Chief Financial Officer

Title: Chief Financial Officer

Location: FCN Meridian Administrative Office

City: Bellingham, WA 

Position: Full-Time 1.0 FTE Monday-Friday, exempt (salary)

Compensation: The full salary scale is $160,000 - $280,000 annually. Placement within the wage range is determined by a candidate’s relevant experience.

Benefits: At FCN, we offer a comprehensive benefits package designed to support your well-being and that of your family, with flexibility and quality care.

Health Benefits:

• Two Medical plan options
• Two Dental plans, including orthodontia for children and adults
• Employer-paid Vision coverage for employee and family
• Expanded Employee Assistance Program (EAP) and mental health programs, including wellness and discounted gym memberships
• Flexible Spending Account (FSA), Healthcare and Dependent Care
• Health Savings Account (HSA) with an employer contribution of $1,500 (pro-rated based on enrollment eligibility)
• Health Reimbursement Account (HRA), up to $1,500 ($3,000 for family coverage)
• Employer-paid Life/AD&D insurance with optional supplemental additional coverage including a guaranteed issue amount with no health questionnaire
• Voluntary Accident and Hospital insurance plans with annual wellness benefits

*Eligibility for these benefits depends on your full-time or part-time status.

Time Off & Wellness:

• Paid Time Off (PTO) and Extended Illness Bank (EIB) to support your vacation, health, and personal needs
• PTO and EIB accrue starting on your first day, and you can use paid time off after the applicable days of employment
• Full-time Executive Leaders generally begin earning 26 days of PTO, increasing 36 days over time per our PTO policy.  You can rollover unlimited PTO hours into the next year
• EIB accrues up to 40 hours per year (pro-rated based on hours worked) for both part-time and full-time exempt employees, with a maximum of 480 hours

Retirement:

• 401(k) plan with employer match, both Traditional and Roth options available
• 401(k) Profit Sharing Plan
• Free financial planning guidance to support your retirement goals

*Eligibility for these programs is based on your years of service and required hours.

Additional Benefits:

• Eligibility for FCN applicable bonuses

Job Summary:

The Chief Financial Officer oversees all financial and Patient Account Department (PAD) functions of the organization. Respectively, reviews and establishes policies and procedures related to the organization’s accounting practices, including cost-accounting, budgeting, financial planning and business office functions. Directs all fiscal activities such as budgets, audits, taxes and reporting to regulatory and governmental agencies. Oversees Finance and PAD department.

Essential Job Functions:

Financial Management & Accounting Operations 

• Prepare, examine, analyze accounting records, financial statements, or other financial reports to assess accuracy, completeness, and conformance to reporting & procedural standards.
• Maintain and oversee the Chart of Accounts, ensuring journal entries are complete, properly classified, reconciled, and compliant with applicable accounting standards and internal controls. Develop, implement, modify, and document recordkeeping and accounting systems, making use of current computer technology.
• Survey operations to ascertain accounting needs and to recommend, develop, or maintain solutions to business and financial problems.
• Report to management regarding the finances of the establishment.
• Oversee tax reporting and compliance in coordination with the organization’s external CPA, providing accurate financial reports, supporting documentation, and information needed for tax preparation and filing. Ensure Rural Health reporting requirements are met and that related financial records and supporting documentation are maintained, managed, and shared as needed. Engage in strategic, long-term financial planning to support the sustainability of the organization.
• Support continued financial education across the organization and work in partnership with the Executive Team, Directors, Managers and clinician-owners. Adapt to organizational and professional changes.
• Maintain effective working rapport with all staff members and Clinicians.

 Team Leadership

• Lead, mentor, and develop staff, creating a culture of accountability and continuous improvement.
• Manages personnel, including interviewing, selection and onboarding. 
• Conduct regular performance evaluations, training and professional development planning.
• Creating and implementing IT policies, protocols, and standards.
• Supervise and mentor the Finance and PAD team, providing guidance, coaching, and professional development opportunities.
• Collaborate with the Core Team to align Finance and PAD goals with the organization’s strategic objectives.
• Delegate responsibilities effectively while maintaining oversight of operations and projects.
• Serve as a mentor and key resource for Finance and PAD leadership and other direct reports.

