Description

The Chief Financial Officer (CFO) is responsible for directing and overseeing the financial activities of UPFH, including financial planning, management of accounting practices, budgeting, reporting, audits, and maintaining compliance with federal and state regulations. The CFO will play a key role in developing and implementing strategies to ensure the financial health and sustainability of the organization, aligning financial operations with the mission of providing quality healthcare to underserved populations. 

Financial Strategy and Leadership

• Develop and implement financial strategies that support the organization’s long-term goals and strategic initiatives. 
• Provide leadership in financial decision-making processes, advising the CEO, Board of Directors, and executive leadership team on financial matters.
• Lead the organization’s financial planning, including budgeting, forecasting, and cash flow management to ensure operational sustainability.
• Develop financial models to assess growth opportunities, new programs, and service expansions, such as new access points for behavioral health or mobile clinics. 

Budgeting and Financial Management

• Oversee the development of the annual operating and capital budgets, ensuring alignment with organizational priorities.
• Monitor and analyze financial performance against the budget, identifying trends, variances, and opportunities for improvement. 
• Ensure accurate and timely financial reporting, including monthly, quarterly, and annual reports to senior management and the Board of Directors.
• Manage and optimize revenue streams, including patient billing, grants, donations, and government reimbursements (e.g., Medicaid, Medicare, 340B, HRSA grants).

Compliance and Risk Management

• Ensure compliance with FQHC-specific regulations, including HRSA guidelines, Uniform Data System (UDS) reporting, and the requirements of government funding sources. 
• Manage audits, both internal and external, including annual financial audits, HRSA audits, and compliance with Single Audit requirements for federal grant recipients.
• Ensure proper management of financial risks, including maintaining appropriate internal controls, safeguarding assets, and managing liability exposures. 

Grant and Funding Management

• Oversee the financial management of federal, state, and private grants, ensuring compliance with grant requirements and accurate reporting funders. 
• Collaborate with program directors to develop and manage budgets for grant applications and ongoing grant-funded programs.
• Work closely with the development team to secure additional funding. 

Revenue Cycle and Reimbursement Optimization

• Lead efforts to improve the revenue cycle, including patient billing, collections, coding accuracy, and reimbursement optimization.
• Collaborate with CEO to oversee the 340B Drug Pricing Program, ensuring compliance with regulations and maximizing the program’s financial benefits for the FQHC.
• Ensure that billing practices align with FQHC regulations, including Medicare, Medicaid, and sliding fee scale requirements. 

Team Leadership and Development

• Lead and develop the finance team, providing mentorship, training, and professional development opportunities.
• Foster a collaborative and performance-driven culture within the finance department, ensuring high levels of efficiency, accuracy, and professionalism. 

Collaboration and Stakeholder Engagement

• Collaborate with other departments (clinical, HR, operations) to align financial planning with operational goals, such as extending clinic hours and expanding pharmacy services. 
• Serve the primary liaison to the Finance Committee of the Board of Directors, preparing reports, making presentations, and providing financial insights. 

Requirements

• Personal qualities of integrity, credibility, and unwavering commitment to UPFH’s mission; a proactive, hands-on strategic thinker.
• Master’s degree required in finance, accounting, business administration, healthcare administration, or a related field (MBA, MHA, MS Finance, MS Accounting, or similar).
• Minimum of 7–10 years of progressively responsible financial leadership experience at the senior management or executive level, preferably within healthcare or nonprofit organizations.
• Demonstrated experience overseeing complex financial operations, including budgeting, forecasting, audits, and regulatory compliance.
• Proficiency in accounting software and financial reporting systems.
• Excellent leadership, communication, and organizational skills, with the ability to collaborate effectively across departments.
• Strong analytical, strategic, and problem-solving skills.

PREFERRED SKILLS

• Certified Public Accountant (CPA) preferred (CMA or similar certification a plus).
• Expertise in financial management, budgeting, and forecasting for healthcare organizations.
• Experience in Federally Qualified Health Centers (FQHCs) or community health centers strongly preferred.
• Strong knowledge of FQHC financial regulations, including HRSA, UDS, Single Audit requirements, and the 340B Drug Pricing Program.
• Deep understanding of grant funding, reimbursement mechanisms (Medicaid, Medicare), and financial compliance in FQHCs.