Finance Director / CFO

Summary of Position

The Finance Director serves as a member of the leadership team in ensuring the financial health and sustainability of the Federally Qualified Health Center (FQHC), while upholding its mission to serve underserved communities. The Finance Director directly supervises the financial/accounting department. The Finance Director will direct all financial contractual matters and assesses the financial soundness of proposals for new or extended programs and new business development. This role manages all financial functions including accounting, billing, reconciling, budget development and tracking, financial operations, financial projections, finance personnel management, FQHC financial obligations, agency-wide insurance coverage, management of fiduciary requirements, and develops projections on individual project budgets, grant budgets, and capital improvement budgets.

Principal Duties and Responsibilities

• Oversee all financial operations, including accounting, budgeting, forecasting, financial reporting, and financial analysis.

• Work closely with the Chief Executive Officer to develop, evaluate, and implement financial strategies and plans that align with the FQHC's mission and goals, ensuring sustainability and growth.
• Oversee the preparation of critical financial reports including monthly managerial financial reports to the Chief Executive Officer and Board Finance Committee, IRS Form 990, CMS cost reports, and other reports pertinent to FQHCs.
• Serve as the agency’s liaison with its independent auditor overseeing preparation to ensure the annual audit is completed smoothly and in a timely manner.
• Responsible for identifying and mitigating financial risks associated with new contracting models in value-based care.
• Oversee the financial aspects of the organization's participation in the 340B Drug Pricing Program. This includes ensuring compliance, financial stability, and maximizing program benefits while mitigating risks.

• Ensure compliance with all federal, state, and local regulations and reporting requirements, particularly those specific to FQHCs.

• Develop and maintain strong internal controls to safeguard financial assets and ensure compliance with Generally Accepted Accounting Principles.

• Supervise and direct financial tasks of finance department staff, including but not limited to revenue cycle (billing), payroll, accounting, benefits, and purchasing departments.
• Coordinate and manage grant funding and reporting in accordance with Uniform Guidance.

• Assist in the development and negotiation of contracts and fosters stakeholder relationships.
• Assumes responsibility for additional domains as assigned by the Chief Executive Officer.

Required Skills or Abilities

• Bachelor’s degree in accounting or finance
• Master’s degree in business administration, finance, or accounting OR 5-7 years’ experience in a senior financial management role within an FQHC
• CPA is a plus

Required Knowledge, Experience or Licensure/Registration

• Familiarity with clinical nonprofit organizations and clinical billing practices, including Medicaid, Medicare and other major health insurance providers.
• Significant knowledge of and experience in non-profit accounting, including grant accounting, compliance, and reporting.
• Knowledge and experience in health care finance, including third party reimbursement mechanisms
• Experience with automated accounting, billing, and practice management systems
• Capability to lead a team and partner with others to accomplish the mission of the organization.