Chief Financial Officer

General Purpose

Provides executive financial leadership to the organization including planning, organizing, coordinating and directing all aspects of the Finance department. Leads FQHC financial strategy including PPS optimization, wrap reconciliation, and reimbursement maximization. Oversees HRSA Section 330 grant financial management and compliance. Responsible for all aspects of Financial Management, which includes, but is not limited to: reporting, budgeting, cash management, banking, taxes, regulatory compliance, revenue cycle, and internal control.

Essential Duties & Responsibilities

• Participates on the Executive Team to develop and implement strategic objectives in support of the organization’s mission, strategic plan and objectives.
• Leads value‑based payment strategy and managed care financial modeling.
• Oversees 340B program financial performance.
• Owns enterprise revenue cycle performance including KPIs (Days in AR, Net Collection Rate, PPS realization).
• Develops long‑term financial plans including service line profitability and expansion.
• Provides financial analytics and dashboards for decision‑making.
• Leads Board Finance Committee engagement.
• Supervises Finance staff including Controller, Accounting Manager, Senior Financial Analyst, Jr. Accountant, Credentialing Manager, and Purchasing Manager.
• Selects, trains, orients, and supervises departmental personnel; recommends merit increases, promotions and disciplinary actions.
• Develops, implements, evaluates and revises, as necessary, company‑wide and departmental financial policies and procedures.
• Supervises the preparation of budgets, including annual operating, capital, and cash budgets, as well as non‑routine budgets for grant applications.
• Supervises the preparation of annual and interim financial statements in accordance with GAAP.
• Supervises or performs financial analyses and keeps the Board of Directors, the CEO and other appropriate parties apprised of the corporation’s financial position.
• Supervises the preparation and timely submission of Medicaid and Medicare cost reports, Consolidated Fiscal Report (Article 16), and the MCVR Annual Report.
• Supervises the purchasing and information technology functions.
• Supervises and assures timely completion of required external audits.
• Ensures that adequate general liability and property insurance are maintained to protect the organization’s assets.
• Participates in professional development activities and maintains professional affiliations.
• Serves as Administrator of the Group 403B Pension Plan.
• Responsible for implementing state‑of‑the‑art systems to further financial functions across the department.
• Collaborates with Human Resources for benefits, pension, and payroll.

Competencies

• Self‑awareness
• Optimism
• Provocativeness
• Flexibility
• Strategic thinking
• Problem solving
• Collaboration / Partnership
• Accountability
• Commitment
• Communication
• Integrity
• Self‑esteem
• Decision making
• Organizational development
• Vision setting

Supervisory Responsibilities

Responsible for the overall direction, coordination, and evaluation of the Finance and Credentialing team. Carries out supervisory duties in accordance with organizational policies and applicable laws, including interviewing, hiring, training, planning, assigning, directing work, appraising performance, rewarding and disciplining employees, addressing complaints, and resolving problems.

Qualifications

• Advanced knowledge of FQHC reimbursement including PPS, APGs, and NY Article 28, 31, 16 frameworks (DOH, OMH, OPWDD).
• Experience with financial systems modernization and business‑intelligence tools.
• Knowledge of health‑care administration principles, fiscal management, government regulations and reimbursements.
• Knowledge of revenue and reimbursement methodologies.
• Knowledge of employee‑development principles sufficient to manage the department.
• Knowledge of computer systems, programs and applications.
• Skill in exercising a high degree of initiative, judgment and discretion.
• Skill in analyzing situations accurately and taking action.
• Skill in establishing and maintaining effective working relationships.
• Skill in organizing work, delegating and achieving goals and objectives.
• Skill in exercising judgment and discretion in developing, interpreting and implementing departmental policies and procedures.
• Ability to plan, organize and integrate priorities and deadlines.
• Ability to identify, analyze and resolve financial problems.
• Ability to evaluate and make recommendations for continuous quality improvement.
• Ability to research, analyze, interpret complex data and present comprehensive reports.
• Ability to communicate clearly and effectively orally and in writing.

Education and Experience

Master’s degree in Finance, Accounting, Health Care Administration, Business Administration, or a comparable field is required. CPA, CPC, COC, or similar certification is preferred. Minimum of ten years’ experience, including seven years in health‑care; FQHC experience strongly preferred.

Necessary Skills & Abilities

• Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals; write routine reports and correspondence; speak effectively before groups of customers or employees.
• Mathematical Skills: Ability to work with complex mathematical concepts such as probability, statistical inference, geometry and trigonometry; apply fractions, percentages, ratios, and proportions to practical situations.
• Reasoning Ability: Ability to solve practical complex problems and deal with a variety of concrete variables where only limited standardization exists; interpret instructions in written, oral, diagram or schedule form.
• Computer Skills: Advanced knowledge of Microsoft Office (Word, Outlook, Excel) and financial software packages including Great Plains, eClinicalWorks, PayChex, UltiPro, Dynamics.
• Certificates, Licenses, Registrations: Certified Public Accountant (CPA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or similar certifications.
• Other Skills and Abilities: Excellent verbal and written communication skills necessary for effective communication.

Physical Demands

The employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. Frequently required to stand; walk and reach with hands and arms. Occasionally required to stoop, kneel, crouch, or crawl. Must occasionally lift and/or move up to 25 pounds.

Travel

The employee must be able to travel between sites.

Work Environment

The noise level in the work environment is usually moderate.