Chief Financial Officer

Chief Financial Officer

Northwestern Medical Center | St. Albans, Vermont

Hiring Range: $220,000 - $310,000

The posted hiring range represents the anticipated pay range for this position. Individual compensation is determined based on a variety of factors, including relevant experience and internal equity. Placement within the range will be based on the candidate's qualifications and alignment with the requirements of the role.

Lead the Financial Future of Community Healthcare

Northwestern Medical Center (NMC) is seeking an accomplished, strategic, and highly collaborative Chief Financial Officer (CFO) to join its executive leadership team.

This is an opportunity for a healthcare finance leader who wants to do more than manage the numbers. NMC is looking for a CFO who can help shape organizational strategy, strengthen financial and operational performance, navigate an increasingly complex healthcare environment, and ensure the long-term sustainability of an organization that plays a vital role in the community.

Reporting directly to the Chief Executive Officer, the CFO provides executive leadership for NMC's financial operations and partners closely with the CEO, Board of Directors, physicians, and senior leaders on the organization's strategic direction. The role also has financial and operational oversight responsibilities for Northwestern Medical Group.

The Opportunity

The CFO will serve as both a financial steward and strategic business partner, bringing strong financial discipline, thoughtful analysis, and an enterprise-wide perspective to NMC.

Key areas of leadership include:

• Financial Strategy & Performance: Partner with the CEO and Board to develop short- and long-term financial and operational strategies, assess service lines, monitor organizational performance, identify trends, and recommend actions that strengthen NMC's financial position.
• Budgeting & Regulatory Leadership: Lead NMC's annual operating and capital budgeting processes, including timely budget submission to the Green Mountain Care Board and leadership in the associated public hearing process.
• Accounting & Financial Operations: Provide executive oversight for accounting, financial reporting, internal controls, patient financial services, receivables management, third-party reimbursement, and revenue-cycle performance.
• Board Partnership: Support the Board's Finance Committee, clearly communicate key financial performance indicators, and provide thoughtful recommendations regarding financial risks, opportunities, and organizational priorities.
• Payer & Contract Strategy: Provide leadership for third-party payer negotiations, contracting, and reimbursement strategy.
• Northwestern Medical Group: Oversee the operations, service-line development, and business strategy of NMC's outpatient physician practices and clinics, partnering with clinical leadership to optimize quality and performance.
• Physician Strategy: Oversee physician incentive compensation and physician contracts while building strong, collaborative relationships with NMC's medical staff.
• Regulatory Relationships: Develop productive relationships with the Green Mountain Care Board and other key regulators while ensuring compliance and identifying opportunities within Vermont's healthcare environment.
• Leadership & Talent: Build, develop, and inspire a high-performing team while creating an environment of accountability, collaboration, continuous improvement, and professional growth.

What We're Looking For

The successful candidate will be a forward-thinking healthcare finance executive who combines technical financial expertise with exceptional leadership, communication, and relationship-building skills.

Ideal qualifications include:

• Bachelor's degree in Accounting or a related discipline, with strong knowledge of generally accepted accounting principles.
• CPA preferred.
• MBA preferred.
• Progressive financial leadership experience within healthcare, including experience in public accounting and healthcare auditing and/or significant hospital controller experience.
• Strong financial management, analytical, negotiation, and quantitative capabilities.
• A demonstrated ability to lead effectively in a complex, highly regulated environment.
• Excellent executive communication skills and the ability to build trusted relationships with the Board, physicians, employees, patients, community stakeholders, and external partners.

The Leader Who Will Thrive at NMC

We're seeking someone who is strategic without losing sight of execution, financially disciplined while remaining innovative, and confident enough to challenge conventional thinking while remaining highly collaborative.

The right CFO will:

• Translate complex financial information into clear business insights.
• See opportunities for improvement before they become necessities.
• Lead confidently through change and uncertainty.
• Build strong relationships across clinical, operational, and administrative teams.
• Develop talented people and create accountability for results.
• Balance financial stewardship with the organization's commitment to quality, service, and the patient experience.

These leadership characteristics align closely with NMC's expectations around influencing others, developing talent, engaging teams, fostering communication, managing change, improving processes, and driving operational excellence.

Why This Role Matters

The CFO will have a significant voice in NMC's future. From financial strategy and physician-practice performance to regulatory relationships, revenue cycle, contracting, and investment strategy, this leader will influence decisions across the organization and help ensure NMC remains positioned to deliver high-quality, sustainable healthcare for the community it serves.

If you are a healthcare finance leader who wants to combine financial expertise with strategy, leadership, and meaningful community impact, we want to hear from you.