Chief Financial Officer

About the role

The Chief Financial Officer (CFO) is responsible for providing strategic and operational leadership for all financial functions of the organization, including accounting, budgeting, revenue cycle management, grants management, financial reporting, compliance, reimbursement, payroll, purchasing, and financial risk management. As a key member of the executive leadership team, the CFO partners with organizational leadership to ensure the financial sustainability, operational efficiency, and long-term growth of the health center while supporting UCHC’s mission and strategic objectives.

Responsibilities

• Provide executive leadership and strategic direction for all financial operations of the organization, ensuring alignment with organizational goals, mission, and long-term sustainability.
• Develop and execute short- and long-range financial strategies, forecasts, and operational plans to support organizational growth and financial stability.
• Oversee all accounting, finance, budgeting, payroll, purchasing, accounts payable, accounts receivable, billing, and financial reporting functions.
• Lead the preparation and monitoring of the organization’s annual operating budget, departmental budgets, grant budgets, financial forecasts, and variance analyses.
• Develop and maintain internal financial reporting systems and dashboards to support executive decision-making, financial performance monitoring, and scenario planning.
• Ensure accurate and timely preparation of financial reports for executive leadership, Board of Directors, HRSA, federal/state agencies, grantors, auditors, lenders, and other stakeholders.
• Oversee the organization’s revenue cycle management strategy in collaboration with operational leadership, including billing performance, claims management, reimbursement optimization, collections, and managed care performance.
• Monitor Medi-Cal, Medicare, PPS, capitated payment arrangements, managed care contracts, and third-party reimbursement methodologies to maximize reimbursement and ensure compliance.
• Oversee annual PPS reconciliation processes and financial risk management strategies to protect organizational assets and maintain fiscal integrity.
• Oversee annual Medicare Cost Report preparation.
• Ensure compliance with Generally Accepted Accounting Principles (GAAP), federal and state regulations, HRSA/FQHC requirements, grant requirements, and applicable financial reporting standards.
• Direct the organization’s internal audit activities and coordinate annual independent audits, tax filings, and regulatory reporting requirements (e.g., Form 990, Medicare/Medicaid reports, financial status reports).
• Collaborate with grant and program leadership to develop grant budgets, monitor expenditures, and ensure compliance with funding requirements and reporting obligations.
• Establish and maintain strong internal controls, policies, and procedures to safeguard organizational assets and reduce operational and financial risk.
• Serve as the primary financial liaison with banks, auditors, regulatory agencies, funding organizations, insurers, consultants, and external business partners.
• Attend and present financial reports and organizational fiscal updates to the Finance Committee and Board of Directors as requested by executive leadership.
• Provide leadership, mentorship, supervision, and performance management for finance, billing, payroll, accounting, purchasing, and related department staff.
• Collaborate with executive leadership to improve operational efficiencies, strengthen financial performance, and support organizational quality and compliance initiatives.
• Promote a culture of accountability, ethical financial stewardship, collaboration, and continuous improvement throughout the organization.
• Perform other duties as assigned by the CEO.

  Requirements

  • Job Qualifications:
    • Required Bachelor’s degree in Accounting, Finance, Business Administration, or related field required.
      • Minimum 7–10 years of progressively responsible financial leadership experience, including healthcare finance and at least 3 years in a supervisory or executive leadership role.
        • Strong knowledge of healthcare finance, including FQHC reimbursement methodologies, Medi-Cal, Medicare, PPS reimbursement, managed care, and third-party billing processes.
          • Experience overseeing budgeting, forecasting, financial reporting, audits, internal controls, grants management, and revenue cycle operations.
            • Strong understanding of GAAP, financial compliance standards, federal grant compliance and applicable federal/state healthcare regulations.
              • Experience with grant-funded programs and federal grant compliance.
                • Experience managing and developing high-performing finance and accounting teams.
                  • Proficiency with accounting systems, billing systems, Microsoft Office/Google Workspace, and financial reporting tools.
                    • Excellent analytical, organizational, problem-solving, and strategic planning skills.
                      • Strong verbal and written communication skills with the ability to present financial information clearly to executive leadership, Board members, and external stakeholders.
                        • Able to maintain confidentiality and exercise sound judgment when handling sensitive financial and organizational information.
                          • Able to work effectively in a fast-paced healthcare environment and collaborate across departments and leadership levels.