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Chief Financial Officer, Billings Clinic

Req Number: FBGNVI
Location: Billings, Montana
Posted: 7/9/2025
Category: Life Sciences/Healthcare : Hospital/Health Systems
Job Type: Permanent
Compensation: USD 550,000.00 - 700,000.00 Yearly

Position: Chief Financial Officer, Billings Clinic
Company: Billings Clinic - Logan Health
Location: Billings, Montana
Reporting Relationships: The Chief Financial Officer, Billings Clinic will report to Patti Pilgrim, Chief Financial Officer, Billings Clinic – Logan Health as well as locally to Clint Seger, MD, Chief Executive Officer, Billings Clinic and Co-Chief Executive Officer, Billings Clinic – Logan Health.
Department Responsibilities: Accounting, Decision Support Services, Patient Financial Services/Revenue Cycle, Managed Care Contracting, Supply Chain, Medical Records and Patient Access
Website: https://www.billingsclinic.com/

Organization Background
Billings Clinic
Billings Clinic, now part of Billings Clinic – Logan Health, Montana’s largest health care system serving Montana, Wyoming and the western Dakotas, is a not-for-profit integrated multi-specialty group practice with a 336-bed hospital and Level I Trauma Center. Billings Clinic has more than 4,500 employees, including nearly 600 physicians and non-physician providers and advanced practitioners offering more than 80 specialties.

Billings Clinic's vision is to be a national leader in providing the best clinical quality, patient safety, service and value. Shared electronic medical records are one way Billings Clinic has worked towards that goal. The electronic medical record helps both primary care physicians and specialists know the patients' entire health history, the drugs that have been prescribed, and test results. This improves the overall quality, safety and cost of care.

Billings Clinic’s downtown campus consists of:
• A 336-bed hospital
• 20-suite Family Birth Center with a Level III Neonatal Intensive Care Unit
• Level I Emergency and Trauma Center
• Inpatient Cancer Care Unit
• Surgery Center
• Billings Clinic, the region’s largest multi-specialty group practice with over 80 specialties

Off the main campus are branch clinics which include:
• Billings Clinic Heights
• Billings Clinic West

Primary and specialty-care clinics are located in:
• Bozeman, MT - Billings Clinic Bozeman
• Columbus, MT - Stillwater Billings Clinic
• Miles City, MT - Billings Clinic Miles City
• Townsend, MT - Billings Clinic Broadwater
• Red Lodge, MT - Beartooth Billings Clinic
• Cody, Wyoming - Billings Clinic Cody

Billings Clinic (BC) also has 14 regional partnerships, including management agreements with 13 Critical Access Hospitals and one outpatient clinic. In addition, BC conducts approximately 110 specialty care clinics visits per month at 21 different regional locations for residents of rural Montana, Wyoming, and North Dakota. BC was designated as the first Magnet organization in Montana in 2006 and is also a member of the Mayo Clinic Care Network. Our affiliated hospitals are located throughout Montana and Wyoming.

Physician leadership is embedded in the organization, with a physician CEO, and through its local boards that have physician members. Billings Clinic is consistently recognized nationally for excellent performance in patient quality, safety, and service.
Billings Clinic launched Montana’s first Internal Medicine Residency program in 2014, a testament to its mission of advancing health care, education, and research. Last year, Billings Clinic’s cost of Community Benefit totaled more than $38 million, including $9.9 million in financial assistance provided to nearly 11,000 patients.

Billings Clinic was the first Montana Magnet® -designated health care organization for nursing excellence and is a member of the Mayo Clinic Care Network.

Billings Clinic - Logan Health
In September 2023, Billings Clinic and Logan Health united as one non-profit, Montana based, independent health care system focused on keeping patients and families close to home and connecting care in communities throughout the region. The unified health system serves an area that includes Montana, northern Wyoming and the western Dakotas and is governed by a board of community members and medical professionals. It encompasses 25 hospitals, which includes 16 regional partnerships with critical access hospitals and clinics. More than 9,000 employees, including 1,200 physicians and advanced practice providers practicing in 80 specialties, work together to provide patients and their families with a positive, proactive, patient-centered experience through innovative and effective approaches to high quality, safe health care. Combined, Billings Clinic and Logan Health generate annual net revenues of $2 billion.

Billings Clinic and Logan Health have deep commitments to complex care, local access, innovation and health care education. By uniting the two organizations in September 2023, each of which have served Montana and the surrounding region for more than 100 years, Billings Clinic and Logan Health are better together. The one combined system is better positioned to adapt to the rapidly changing health care environment while maintaining a commitment to sustaining and growing services that meet the needs of Montana and Wyoming families.

Position Summary
The Chief Financial Officer, Billings Clinic is responsible for all financial operations, including growth and profitability, of Billings Clinic by professionally managing services and activities for multiple service lines and for strategic planning and administration of Billings Clinic. The CFO, Billings Clinic (CFO) is responsible for corporate administration of external relations with managed care contractors, payors, joint ventures, vendors, providers, and others. Through effectively leveraging the resources of Billings Clinic, the CFO strengthens the rural medical delivery system by enhancing business operations and improving the quality of clinical care delivery. The CFO is responsible for operational oversight and management of existing health care facility management contracts, as well as new physician and facility affiliations and alliances with Billings Clinic. The CFO professionally manages existing health care facility management contracts as well as facility affiliations and alliances with Billings Clinic. Through effective operational management, The CFO creates an environment that provides superior levels of physician and patient services, clinical quality and lower costs and aligns incentives within the spectrum of providers involved in the delivery of health care services. The CFO acts as a resource and consultant to Board of Directors and CEO in directing financial strategies, planning, forecasting and providing guidance for investment strategies. The CFO studies, analyses and reports on trends, opportunities for expansion and projection of future company growth.

