Chief Financial Officer

About the role

The Chief Financial Officer (CFO) will serve as a critical member of the Executive Leadership Team and a strategic financial partner to the CEO and fellow senior leaders. This role requires a forward-thinking, collaborative leader with the experience and mindset to guide Neighborhood’s financial strategy during a period of continued growth, innovation, and transformation.

Responsibilities

• Serve as a strategic thought partner to the CEO and Executive Leadership Team to align financial strategies with organizational priorities, growth objectives, and community impact goals.
• Provide high-level financial oversight, including fiscal planning, budgeting, cash flow, forecasting, risk management, audit, compliance, and long-term modeling.
• Evaluate and recommend strategic financial opportunities to support Neighborhood’s sustainability, innovation, and expansion across Western New York.
• Lead and evolve the finance team structure, identifying areas for realignment and capacity building to better support a complex and growing organization.
• Oversee revenue cycle management and pharmacy billing operations, ensuring operational excellence, regulatory compliance, and effective collaboration with clinical and administrative teams.
• Advance the use of financial planning tools, dashboards, and analytics—including AI-driven approaches—to enhance forecasting, modeling, and strategic decision-making.
• Develop and tailor financial reporting for multiple audiences (board, leadership, department heads), enhancing financial literacy and engagement across the organization.
• Collaborate cross-functionally with clinical, operations, quality, HR, and development teams to support shared organizational goals.
• Ensure compliance with grant requirements, FQHC regulations, audits, and HRSA/340B guidelines.
• Represent the organization in external financial matters, including audits, funders, banking relationships, and payer contracts.

Qualifications

• Bachelor’s degree required; CPA preferred but not required.
• At least 7+ years of senior-level leadership experience at an organization of similar size and complexity, with strong supervisory and mentoring skills.
• Healthcare and/or FQHC experience valuable; candidates with transferable industry experience and strong enterprise-level financial leadership will be considered.
• Demonstrated enterprise-wide financial leadership, either at the CFO level or a senior finance leadership role (e.g., VP Finance, Controller), with the learning agility and humility to quickly come up to speed in a new industry environment.
• Exposure to or ability to quickly learn key healthcare financial drivers, including revenue cycle operations, reimbursement structures, and funding models (e.g., grants, cost-based reimbursement).
• Proven ability and strength building or leading analytics and financial strategy functions, including comfort with AI and emerging financial technologies a plus.
• Knowledge of government grants, funding streams, and cost-based reimbursement models.
• Demonstrated success as a strategic advisor and thought partner to a CEO and executive team.
• Proven ability to lead and restructure teams, develop talent, and build future-ready finance functions.
• Demonstrated ability to translate financial concepts into actionable insights for non-financial audiences (e.g., board members, program leads).
• Exceptional communication and interpersonal skills, with a collaborative and mission-aligned leadership style.
• A growth mindset and ability to adapt reporting structures to the needs of a scaling organization.
• Visionary and strategic partner who can guide financial planning at both executive and operational levels.
• Collaborative, values-aligned leader who promotes transparency and fairness.
• Empathetic coach and culture carrier who supports team development and leads through complexity.
• Strong communicator with the ability to foster trust across teams, departments, and leadership levels.
• Commitment to creating healthy communities and the promise of “healthcare that welcomes you”.

Pay

$225,000 – $250,000, depending on experience and qualifications.

Schedule

In-person executive role based at our Northwest Buffalo location (155 Lawn Avenue), with occasional travel to other Neighborhood Health Center sites.