Purpose of the positionThe CFO will serve as a strategic partner to the CEO and Board of Directors, providing financial leadership across a complex, multi-entity, multi-state organization. The CFO will be responsible for the full scope of financial operations, including accounting, reporting, forecasting, compliance, and long-term financial strategy. Critically, this leader will bring deep expertise in healthcare finance - including Medicaid/Medi-Cal, federally qualified health center (FQHC) funding models, grants management, and value-based care - while maintaining an unwavering commitment to our mission.
The ideal candidate brings both technical rigor and a genuine passion for health equity, housing justice, and serving populations experiencing homelessness and other forms of systemic vulnerability.
Key Highlights- Compensation: The compensation range for this role is $230,000 - $290,000 annually, with final compensation determined based on experience, qualifications, and role scope.
- Work Location & Expectations: This role requires > 50% in person engagement hybrid from our Southern California locations.
- Professional Development: Opportunity to collaborate with cross-functional leaders across Behavioral Health, Medical, Street Medicine, Public Health, Rural Health, and Tribal Health initiatives.
Key ResponsibilitiesStrategic Leadership & Partnership- Serve as a trusted strategic advisor to the CEO, Board, and executive leadership team, functioning as a core thought partner on all matters of organizational strategy and sustainability
- Translate the company's mission and growth strategy into actionable financial plans, models, and resource allocation frameworks
- Drive financial decision-making that balances mission impact with sustainable business operations and growth, ensuring long-term organizational viability without compromising service to vulnerable populations
- Partner and collaborate cross-functionally with Development, Operations, Clinical, Technology, and People teams to align financial strategy with programmatic and operational goals
- Implement and optimize financial systems, ERP platforms, and technology infrastructure to support the organization's scale and complexity
- Represent the company's financial story to investors, board members, lenders, and key stakeholders in a compelling, transparent, and mission-aligned manner
- Evaluate and support potential partnerships, mergers, acquisitions, and new market entry aligned with organizational mission and growth strategy
- Lead financial due diligence for expansion into new counties and states
- Maintain current knowledge of the evolving healthcare regulatory landscape, including federal regulations and California-specific agencies (DMHC, DHCS, CDPH), as well as regulations in all other operating regions and states as operations expand
Financial Planning & Analysis (FP&A)- Own and lead annual budgeting, forecasting, and long-range financial planning processes in collaboration with program and operational leaders
- Build and maintain robust financial models to support strategic decisions, scenario planning, and capital allocation across the organization
- Deliver timely, accurate, and insightful financial reporting and KPI dashboards to the CEO, Board of Directors, Finance Committee, funders, and regulatory agencies
- Identify financial risks, opportunities, and trends to guide proactive, data-driven decision-making
- Develop multi-year financial forecasts and sensitivity analyses to support strategic growth planning
- Monitor cash flow, liquidity, and working capital across multiple entities and geographies
Capital Strategy & Fundraising- Lead fundraising efforts including venture capital, strategic partnerships, grants, and debt financing in alignment with the organization's growth milestones and mission
- Develop and execute the company's capital strategy to support growth milestones, geographic expansion, and programmatic sustainability
- Manage investor relations and support due diligence processes for future funding rounds, ensuring financial transparency and stakeholder confidence
- Evaluate and structure M&A opportunities, partnerships, and joint ventures as appropriate, conducting rigorous financial analysis to inform executive and Board decision-making
- Maintain and strengthen relationships with banking institutions, lenders, and financial advisors
Revenue Cycle & Financial Grant Management- Oversee comprehensive business office functions including billing, coding compliance, revenue integrity, and reimbursement/payment posting across all payers and service lines
- Manage Medi-Cal, Medicare, and commercial payer relationships and reimbursement strategies, including managed care contracts, capitation arrangements, and value-based care financial structures
- Monitor and optimize reimbursement for homeless-specific and equity-focused programs including CalAIM Enhanced Care Management (ECM), Whole Person Care, HCOF, Housing and Health, and other relevant public programs
- Manage financial aspects of pre- and post-award grant management, including revenue recognition, direct and indirect expense tracking, reporting, and audit support across a complex portfolio of federal, state, county, and private grants
- Ensure proper cost allocation, indirect rate management, and funder compliance across all grants and contracts
- Navigate FQHC look-alike or FQHC financial requirements, including cost reports, Prospective Payment System (PPS) rates, and 330 grant compliance, as applicable
