Director of Finance

Position Summary

The Director of Finance oversees Orchid Health's financial operations, including revenue generation, expenses, budgeting, forecasting, accounts payable and receivable, medical billing and coding, insurance contracts, grants, credentialing, leases, business insurance, and related administrative functions. This role helps ensure that financial systems are accurate, timely, compliant, and aligned with Orchid's mission and long-term sustainability.

Responsibilities

• Lead Orchid Health's finance, revenue cycle, and administrative finance functions, including cash flow, budgeting, forecasting, accounts payable, accounts receivable, and monthly budget reporting.
• Partner with the Executive Director and contracted CPA to manage accounting processes, QuickBooks reporting, Medicare cost reporting, tax preparation, and related financial procedures.
• Oversee revenue cycle operations, including billing, coding, collections, claims submission, payer follow-up, payment posting, and patient account processes.
• Create, implement, audit, and improve patient account and billing processes to support timely, accurate, compliant reimbursement.
• Analyze financial, billing, claims, collections, and accounts receivable trends, then recommend process, staffing, or policy improvements as needed.
• Review payer contracts annually, identify areas for renegotiation, and evaluate alternative payment model opportunities.
• Oversee grant management, including supporting grant writing as needed and managing grant accounting and reporting.
• Manage key business administration functions, including provider credentialing, business insurance, property leases, and asset purchasing and tracking.
• Ensure coding and billing operations follow Orchid protocols and applicable federal, state, and payer regulations, guidelines, and requirements.
• Stay current on HIPAA, health information management, billing and coding regulations, payer requirements, and carrier rule changes, and share updates with the appropriate teams.
• Provide, oversee, or coordinate training and support for billing and finance-related staff on systems, procedures, standards, and best practices.
• Partner with the Executive Director to support fundraising efforts for new locations, expansions, and strategic organizational growth.

Required Qualifications

• Must already be located in or willing to relocate to Oregon.
• Bachelor's degree in business administration, accounting, finance, or a related field.
• Minimum of three (3) years of senior finance leadership experience in a healthcare organization.
• Strong understanding of medical billing, collections, payment posting, revenue cycle, third-party payers, Medicare, and Oregon and federal payer regulations.
• Working knowledge of HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes.
• Knowledge of business management and basic accounting principles, with the ability to partner effectively with accounting support and organizational leadership.
• Experience supervising, training, organizing, prioritizing, and scheduling work to meet operational and financial timelines.
• Proficiency with Microsoft Office, including Outlook, Word, and Excel.
• Strong organization, attention to detail, critical thinking, professional judgment, and the ability to work independently with frequent interruptions.
• Ability to communicate calmly, respectfully, transparently, and professionally with staff, patients, partners, payers, and other stakeholders.

Preferred Qualifications

• Prior Finance Director experience in a Rural Health Clinic, Federally Qualified Health Center, or similar healthcare setting.
• Experience with QuickBooks management and reporting.
• Experience with Medicare Cost Reporting, grant accounting and reporting, payer contracting, and alternative payment models.
• Experience producing and presenting detailed financial, billing, and accounts receivable reports.
• Strong negotiation skills and tact when discussing payer, partner, or patient financial matters.

Compensation

$120,000 - $140,000 annually depending on experience and skills

Benefits

• Medical, Dental, & Vision – Orchid pays monthly premiums at 100% for team members and at least 50% for their dependents for base medical and dental plans
• $1,000/year Wellness Benefit - for things that make you happy!
• 401(k) with a company match and financial planning and wellness resources available at no cost.
• A Continuing Education / Continuing Medical Education budget for all team members
• 128 hours of PTO per year, annually front-loaded with tenure-based increases
• 40 hours of paid inclement weather and emergency closure leave, annually front-loaded
• 8 paid holidays, plus your birthday off!
• Free care at our clinics for team members and their families
• And more!

*Team members are eligible for benefits on the first of the month following 30 days of employment.

Work Environment

This role operates in a professional medical office and administrative environment. Team members may periodically work in clinic settings and may be exposed to viruses, disease, and infection from patients and specimens. This role routinely uses standard office equipment, including computers, phones, photocopiers or scanners, and e-fax, and may require extended periods of computer work.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee may be regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, telephone, and keyboard. The employee is frequently required to sit for extended periods of time. Specific vision abilities required by this job include close vision requirements due to computer work. Computer work is required for this position. Light to moderate lifting may be required.

Travel

This position requires approximately 10–20% travel, including in-person meetings and periodic clinic visits.