Job Description

The Chief Financial Officer (CFO) is a key C-suite leader who partners with the CEO to ensure organizational success. The CFO drives financial strategic planning, manages financial operations, and aligns resources with the organization’s mission and long-term goals.

The CFO safeguards the organization’s financial stability by managing cash flow, investments, and risk; ensuring regulatory compliance; overseeing audits; and establishing internal controls. The CFO also leads the oversight of budgeting, accounting, forecasting, scenario/predictive modeling, and other financial management activities—including specialized functions such as purchasing, credit, insurance, and data processing—to support informed decision-making and the efficient use of resources.

The CFO directs the financial management program, including the coordination and synthesis of the functional activities related to budgeting, accounting, and managerial-financial reporting. In addition, these responsibilities encompass other technical or specialty phases of financial management. The CFO, together with the CMO and other Executive Team members, is responsible for managing cost efficiency and ensuring optimal value-based care within an Accountable Care Organization (ACO) shared-savings and risk model. This includes accountability for patient care, data sharing, regulatory compliance, and performance reporting. The CMO manages CMS risk contracts for capitation and fee-for-service models and drives revenue stability, operational focus, and risk management.

By optimizing financial performance and sustainability, the CFO enables growth, innovation, and effective mission fulfillment.

Reports to: President/CEO

Supervises: Director of Finance, VP of Revenue Cycle, Billing Director, Accountants, Administrative Assistant.

Salary/Status: Exempt

Minimum Requirements:

1. A four-year degree in accounting from an accredited college or university. Master’s degree preferred.
2. A minimum of 10 years’ experience in accounting, 5 years at a supervisory level.
3. Knowledgeable in computer-based (Black-Baud) medical accounting systems, UKG and Excel
4. Knowledgeable in grants and contract administration.
5. Knowledgeable in fund accounting.
6. Knowledgeable in nature and characteristics of administration in public services, including familiarity with federal and state laws, CMS regulations, and all guidelines pertaining to Community Health Center’s operations.
7. Fluent in English and able to communicate concisely and sensitively and to make clear and concise oral and written presentations.
8. Capable of effectively representing the President/CEO internally with members of the Board and with Health Center staff, and in public and business situations.
9. Reliable and professional in behavior and appearance.
10. Able to establish and maintain effective working relationships with Board Members, employees, individuals seeking assistance, representatives of outside agencies, and the general public.

Principle Responsibilities and Duties:

1. Work as part of the Executive and Senior Management Team of the Health Center.
2. Supervise cash flow and make recommendations to the President/CEO to ensure efficient procedures.
3. Create, maintain, and supervise the accounting system and the accounting records.
4. Oversee and work with the Director of Finance to prepare all budgets for the Health Center, ensuring accuracy.
5. Supervise the billing team/system to ensure timely billing, collections, and write-offs of accounts receivable.
6. Ensure the health center’s financial strength by improving cash flow and maximizing reimbursement by overseeing and supervising the Director of Revenue Cycle Manager to effectively manage and optimize revenue, minimize denials, and elevate patient satisfaction.
7. Leading the development of multi-year financial plans that support organizational growth and sustainability.
8. Analyzing financial data and market trends to advise on strategic opportunities, investments, and risks
9. Oversee all value-based contracts, strategic affiliations and high-stake agreements.
10. Create and supervise the internal control system.
11. Supervise and collaborate with the Director of Finance to prepare accurate monthly financial statements. Partner with the President/CEO and the Finance Committee of the Board to review financial reports and provide informed recommendations to the full Board of Directors.
12. Identify problem areas and make recommendations to the President/CEO and the Board Finance Committee for correction.
13. Collaborating with the CEO and Executive Team to set strategic priorities and allocate resources accordingly.
14. Monitoring performance against strategic goals and recommending adjustments as needed.
15. Compare performance with operating plans and standards and report the results at appropriate intervals.
16. Provide staff leadership and technical guidance in reviewing, analyzing, evaluating and reporting on program progress in financial terms.
17. Oversee the billing and finance team to ensure the preparation of financial reports to all funding agencies as required are accurate and complete in a timely manner.
18. Work closely with independent auditors on the annual audit, and with other auditors from federal or state agencies, as well as workers’ compensation insurance auditors.
19. Coordinate financial procedures with other departments as necessary.
20. Manage agency investments.
21. Develop and maintain a good working rapport with other departments to encourage the timely flow of financial information that is to the mutual benefit of all departments.
22. Evaluate output requirements in order to design and maintain a financial organizational chart indicating staffing requirements.
23. Keep abreast of the personnel market and make recommendations to the President/CEO regarding salary structure and working conditions.
24. Select, develop and supervise finance staff to assure that written procedures are followed. Also, work with the finance team and compliance to ensure standard operating procedures (SOP) are current and remain relevant, modifying as needed.
25. Evaluate performance of finance personnel and either make recommendations to the President/CEO based on personnel policies regarding salary adjustments, new hires, terminations and transfers.
26. Update position descriptions and responsibilities as changes in policies, procedures or operations may require.
27. Review complaints and grievances and make recommendations to the President/CEO.
28. Negotiate contracts as directed by the President/CEO
29. Work in coordination with the Chief Medical Officer and Chief Dental Officer to monitor and evaluate insurance coverage and make recommendations for changes to the President/CEO if conditions indicate.
30. Attend conferences and other meetings as necessary to keep abreast of the economic environment.
31. Represent the facility and participate in meetings as required by the President/CEO.
32. Participate/lead Finance Committee meetings, keeping minutes for record keeping.
33. Participates in monthly Board meetings.
34. Other responsibilities as assigned by the President/CEO.

Physical Requirements:

• From time to time, this position requires the ability to work long and arduous hours.
• Prolonged periods of sitting at a desk and writing on a computer.
• Requirements include lifting and carrying objects weighing 5-20 pounds on average.
• Frequent standing and walking.