Strategic Leadership

• Develop and execute enterprise-wide strategic initiatives aligned with organizational mission, growth goals, and market opportunities
• Partner with the CEO, Core team, and Board to define long-term strategy, including expansion, partnerships, and service line development
• Monitor healthcare market trends, regulatory changes, and payer behaviors to proactively position the organization

Payer Contracting & Negotiation

• Lead and/or participate in payer negotiations, including commercial, Medicare Advantage, and Medicaid managed care contracts
• Develop and execute negotiation strategies that optimize reimbursement, reduce administrative burden, and support value-based care models
• Oversee contract lifecycle management, including renewals, performance monitoring, and renegotiation
• Establish escalation strategies and serve as executive lead for high-stakes payer disputes

Payer Strategy & Revenue Optimization

• Serve as the organization’s subject matter expert on payer structures, reimbursement methodologies, and risk arrangements in primary care
• Analyze payer mix, reimbursement trends, and contract performance
• Drive strategies to improve revenue integrity, including coding optimization, risk adjustment (RAF), and value-based incentives
• Evaluate and guide participation in ACOs, bundled payments, and other alternative payment models
• Oversight of FCN’s instance of Epic (EHR) as it relates to professional billing function and optimization.
• Oversee the effectiveness and accuracy of EPIC Professional Billing processes, ensuring appropriate charge capture, claim submission, payment posting, denial management, and revenue cycle reporting to support timely reimbursement and revenue integrity.

Primary Care Advocacy

• Champion the value of primary care in payer discussions, community partnerships, and policy conversations
• Advocate for reimbursement models that support access, care coordination, and preventive care
• Represent the organization in industry groups, coalitions, and strategic partnerships

Growth & Partnerships

• Identify and evaluate strategic partnerships, affiliations, and growth opportunities (e.g., clinic acquisitions, accountable care organizations (ACO), payer collaborations)
• Collaborate with Core on due diligence and financial/strategic assessments for expansion opportunities
• Support integration strategy for new clinics or partnerships with a focus on payer alignment

Other

• Other duties as assigned

Knowledge, Skills, & Abilities:

• Ability to use mathematics to solve problems. 
• Active listening skills, giving full attention to others, taking time to understand the points being made, asking appropriate questions.
• Excellent Critical thinking skills, using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Monitor and assess self, others, and the organization to make improvements or take corrective action.
• Judgment and decision-making skills to consider the costs and benefits of potential actions to choose the most appropriate one.
• Ability to understand the implications of new information for both current and future problem-solving and decision making.
• Work as part of a team that shares and leverages the strengths of its members. 
• Models a positive work ethic and customer friendly relations. 
• High level of discernment and confidentiality (i.e. HIPAA, proprietary information, disciplinary actions, etc.).

About FCN: As an independent, locally owned, physician-run network of family medicine clinicians, we are passionate about our community's well-being. We take the time to build strong, long-term relationships with our patients and our employees. We have 13 clinics and 3 urgent care centers in Whatcom and Skagit County, in a beautiful corner of northwest Washington where the mountains meet the sea. Family Care Network offers an innovative and rewarding work environment, with a strong patient focus and a fulfilling mission.

Education & Experience:

• Master’s degree in Accounting, Finance, or related field, or equivalent knowledge and skills obtained through a combination of education, training, and experience. 
• 8+ years of direct progressive accounting or finance experience, preferably in a healthcare organization, demonstrating continued growth, professional development and subject matter expertise, with at least 6 years in a leadership or supervisory role. 
• Experience with clinician practice accounting, clinic financial reporting, or multi-location healthcare organizations strongly preferred.
• CPA or other relevant financial certifications strongly preferred.

Physical Requirements: 

Performing the duties of this job requires ability to: stand; walk; sit; climb stairs; use hand to finger coordination, handle or feel objects, tools or controls; reach with hands and arms; balance, stoop, kneel, crouch; talk or hear. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities include: close vision, peripheral vision, depth perception and the ability to adjust and focus. 

Immunization Requirements:

Employees are required to meet immunization standards in accordance with federal, state, and organizational health and safety guidelines, as applicable to the role. A simple process is in place for employees to request exemptions for medical or religious reasons.

Family Care Network is a Drug-Free, Equal Opportunity Employer.