Key Responsibilities
The Chief Financial Officer, Billings Clinic is responsible for the following:
  • Interprets and supports the mission and philosophy of the health system. Responsible for promotion of, and adherence to, the Code of Conduct and compliance program.
  • Develops, implements and assists in the advancement of the mission, vision, and values of Billings Clinic establishing a vision of excellence with a customer service orientation and demonstrated quality outcomes. Participates in establishing philosophy and culture of Billings Clinic. Leads groups through strategic planning sessions and motivates team to execute strategic objectives. Responsibilities include the promotion of and adherence to the elements of the Code of Business Conduct and corporate compliance program.
  • Ensures the success and credibility of Billings Clinic through the delivery of innovative, quality, cost efficient programs. Leads the administration and ongoing refinement of comprehensive programs, including well defined protocols, policies and procedures assuring high quality standards and the cost effective delivery of the appropriate level of care in the appropriate care delivery setting. Assures the highest standard of clinical outcomes, patient satisfaction, and responsive/accessible customer service. Provides consultation services for community and health care providers.
  • Leads service lines in the overall marketing, program development, and service priorities. Coordinates with physicians and other Billings Clinic leadership to assure continuity in pursing system goals and synergy in implementing plans. Identifies and addresses synergies/problems across service lines, providers, and within the community. Communicates relevant developments to staff.
  • Develops/maintains financial and budgetary goals/objectives and oversees/assists with the development of departmental business plans which support Billings Clinic goals and objectives. Communicates and coordinates corporate and administrative information for use by Billings Clinic leadership and governing bodies, including feasibilities, projections, and results reporting.
  • Practices process improvement principles and oversees assessment and improvement of the quality of the service and patient care provided. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to services provided and ensures compliance.
  • Develops, retains, recruits, and leads a talented management team committed to accomplishing the goals and objectives of Billings Clinic. Conducts appropriate performance actions to include motivation, training, coaching, and counselling of employees. Acts as a mentor, promotes and encourages professional growth and development of all staff. Takes responsibility for own professional growth and development needs; meets all system educational requirements.
  • Establishes culture and standards; participates, fosters, demonstrates and encourages an ethic of open communication and teamwork throughout the organization and in the community. Builds an environment of shared commitment to Billings Clinic goals and a responsibility to achieve quality outcomes. Maintains a high level of satisfaction within Billings Clinic among physicians and employees by providing an environment conducive to maximum individual and collective productivity. Provides consultation for related concerns and acts as a customer and community advocate by demonstrating sensitivity to ethical and legal ramifications of practice.
  • Participates in evaluating, selecting and integrating health care technology and information systems that support quality of care/financial needs and efficient use of resources. Assures information systems meet the objective of providing appropriate, accurate, and timely information to all internal and external constituencies.
  • Collaborates with cross-functional leaders and oversee execution within the Accounting, Decision Support Services, Patient Financial Services/ Revenue Cycle, Managed Care Contracting, Supply Chain, Medical Records and Patient Access teams.
  • Performs all other duties as assigned to meet the needs of the departments, service lines, and organization.

Professional Experience / Qualifications / Traits
Successful candidates for the Chief Financial Officer, Billings Clinic role will possess the following:
  • Ten years of progressive financial leadership experience in a large hospital or health system. Experience with Critical Access Hospitals is strongly preferred as well.
  • A proven track record of leading consistent, successful financial and operational performance.
  • In depth knowledge of strategic planning, budgeting, and operations preferably in the health care environment to include developing, implementing, and managing aggressive programs; goal-oriented budgets and department specific business plans, and marketing.
  • Possess knowledge and understanding of market dynamics, competitive landscape, and ability to participate in the strategic direction of Billings Clinic.
  • Deep expertise in revenue cycle, with a demonstrated track record of success in managing this critical function/department.
  • Strong experience in/knowledge of managed care contracting/payer relations.
  • Ability to work as a team member, adept at team building, and has the ability to create a team environment with staff from diverse backgrounds.
  • Ability to serve as a role model by exhibiting the Health System’s core values. Lead and influence the team to provide outstanding customer service. Develop and foster relationships to support open communication, trust, transparency, and collaboration.
  • Leadership capabilities that accommodate a complex organization with multiple matrix relationships, and which values strong decisive leadership while also encouraging timely consensus building as a preferred style.
  • Create a supportive department culture by fostering individual motivation, coaching, and training for optimum job performance. Collaborate with Human Resources to develop, implement and support programs that add value to the Health System and lead to improved culture, employee and physician engagement, and retention.
  • Knowledge of appropriate hospital and health care practices and procedures as well as laws, regulations, and guidelines pertaining to health care.
  • Ability to perform responsibilities with frequent interruptions and competing priorities.
  • Excellent verbal and written communication skills including the ability to communicate effectively with various audiences. Excellent interpersonal skills.
Education
A bachelor’s degree is required. An advanced degree in Business Administration or Healthcare Administration and/or a CPA is strongly preferred.

Compensation
Salary will be competitive and commensurate with the skills and experience of the selected candidate.


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Korn Ferry shall provide equal employment opportunity to all qualified candidates, and will refer candidates without regard to race, color, religion, national origin, sex, age, disability, veteran status or any other legally protected basis.

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