Bachelor's degree in Accounting or Finance; MBA or CPA/CMA preferred
Minimum of 10 years in healthcare fiscal management; FQHC experience preferred
Familiarity with Epic EHR financial/billing and reporting systems preferred
Responsibilities
Provide strategic financial guidance to the CEO and Board of Directors
Prepare comprehensive financial reports and presentations for stakeholders
Optimize revenue opportunities from payors in accordance with guidelines
Prepare and present clear financial reports to the Board and committees
Set goals and performance expectations for the finance department
Manage the financial aspects of grants and ensure compliance
Identify, assess, and mitigate financial risks across the organization
Benefits
Medical insurance
Employer-paid dental, vision, disability, and life insurance
403(b) retirement savings plan
Flexible spending accounts for transit, parking, health, and dependent care
Paid time off (6 weeks)
Employee Assistance Program
Employee Discount Programs
Tuition reimbursement for eligible employees
Qualified for Public Service Loan Forgiveness (PSLF) program
Full Job Description
Reports to: Chief Executive Officer
Position Summary:
The Chief Financial Officer (CFO) provides strategic and operational leadership for the financial systems and operations within the organization. This executive level role is central to the Health Center's financial success and sustainability.
As part of the executive team, the CFO will report directly to the CEO and work closely with the Board of Directors and executive leadership team to support the Health Center's mission and strategic priorities.
This position is primarily on-site in New York City, with some remote flexibility as needed.
Key Responsibilities (Snapshot):
Strategic Financial Leadership
Financial Planning & Analysis
Revenue Cycle & Reimbursement
Board & Executive Reporting
Leadership & Team Development
Grants & Federal Compliance
Accounting & Financial Reporting
Internal Controls & Risk Management
Banking, Treasury & Investments
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Key Responsibilities (Details):
Strategic Financial Leadership
Provide strategic financial guidance to the CEO and Board of Directors on all financial matters, including growth opportunities, capital investments, new program developments, and efficiency initiatives.
Participate with leadership team in strategic planning and analysis of feasibility of short- and long-term goals.
Lead efforts to identify and evaluate new funding opportunities, strategic partnerships, and business models to enhance financial sustainability.
Drive continuous improvement in financial performance and operational efficiency across the organization.
Financial Planning & Analysis
Prepare comprehensive financial reports and presentations for executive leadership, the Board, and external stakeholders.
Monitor key financial performance indicators (KPIs) and provide actionable insights to drive performance.
Understand the capabilities and limitations of reports in the Epic EHR system and maximize the usage of Epic's built-in functionalities.
Oversee the annual budgeting process, ensuring realistic financial plans. Communicate budgets and tracking reports for department leaders.
Oversee financial modeling, budget forecasting, and what-if scenario analysis.
Revenue Cycle & Reimbursement
Optimize revenue opportunities from payors - including Medicaid, Medicare, and commercial plans - in accordance with state and federal guidelines.
Collaborate with clinical services lines to analyze and improve aspects of the revenue cycle, including patient registration, coding, billing, claims submission.
Stay current with changes in healthcare reimbursement policies, regulations, and payment models (e.g., value-based care, alternative payment models).
Preparation of Medicaid AHCF, Medicare cost report, MCVR, and CHP MCVR.
Board & Executive Reporting
Prepare and present clear, concise, and insightful financial reports to the CEO, Board of Directors, and relevant committees (e.g., Finance / Audit Committees).
Effectively communicate financial information to non-financial audiences.
Actively participate in Board and Board Committee meetings.
Leadership & Team Development
Set goals and performance expectations for the finance department overall, as well as individual team members.
Lead, mentor, and develop a high-performing finance team, fostering a culture of continuous learning and professional growth.
Promote cross-functional collaboration and communication within the finance team and with other departments, especially clinical service lines.
Grants & Federal Compliance
Manage the financial aspects of grants, including federal (e.g., HRSA 330 FFR), state, private, and foundation grants.
Ensure strict compliance with all grant-specific financial requirements, reporting obligations, and applicable federal regulations (e.g., Uniform Guidance).
Prepare for and facilitate financial audits and reviews (e.g., UDS, MCVR)
Accounting & Financial Reporting
Supervise overall system of accounts, in accordance with applicable requirements and generally accepted accounting principles.
Manage the preparation of accurate financial statements.
Coordinate and manage the annual external audit process, serving as the primary liaison with independent auditors.
Annual Form 990/CHAR500 and Form 5500 filings
Internal Controls & Risk Management
Identify, assess, and mitigate financial risks across the organization.
Develop and implement financial policies and procedures to ensure consistency, compliance, and operational efficiency.
Assure that proper procedures and controls are in place in the areas of purchasing, cash receipts, cash disbursements, and bank reconciliations.
Ensure compliance with all relevant federal, state, and local regulations.
Banking, Treasury & Investments
Manage cash flow effectively to ensure adequate liquidity for operations.
Cultivate and maintain strong relationships with banking partners and financial institutions.
Implement and maintain cash and investment portfolios, in accordance with Board-approved policies and risk tolerances
Qualifications:
Bachelor's degree in Accounting or Finance; MBA or CPA/CMA preferred
Minimum of 10 years in Health care fiscal management; FQHC experience preferred
Familiarity with Epic EHR financial/billing and reporting systems preferred
Benefits:
Medical insurance
Employer-paid dental, vision, disability, and life insurance
403(b) retirement savings plan
Flexible spending accounts for transit, parking, health, and dependent care
Paid time off (6 weeks)
Employee Assistance Program
Employee Discount Programs
Tuition reimbursement for eligible employees, and
The Health Center is qualified for Public Service Loan Forgiveness (PSLF) program