- Serve as the financial lead in partnership with the Development team for grant budgeting and proposal development
- Manage relationships with county and state contract officers on financial and compliance matters
Accounting, Controls & Compliance- Oversee all accounting operations, including accounts receivable/payable, payroll, general ledger, and month-end/year-end close processes across all entities
- Establish and maintain strong internal controls, financial policies, and procedures that reflect best practices and support organizational integrity
- Ensure full compliance with all legal, regulatory, and other requirements including, but not limited to, GAAP, California state regulations, federal healthcare regulations (HIPAA, ACA, CMS), tax law, and grant requirements
- Manage relationships with external auditors, tax advisors, and legal counsel, ensuring clean, timely audits across all entities
- Oversee multi-state tax strategy, filings, and state-specific financial regulations, licensure requirements, and tax obligations in coordination with external advisors
- Manage intercompany accounting, consolidations, and transfer pricing across multiple legal entities, subsidiaries, or affiliates as applicable
- Lead the organization's risk management strategy, including insurance, liability, and operational risk
Team Leadership & Culture- Lead, coach, and develop a high-performing finance and accounting team, ensuring effective performance, professional growth, and alignment with organizational objectives and mission
- Set clear performance expectations and provide regular feedback to ensure individual and team success, recognizing and cultivating each team member's strengths
- Foster a culture of accountability and transparency across the organization, serving as a financial educator and thought partner for program and operations leaders who may not have finance backgrounds
- Champion diversity, equity, and inclusion within the finance function and in financial decision-making, ensuring the team reflects the communities we serve
- Build a finance culture that understands and embraces the connection between sound financial stewardship and mission impact
Essential Skills and Qualifications:Leadership Competencies- Mission Alignment: Demonstrates a genuine, deep commitment to health equity and serving vulnerable populations; views financial leadership as a vehicle for justice
- Strategic Vision: Thinks beyond the numbers to connect financial strategy with organizational mission, growth, and long-term sustainability
- Integrity & Transparency: Builds trust through honest, clear, and timely financial communication with all stakeholders
- Adaptive Leadership: Thrives in ambiguity and navigates complex, rapidly evolving regulatory, funding, and operational environments
- Collaborative Partnership: Functions as a trusted cross-functional partner to Development, Operations, Clinical, Technology, and People teams
- Equity-Centered Decision Making: Applies an equity lens to financial decisions, resource allocation, and organizational priorities
- People Development: Invests meaningfully in the growth, performance, and well-being of the finance team
- Financial Storytelling: Communicates financial strategy and performance in a compelling, accessible way to diverse audiences including investors, funders, and community stakeholders
Requirements
- Bachelor's degree in Accounting, Finance, Business Administration, or related field
- 10+ years of progressive financial leadership experience, with at least 5 years in a senior financial leadership role (CFO, VP of Finance, or equivalent)
- Deep experience in healthcare finance, including Medicaid/Medi-Cal, public payer contracting, and revenue cycle management
- Demonstrated experience managing multi-entity, multi-state financial operations
- Proven track record of grants management and compliance within a complex grant portfolio (federal, state, county, private)
- Strong knowledge of California healthcare finance regulations, including Medi-Cal managed care, CalAIM, DMHC, DHCS, CDPH, and county contract structures
- Experience managing capital strategy, fundraising, and investor relations, including venture capital, debt financing, or strategic partnerships
- Experience working with or for mission-driven, nonprofit, or public benefit organizations
- Excellent leadership, communication, and interpersonal skills with the ability to translate complex financial information for non-financial audiences
- High proficiency in financial systems, ERP platforms, EHR-integrated billing platforms, and advanced financial modeling tools
Preferred Skills- CPA or MBA
- Direct lived experience or professional experience serving communities experiencing homelessness, housing instability, or other forms of marginalization
- Familiarity with CalAIM Enhanced Care Management (ECM) and community supports financial structures
- Experience with recuperative care, street medicine, sobering centers, or crisis stabilization financial models
- Knowledge of HMIS, homeless services, or Housing First financial frameworks
- Experience managing through significant organizational growth or geographic expansion
- Familiarity with social determinants of health (SDOH) programs and their funding mechanisms
- Experience with M&A due diligence, joint ventures, or strategic partnership structuring
- Experience with FQHC, community health center, or safety-net healthcare financial models
- Bilingual capabilities a plus
Salary Description
$230,000 - $290,000 annually, DOE
