Chief Financial Officer

As a health division of the Confederated Tribes of the Goshute Reservation, we, at Sacred Circle Healthcare, preserve the Goshute heritage of protecting and caring for family and extend the tradition to all marginalized and underserved populations in our area. We refuse to let access, ethnicity, or socioeconomic status restrict someone from receiving complete healthcare. We are looking for people who are genuine, kind, ambitious, positive, and helpful—exceptional individuals building on a celebrated heritage who are passionate about delivering uncompromising care.

About the role

The Chief Financial Officer (CFO) provides strategic financial leadership for the clinic, ensuring the delivery of ethical, sustainable, and mission-centered financial operations of the organization. The CFO is a key member in the development of business planning, stakeholder engagement, and tribal advocacy. The CFO oversees the finance department, budgeting, financial accounting system, revenue cycle, financial reporting, compliance, and risk management while supporting the clinic’s mission to deliver high-quality healthcare services to the tribal community and patients. The CFO reports directly to the Chief Executive Officer and provides expertise and strategic support for financial planning and direction.

The CFO works closely with the executive leadership team, governing bodies, community partners, and external stakeholders to ensure financial strategies align with clinical priorities, community health needs, and the long-term goals of the organization.

Responsibilities

• Provides executive leadership for all financial operations including budgeting, forecasting, accounting, financial reporting, and revenue cycle management.
• Provides financial guidance to the Executive Officer, leadership team, and Governing Bodies.
• Assists in the development of organizational plans and objectives with the Executive Officer, Executive Team, Governing Bodies, and department staff regarding short and long-range goals.
• Oversee the development of financial analytic platforms that integrate financial and clinical data to support data-driven decision-making and predictive forecasting.
• Participate in executive leadership meetings and activities to support strategic planning and long-term organizational growth.
• Represent the organization in community partnerships, health initiatives, and area/tribal collaborations, demonstrating an understanding of community health needs while collaborating with external partners to support and strengthen tribal healthcare programs and resources.
• Identify opportunities to create financial value through partnerships, collaborations, and innovative funding strategies.
• Develops and plans the annual budget in collaboration with clinic leadership, Executive Team, Executive Officer, and governing bodies.
• Identify innovative and cost-effective financial strategies that improve organizational performance and sustainability.
• Monitor financial performance regularly and report progress to executive leadership and governing bodies.
• Ensure financial strategies support culturally appropriate care and community-driven health priorities.
• Evaluate financial implications of strategic initiatives, service line expansion, and operational changes.
• Oversee the development and implementation of finance policies and procedures designed to effectively support organizational strategy and ensure regulatory compliance.
• Design and implement financial contingency and disaster recovery strategies that protect financial data, maintain revenue cycle, and report continuity.
• Lead financial risk management activities including audits, financial risk assessments, compliance monitoring, and regulatory reporting.
• Design and implement internal financial controls, policies, and procedures that safeguard organizational assets.
• Identify financial risks and develop mitigation strategies to protect the organization’s financial viability.
• Ensures compliance with federal, state, tribal, and healthcare regulatory requirements.
• Champions the development and implementation of advanced analytic infrastructure that integrates finance and clinical data to improve performance transparency, support predictive forecasting, and guide strategic planning.
• Oversee financial information systems to ensure accurate, timely, and secure financial reporting.
• Ensure financial data is accessible to leadership for informed decision-making and performance monitoring.
• Ensure appropriate controls and safeguards are in place to protect financial and organizational data.
• Develop and maintain financial metrics and dashboards to measure operational efficiency and cost-effectiveness.
• Lead the development of a high-performing finance team through clear role definition, training, mentoring, and professional development.
• Foster cross-department collaboration between finance, clinical, and operational teams, empowering employees to support data-driven decisions.
• Build and maintain strong, mutually beneficial relationships with tribal leadership, community organizations, and external stakeholders and partners.
• Collaborate with federal/state agencies, tribal programs, and healthcare partners to support initiatives that improve tribal health outcomes.
• Support advocacy efforts that advance tribal healthcare resources, funding, and program development.
• Demonstrate an understanding of tribal and community health priorities by actively participating in community partnerships, health initiatives, and tribal events.
• Maintains strict confidentiality.
• Reads, understands, and adheres to all Sacred Circle Health Care Policies and Procedures and Employee Manual.
• Practices and adheres to the Code of Conduct and Mission and Values Statements.

Requirements

• Master’s degree in finance and/or accounting.
• Ten (10) or more years of progressive healthcare financial leadership experience.
• Five (5) years in senior leadership.
• Significant senior-level financial leadership experience with proven capabilities in strategic planning, long-range forecasting, and capital allocation.
• Active Certified Public Accountant (CPA) Certification.
• Experience working with information technology systems—finance and accounting software packages and Electronic Health Records (E.H.R.).

Preferred Qualifications

• MBA preferred.
• Experience working with Indian Self-Determination and Education Assistance Act (638 Programs).
• Experience working with Indian Health Service (I.H.S.) funding and reporting.
• Experience working with Federally funded Tribal healthcare systems.
• Experience working with FQHC.
• Experience with grant funding.
• Certified Healthcare Financial Professional (CHFP), Certified Management Accounting (CMA).
• Experience working with the Native American/Alaskan Native communities.

Skills

• Expert level knowledge of Generally Accepted Accounting Principles (GAAP).
• Ability to manage sensitive and highly confidential information.
• Proven negotiation expertise with experience managing contracts and vendor relationships.
• Excellent ability to maintain positive, respectful working relationships with colleagues, teams, and leadership while promoting a collaborative and culturally respectful workplace.
• Exceptional verbal, written, and presentation skills with the ability to communicate complex financial and operational information effectively to diverse audiences, including leadership, staff, governing bodies, and community stakeholders.
• Knowledge of federal funding requirements, governmental reporting programs, practices, and procedures, including grants.gov.
• Demonstrates a growth mindset by welcoming feedback from colleagues, leadership, and stakeholders to strengthen decision-making and service delivery effectiveness.
• Knowledge of organizational policies, procedures, systems, and objectives.
• Ability to work under minimal supervision but maintain a high degree of communication regarding current work activity/projects with supervisors and teammates.
• Ability to evaluate the effectiveness of existing methods and procedures.

Benefits

Full-time, benefits eligible position.

Pay

$190,000 - $200,000 yearly salary.

Schedule

40 hours per week. Work schedule to be determined with availability of 8:00 am – 6:00 pm Monday through Friday. Evening and weekend work may be required as needed.

Sacred Circle Healthcare/Confederated Tribes of the Goshute Reservation gives preference to qualified American Indian/Alaskan Native applicants.