Chief Financial Officer

The Chief Financial Officer (CFO) is a member of the Executive Leadership Team and reports to the Chief Executive Officer. The CFO leads the financial operations of a Federally Qualified Health Center (FQHC), including fiscal policy, budgeting, accounting, financial reporting, and compliance with HRSA Health Center Program and federal grant requirements. The CFO also provides executive oversight of Revenue Cycle, Credentialing & Privileging, and provides strategic and financial oversight of Information Technology. The CFO works with the CEO, senior leaders, and the Board of Directors to align financial, operational, and technology strategy with the organization's mission and long-term goals.

Responsibilities

Serves as an active member of the Executive Leadership Team; Leads the financial operations of the health center, including fiscal policy, budgeting, accounting, financial reporting, and compliance with HRSA and federal grant requirements; Provides strategic financial modeling, including short and long-term forecasting and scenario planning; Leads development of the annual operating and capital budgets for Board approval; Prepares monthly and annual financial statements and reports for the Board of Directors and its finance committee; Oversees accounting operations, internal controls, and financial audits; Oversees federal and state grant financial management and HRSA financial reporting; Provides financial oversight of the 340B Drug Pricing Program; Oversees the full revenue cycle, including registration, coding, billing, accounts receivable, and collections; Oversees payer contracting, payer relationships, and provider/payer enrollment; Oversees credentialing and privileging of licensed and certified clinical staff; Provides strategic and financial oversight of Information Technology initiatives; Maintains accountability for the reliability and data integrity of the EHR and financial systems; Provides executive accountability for HIPAA Security Rule compliance, cybersecurity risk, and disaster recovery and business continuity planning; Oversees purchasing, contract management, and vendor relationships; Leads direct reports through performance management processes

Requirements

Master's degree in accounting, finance, business administration, or healthcare administration (a bachelor's degree with 10 or more years of progressive financial leadership experience may be considered in place of a master's degree); At least 5 years of progressive financial leadership experience in a Federally Qualified Health Center (FQHC) or FQHC Look-Alike; Supervisory experience leading multiple departments; Direct experience with FQHC PPS reimbursement, Medicare and Medicaid cost reports, UDS financial reporting, and HRSA grant management; In-depth experience overseeing revenue cycle functions in an FQHC or other healthcare organization; Knowledge of FQHC reimbursement, including Medicare and Medicaid PPS, wraparound payments, managed care, value-based payment, and the sliding fee discount program; Knowledge of HRSA Health Center Program requirements, Uniform Guidance (2 CFR 200), and the 340B Drug Pricing Program; Nonprofit accounting (GAAP), budgeting, financial modeling, and internal controls; Revenue cycle operations and KPIs; Working knowledge of healthcare IT, EHR systems, HIPAA privacy and security, and cybersecurity risk management; Credentialing and privileging standards (HRSA, FTCA, payers, and accreditation bodies); Work under pressure on several projects at once and meet deadlines amid changing priorities; Facilitate meetings and build consensus inside and outside the organization; Explain financial and technical issues clearly to the Board, managers, staff, and external audiences; Exercise sound judgment and diplomacy and maintain confidentiality

Nice to have

CPA certification preferred; At least 7 or more years of progressive financial leadership experience in an FQHC preferred; Experience preparing for HRSA Operational Site Visits and annual Single Audits preferred; Experience providing strategic or financial oversight of an IT function preferred

Benefits

Loan repayment through the NHSC and Michigan State Loan Repayment Program for select roles; Medical, Dental and Vision Insurance for you and your family; Generous Paid Time Off benefit of 4 weeks per year for full time; 8 full day paid holidays and 2 half day paid holidays; 403(b) Retirement Savings Plan with employer match up to 5%; MET and MESP 529 Savings Plans; Pet Insurance; Employee Assistance Program