This Chief Financial Officer (CFO) role provides strategic and operational leadership for all financial matters of a nonprofit community healthcare organization. Reporting directly to the Chief Executive Officer (CEO) and serving as a key member of the Executive Leadership Team, the CFO works closely with the CEO and Board of Directors to support the organization’s financial health, strategic goals, and long-term sustainability. This position requires a highly organized and adaptable leader who can successfully manage competing priorities, meet critical deadlines, and thrive in an autonomous, fast-paced, and continually evolving healthcare environment.
Responsibilities
Provide strategic leadership and oversight for the organization’s financial operations and overall fiscal health
Manage cash-flow planning and ensure adequate funds are available to meet the organization’s operational and financial obligations
Oversee cash management, investments, and organizational assets
Develop and manage financing strategies and activities, including banking and other financial relationships
Develop and utilize forward-looking financial models, forecasts, and activity-based analyses to evaluate organizational performance and support strategic and operational decision-making
Monitor financial performance, identify trends and areas of financial risk, and recommend appropriate strategies to the CEO and Executive Leadership Team
Evaluate financial implications of new programs, services, capital investments, and other strategic initiatives
Lead and coordinate the preparation of the organization’s annual operating and capital budgets
Develop financial business plans, forecasts, projections, and long-term financial strategies
Develop, implement, and maintain appropriate financial policies, procedures, systems, and controls
Provide financial leadership and support for organizational strategic planning and growth initiatives
Work closely with the Finance Committee of the Board of Directors to communicate financial performance and present short- and long-term financial plans, investment strategies, budgets, and business plans for review and approval, as appropriate
Prepare and present financial information to the CEO, Executive Leadership Team, Finance Committee, and Board of Directors in a clear and meaningful manner
Develop and maintain effective relationships with financial partners and other external parties, including financial institutions, investment managers, auditors, attorneys, vendors, and public officials
Maintain current knowledge of applicable federal, state, and local laws, regulations, funding requirements, and financial requirements that impact nonprofit healthcare organizations and Federally Qualified Health Centers (FQHCs)
Provide leadership and oversight of the Accounting Department, ensuring the proper maintenance and integrity of accounting systems, records, and financial functions
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Ensure appropriate internal controls, accounting practices, and financial procedures are established, maintained, and consistently followed
Ensure compliance with applicable federal, state, and local financial and reporting requirements
Ensure the timeliness, accuracy, and consistency of financial and management reporting for organizational leadership, the Board of Directors, and applicable federal, state, and local funding entities
Oversee the preparation, analysis, and communication of monthly, quarterly, and annual financial statements and other financial reports
Monitor budget-to-actual performance, investigate significant variances, and provide recommendations to leadership as appropriate
Coordinate and participate in annual financial audits and other required audits, reviews, and financial examinations
Ensure the timely and accurate preparation and filing of applicable tax returns, financial reports, and regulatory filings
Oversee relationships with external auditors and other financial consultants and advisors
Provide executive oversight of billing and revenue cycle functions to support the financial sustainability of the organization
Partner with senior leadership and management to evaluate revenue cycle performance and identify opportunities for process improvement
Develop and support strategies to improve the effectiveness and efficiency of the revenue cycle management process
Monitor financial and operational indicators related to billing, collections, accounts receivable, reimbursement, and revenue performance
Collaborate with operational and clinical leadership to address financial processes that affect reimbursement and organizational revenue
Promote consistent financial practices and accountability across departments and operational areas
Serve as a key member of the Executive Leadership Team and provide financial expertise and recommendations to support organizational decision-making
Advise the CEO on financial strategy, organizational risk, fiscal sustainability, and opportunities for growth and improvement
Provide leadership, direction, development, and support to assigned staff and promote accountability for departmental goals and responsibilities
Establish priorities and ensure financial department objectives align with the organization’s strategic goals
Collaborate effectively with clinical, operational, administrative, and executive leadership across the organization
Maintain the confidentiality and security of financial, employee, patient, and organizational information in accordance with applicable requirements and organizational policies
Perform other duties and responsibilities as assigned
Requirements
Demonstrated experience in a senior financial management role, partnering with executive leadership to develop and implement effective financial management strategies
Extensive knowledge of nonprofit accounting principles and practices, including fund and grant accounting, financial compliance, and reporting requirements
Strong management and supervisory skills, including experience with recruitment, staff development, coaching, performance management, and employee accountability
Proven ability to establish and maintain effective working relationships across departments, functional areas, and all levels of the organization
Strong customer service focus with a demonstrated commitment to achieving organizational and financial results
Experience collaborating with information technology staff and vendors in the implementation, maintenance, and effective utilization of financial and accounting systems
Excellent written and verbal communication skills, with the ability to clearly communicate complex financial information to both financial and non-financial audiences
Demonstrated leadership, team-building, decision-making, and interpersonal skills
Excellent organizational, analytical, critical-thinking, problem-solving, and abstract reasoning skills
Ability to analyze complex financial information, identify trends and risks, and develop appropriate recommendations and solutions
Ability to manage multiple priorities and deadlines effectively in a fast-paced and continually changing healthcare environment
Ability to exercise sound judgment, discretion, and a high degree of confidentiality when handling sensitive financial and organizational information
Bachelor’s degree in Finance, Accounting, Business Administration, or a closely related field from an accredited college or university
Minimum of ten (10) years of progressively responsible financial management experience, including at least five (5) years of experience serving as a Chief Financial Officer or in an equivalent senior financial leadership role
Knowledge of healthcare financial operations, reimbursement methodologies, and revenue cycle management
Experience working with managed care organizations and Medicaid payers
High level of proficiency in Microsoft Office applications, with advanced proficiency in Excel
Demonstrated experience interpreting financial data and presenting financial information, forecasts, and recommendations to executive leadership and governing boards
Nice to have:
Experience within a community health center, FQHC, nonprofit healthcare organization, or similar healthcare setting is preferred
Knowledge of healthcare practice management systems and electronic health record (EHR) systems is highly desirable
Certified Public Accountant (CPA) designation is highly desirable
Advanced degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field is preferred
Prior financial leadership experience within a Federally Qualified Health Center (FQHC) or nonprofit community healthcare organization is preferred
Important Details
Schedule: Occasional evening and weekend work may be required based on operational needs
Travel: Travel between health center sites is required
Physical Demands
Finger dexterity: Picking, pinching, typing, or otherwise working, primarily with fingers rather than with the whole hand as in handling
Grasping: Applying pressure to an object with the fingers and palm
Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discrimination in sound
Reaching: Frequently required to reach with hands and arms forward and above the head
Mental Acuity: Ability to make rational decisions through sound logic and deductive processes
Speaking: Expressing or exchanging ideas by means of the spoken word including the ability to convey detailed or important spoken instructions to other workers accurately and concisely
Visual Acuity: Must have sufficient visual acuity to perform tasks such as preparing and analyzing data and figures, transcribing information, viewing a computer screen, and conducting extensive reading. Requires visual abilities including close, distance, color, and peripheral vision, depth perception, and the ability to adjust focus
This position requires sitting, standing, and walking for extended periods. It may involve working under stressful conditions or irregular hours. Frequent exposure to communicable diseases, body fluids, toxic substances, medicinal preparations, and other conditions common in a clinical environment may occur
About the Company
Sterling Health Care is a nonprofit community healthcare organization.
