team, supports the organizational mission and vision and performs other related duties as required or assigned.

Essential Duties & Responsibilities

Finance & Accounting Leadership

  1. Builds and maintains financial data models, reporting systems, dashboards, and performance metrics to identify business trends and guide data-driven decision-making. Delivers financial reporting and analysis to the CEO, strategic leadership group, and Board of Directors.
  2. Collaborates actively with the CEO on financial matters of strategic value and importance to the organization, and participates actively in identifying solutions and aids in the execution of the same.
  3. Provides strategic direction, leadership and oversight for all reimbursement and collection activities for all payers including Medicare, Medicaid, commercial insurance and private billing for the billing and collection function to ensure full compliance with all regulatory requirements and accepted standards of practice.
  4. Exercises oversight of inventory and cost allocation systems and performs and/or directs routine internal audits for cost analysis, inventory control, and financial planning purposes. Responsible for accurate reflection of the company’s financial position on the balance sheet, income statement, monthly/quarterly internal reporting, MD&A, assets, etc.
  5. Directs the design, maintenance and monitoring of the fund accounting system including accounts payable, accounts receivable, payroll and general ledger to ensure full compliance with all regulatory requirements and standards of practice.
  6. Provides leadership to and subsequently leads the budgeting process in partnership with CEO, department directors and managers in the preparation and development of their budgets.
  7. Oversees administration of the organization’s 401k retirement plan and ensures compliance with COBRA, IRS, ERISA and other related regulations.
  8. Collaborates with and provides leadership and counsel to senior Human Resources leadership specific to the financial modeling and design of group health, dental, vision, and disability plans, etc.
  9. ACA Compliance Reporting; Working Knowledge of relevant regulatory requirements – CMS, Reimbursement, Charge Master, Financial and Payroll Systems.
  10. Regularly schedules interdepartmental and departmental meetings to maintain liaison among departments and/or staff;
  11. Encourages, promotes and values diversity and creativity among and between those with direct reporting relationship to the CFO and champions the same for others within the organization.
  12. Finance Department & Personnel Management
  1. Provide leadership in strengthening internal communications with staff at all levels throughout the organization; create and promote a positive and supportive work environment.
  2. Provide leadership in strengthening internal communications with staff at all levels throughout the organization; create and promote a positive and supportive work environment.
  3. Provides leadership, conflict resolution, and motivation, and promotes team work of employees in achieving agency goals and ensures all appropriate personnel functions are carried out consistent with the organization’s expectations.
  4. Establishes, maintains, and improves standardized procedures for financial staff to ensure consistent and accurate reporting of data in an efficient manner. Remains knowledgeable of support staff’s roles and responsibilities, as well as all areas of practice to provide continuity of services during position vacancies.


  1. Oversee all accounts, ledgers, and reporting systems ensuring compliance with appropriate GAAP standards and regulatory requirements with guidance from CEO and auditors as necessary.
  2. Ensures internal controls, policies and procedures are consistent state and federal law, compliance plans, and HIPAA; reports any potential misconduct or violation of the PHC’s Code of Conduct, HIPAA regulations, or federal or state laws and regulations.
  3. Responsible for monitoring adequate insurance coverage for liability, workers’ compensation and other necessary coverage in accordance with licensure requirements.
  4. Coordinates identification of contracting needs, develops contracts as necessary, and ensures contracts are current and in compliance with all related laws and regulations, including standards set by CMS, insurance and accrediting bodies.
  5. Coordinates annual audit by independent auditors, preparation of annual IRS filings and Medicare Cost Reports according to established timeframes.

Revenue Cycle Management (Medical Billing)

  1. Provides oversight, in collaboration with financial leadership, on the general ledger close as it relates to revenue, accounts receivable and billing.
  2. Prepares financial statements and reports, analyze costs of services and make recommendations to the CEO and Board of Directors.
  3. Provides direction and oversight of revenue cycle operations, including but not limited to charge capture, billing, claim follow-up and collections, payment application, and denials management.
  4. Monitors collections to established goals to maximize cash flow and to monitor claim submission to provide ongoing process assessment and resolution.
  5. Tracks and monitors key revenue cycle performance indicators; reports key findings to appropriate leadership and stakeholders across the organization.
  6. Ensures systems and processes are in place to ensure compliance with contract requirements around submission of claims; including service provision/documentation, established fee schedules, credentialing, and site enrollments.
  7. Oversees the analysis and recording of revenue adjustments, write offs and denial activity; provides reporting on trends to management along with suggestions to mitigate future write offs and denied claims. Develops strategies across all functional departments to exceed cash collections, reduce days in AR, and reduce denial and adjustment rates.
  8. Conducts routine reviews of aging accounts receivables on a monthly basis and ensures proper action on collection of accounts in order to maintain an acceptable level of aging accounts.
  9. Provides guidance and supports provider enrollment and payer credentialing

Other Duties

  1. As a member of the extended leadership team, participates in operations on-call rotation for the organization.
  2. Other duties as assigned to promote efficiency and support the mission of the organization.

Minimum Qualifications


  • Bachelor’s degree in business, accounting, finance, math or related field required.
  • MBA, MHA, MAC (Masters in Accounting) and/or CPA preferred.

Knowledge & Experience Areas:

  • Minimum of five (5) years of progressive financial leadership experience in a healthcare organization required. Experience in Home Health preferred.
  • Minimum of two (2) years supervisory experience required.
  • Demonstrated experience in the finance functions with responsibilities of non-profit business accounting, cost analysis and control.
  • Knowledge of payroll processes and systems, payroll taxes, accounting methods and third party reimbursement systems

Personal Qualities & Traits:

  • Possess personal qualities of integrity, credibility, and commitment to the organizational mission.
  • Ability and desire to translate complex financial concepts to individuals at all levels including finance and non-finance managers.
  • Flexible and able to multitask; can work with an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and guiding investment in people and systems.
  • Demonstrates self-awareness, self-regulation and social awareness in all facets of leading and managing others.
  • Excellent organizational skills and attention to detail
  • Excellent written and oral communication skills
  • Superior interpersonal and organizational skills