Chief Financial Officer

Position Summary

The Chief Financial Officer is responsible for financial stewardship, regulatory compliance, strategic forecasting, grant oversight, enterprise reporting, and finance team development.

Core Responsibilities

• Financial Governance and Compliance: Ensure integrity of financial statements and internal controls. Oversee independent auditor services and audit preparation. Lead Medi-Cal and Medicare cost reporting and ensure timely and accurate completion of all required state and federal financial submissions, including DHCS filings, HRSA/BPHC financial requirements; Uniform Data System (UDS) and HCAI (formerly OSHPD) reports; and OPAIS 340B compliance documentation. Maintain and routinely update Billing, Finance, and Procurement Policies and Procedures to reflect current HRSA compliance requirements. Monitor procurement policies are adhered to in accordance with federal regulations. Maintain banking relationships. Co-manage the investment portfolio in collaboration with the Board Finance Committee. Support facilities lease renewals and negotiations in partnership with executive leadership.

• Budget Development And Financial Planning: Lead the annual organizational budget process and multi-year financial forecasting, guiding directors in developing and managing their departmental budgets with clear accountability. Provide regular expenditure, variance, and service line or site-level margin analyses to support operational accountability and strategic decision-making. Model and recommend clinician productivity and other performance-based incentive structures. Support operational participation in IPA and managed care incentive programs to maximize available reimbursement opportunities.

• Revenue Cycle And Operational Partnership: Oversee revenue cycle reporting standards, including AR aging, denial trends, and cash flow metrics. Ensure timely and consistent reporting dashboards for executive leadership. Collaborate with Operations to align scheduling utilization, clinician productivity, and financial performance. Participate in association, IPA, and healthcare CFO meetings to remain informed of reimbursement trends and incentive opportunities, and translate relevant insights into operational action.

• Systems Optimization And Reporting: Fully leverage Sage Intacct to enhance reporting transparency and analytical capability. Develop actionable dashboards to guide efficiency and accountability at the executive, team, and department levels. Strengthen month-end close discipline and reporting timelines. Ensure financial data supports timely and informed executive decision-making.

• Leadership And Succession: Mentor and develop Director of Finance, Accounting Manager, and Revenue Cycle staff. Prevent knowledge silos through documentation and cross-training. Promote reliability, accountability, and professional growth within the finance function. Contribute to executive succession planning through leadership development and team capacity building. Engage actively with executive leadership and Board Finance Committee.

Required Qualifications

• Bachelor’s degree in Accounting, Finance, or related field.
• CPA strongly preferred.
• Minimum of eight years of senior financial leadership experience in positions such as Chief Financial Officer, Deputy Finance Officer, Vice President of Finance, Controller in a hospital or healthcare organization, or Director of Finance in a multi-site healthcare setting.
• Candidates whose highest level of experience is Accounting Manager will not meet the scope of this executive role.
• Strong communication skills and presence.

Preferred Experience

• FQHC or safety-net healthcare experience preferred.
• Hospital or healthcare finance leadership experience welcomed.
• Experience with Medi-Cal and Medicare reimbursement structures.
• Experience presenting to Boards and Finance Committees.