Chief Finance Officer

The Community Health Center Network (CHCN), sister organization to the Alameda Health Consortium, is made up of the eight federally qualified community health centers in Alameda County. CHCN functions as the managed care MSO for our health centers. To help our health centers meet their missions of providing the best possible care to their communities, we provide a broad range of training, technical assistance, quality improvement, information technology, and data analytic services. Alameda Health Consortium supports the involvement of communities in achieving comprehensive, accessible health care and improved outcomes for the underserved in Alameda County.

About the role

Reporting to the CEO and Board Finance and Audit Committees, the Chief Financial Officer (CFO) is responsible for the planning, implementation, and oversight of all finance activities, including budgeting, financial forecasting, oversight of accounting operations, financial reporting, grant compliance, and contract negotiations. As a member of CHCN’s Executive Team, the CFO will participate in executive-level decision-making, strategic planning, and development of business initiatives to advance the overall mission and goals of CHCN. The CFO will ensure that all financial reporting and related compliance requirements are fulfilled. The primary function of this role is to provide strong financial leadership for CHCN and AHC across risk-based operations, MSO services, and nonprofit functions.

Responsibilities

• Participate in the development of CHCN’s strategic plans and programs.
• Participate in the Executive Team and advise the CEO on financial matters.
• Evaluate and advise on the impact of long-range planning, introduction of new programs/strategies, and regulatory action.
• Provide timely and accurate analysis of budgets, financial reports, and financial trends to assist the CEO and other senior executives in meeting CHCN’s goals and metrics.
• Monitor, interpret, and analyze performance related to managed care membership, revenue, expenses, medical costs, and utilization.
• Identify risks and potential business opportunities and make recommendations for action, including providing financial expertise in the planning of new services, contracts, insourcing/outsourcing, and expansion.
• Consult with departments and make recommendations to ensure the financial health of the organization in terms of financial results and operating efficiencies.
• Enhance and/or develop, implement, and enforce policies and procedures that will improve the overall operation and effectiveness of the organization.
• Provide strategic financial input and leadership on decision-making issues affecting the organization.
• Review IBNR methodology and ensure accurate calculation on a quarterly basis.
• Ensure assets of the organization are protected.
• Act as an advisor from the financial perspective on any contracts into which CHCN may enter.
• Stay abreast of emerging trends and regulations to ensure effectiveness and compliance for the finance functions.
• Evaluate, advise on, and/or negotiate managed care contracting, both with health plans and specialty physicians.
• Ensure that financial reporting and financial-related compliance requirements are met in accordance with all applicable laws, regulations, and accounting principles.
• Develop a sustainable growth strategy and monitor controls to preserve the agencies’ assets.
• Participate in risk management including insurance and business continuity planning.
• Work with the Executive Team to establish specific plans, deliverables, and measurable objectives related to the short- and long-term strategic plan for the organization.
• Explore opportunities for strategic partnerships alongside the Executive Team.
• Design financial modeling and contract rate analysis and recommend changes to current business practices based on findings.
• Evaluate and advise on the financial impact of long-range planning, introduction of new programs/strategies, and regulatory interaction.
• Provide executive oversight of all accounting functions, including general ledger, accounts payable, accounts receivable, payroll, and month-end/year-end close processes.
• Ensure timely and accurate preparation of financial statements, management reports, and supporting schedules.
• Establish and maintain strong internal controls and accounting policies to ensure accuracy, transparency, and compliance.
• Oversee cash management, liquidity planning, and treasury functions, including banking relationships and investment strategies.
• Ensure proper revenue recognition across multiple revenue streams, including managed care, MSO service arrangements, and grant funding.
• Lead the optimization and oversight of financial systems (e.g., ERP platforms such as NetSuite), ensuring alignment with operational and reporting needs.
• Lead all external audit activities, including annual financial statement audits, single audits (if applicable), and regulatory reviews.
• Serve as the primary liaison with external auditors, regulatory agencies, and tax advisors.
• Ensure compliance with all federal, state, and local financial reporting requirements, including nonprofit reporting obligations (e.g., Form 990).
• Strengthen and maintain internal control frameworks to mitigate financial and operational risk.
• Oversee the development and documentation of financial policies and procedures to support organizational compliance and audit readiness.
• Oversee financial operations across affiliated entities, including MSO structures, risk-bearing entities, and nonprofit operations.
• Ensure appropriate cost allocation methodologies between entities (e.g., administrative services, shared costs, and intercompany transactions).
• Monitor financial performance across entities and provide consolidated reporting and insights to executive leadership and the Board.
• Support structuring and financial oversight of MSO agreements, provider arrangements, and value-based payment models.
• Establish and cultivate key relationships with health centers, health plans, provider groups, and other community partners.
• Support CFO peer-to-peer network meetings.
• Support the CEO in interactions with the Board of Directors, including attendance at Board meetings.
• Present financial results, forecasts, and strategic insights to executive leadership and the Board.

Requirements

• Ten (10) years of progressively more responsible executive-level experience in health care finance, strategy, and business development.
• Healthcare finance, managed care, and/or Medi-Cal programs, health plans, health centers, strong understanding of capitation models, and compliance requirements highly desired.
• Demonstrated experience working with public funding and healthcare regulatory frameworks preferred.
• Bachelor’s degree in Finance, Accounting, Business Administration, or related field (Master’s degree preferred).

Skills

• Strategic executive with healthcare experience.
• Visionary with sound analytical ability, good judgment, and strong operational focus.
• Well-organized and self-directed individual who is politically attuned and a team player.
• Emotionally intelligent and articulate individual who can relate to people at all levels of an organization.
• Trustworthy and willing to share information, serve as a mentor, and coach.
• Decisive individual who possesses a "big picture" perspective and is well-versed in the administrative, fiscal, and clinical aspects of healthcare systems management.
• Very strong understanding of business strategies and drivers.
• Excellent written and verbal communication skills.
• Flexibility to quickly adapt to new challenges.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regularly required to sit and use hands to finger, handle, or feel.
• Frequently required to talk or hear.
• Frequently required to stand; walk; reach with hands and arms; and stoop, kneel, crouch, or crawl.
• Occasionally lift and/or move up to 15 pounds.
• Specific vision abilities required by this job include close vision and ability to adjust focus.

Working Conditions

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regularly exposed to both inside and outside environments.