Chief Financial Officer

Chief Financial Officer (CFO)

Department: Finance

Reports to: Chief Executive Officer (CEO)

FLSA Status: Exempt

Type of Position: Full-Time

Revised Date: 05/08/2026

MISSION & VISION STATEMENT:

The Kewa Pueblo Health Corporation (KPHC) is established for the purposes of carrying out the vision and mission of the Santo Domingo Health Center (SDHC). The MISSION of KPHC is: “ENSURING HEALTH & WELLNESS THROUGH EXCELLENCE IN HEALTHCARE WITH RESPECT FOR CULTURE” and the VISION OF KPHC is: “HEALTHY PEOPLE, HEALTHY COMMUNITY, and HEALTHY LIFESTYLE”. 

POSITION PURPOSE:

Serves as the primary financial officer of the KPHC for developing and maintaining a strategic financial plan and annual operating and capital budgets. Oversees Controller, Director of PRC, Director of Business Office Manager and Director of Patient Access/HIMS. Adheres to all established legal, regulatory, and KPHC policies and procedures. Oversees and maintains all KPHC financing and accounting operations and processes.

PERFOMANCE EXPECTATIONS: 

In performance of their respective tasks and duties all employees of the KPHC are expected to conform to the following: 

• Uphold all principles of confidentiality and patient care fully. 
• Adhere to all professional and ethical behavior standards of the healthcare industry.
• Interact in an honest, trustworthy and dependable manner with patients, employees and vendors. 
• Possess and maintain an environment of cultural awareness and sensitivity enabling the facility to fulfill its mission by meeting or exceeding its goals. 
• Take responsibility for all day-to-day financial operations of the facility and health services provided to the patients.
• Maintain a current insurable driver’s license. 
• Comply with all KPHC and SDHC policies and procedures. 
• Consistently maintain professional and ethical standards adhering to all KPHC Policies, Compliance Standards and HIPAA. 

ESSENTIAL DUTIES, FUNCTIONS & RESPONSIBILITIES: 

Overall responsible for the planning, development, and implementation of effective financial and accounting strategies, policies, and procedures of KPHC.

• Provide strategic financial leadership for all Tribal 638 programs, grants, and related operations.
• Proactively advises and educates senior management and Health Board on all aspects which financially impact KPHC operations.

• Develop and prepare financial analysis of new programs, acquisitions, and business development; revenue management; preparation of financial statements in accordance with financial management and techniques appropriate to the health care industry; decision support and cost accounting; oversight of disbursements and receivables processes; oversight of patient financial processes.
• Maintain contacts with outside consultants, auditors, associations, and governmental agencies. 
• Collaborate with CEO and Health Board to prepare and update long range forecasting and strategic goals and initiatives of KPHC, SDHC, and KEWA 7 Gen. 
• Ensure financial and accounting policies, procedures, and control systems are current and in compliance.
• Responsible for overseeing and managing KPHC investment portfolio.
• Responsible for overseeing and managing Corporate 401(k) plan for employees. 
• Oversee and manage the development and implementation of financial information and control systems, including general ledger, budgeting, cost allocation, and other regulatory systems.
• Ensure business and financial performance metrics and key performance indicators (KPIs) are maintained.

Overall responsible for the effective preparation, maintenance, and reporting of internal and external financial and accounting records and analysis.

• Responsible to ensure the preparation of daily, monthly, annual, and other periodic external and internal financial statements and reports; including Indirect Cost Rate Proposals.
• Ensure all KPHC’s financial reports are accurate and in compliance with current GAAP.
• Finalize the annual financial budgets and business plans of KPHC and SDHC. 
• Ensure compliance with Public Law 93-638 contracts and compacts, OMB Uniform Guideance (2 CFR 200), and funding agency requirements.
• Ensure timely completion of the annual financial/single audit and present the result to Health Board and Tribal Council. 
• Ensure timely completion of ERISA audit and any other applicable financial audits relevant to KPHC/SDHC.
• Conduct financial analysis of new programs, acquisitions, and business development.
• Interpret current financial trends and responds with appropriate action.
• Develop strategies to increase cash flow including improvements in revenue cycle management all with a target of increasing days cash-on-hand.
• Ensure compliance with covenants incorporated in financing documents as needed.

Overall responsible for overseeing, managing, and ensuring daily operations and administrative functions for the Finance, PRC, Patient Access/HIMS and Revenue Cycle department.

• Conduct weekly meeting with Finace, PRC, Patient Access/HIMS and Revenue Cycle director/manager. Provide the guidance / directive as necessary. 
• Collaborate with various teams to ensure accurate and timely revenue collection while maintaining a strong focus on customer service and enhancing overall financial performance.
• Ensure operation of PRC program per appricable federal regulations and tribal resolution.
• Ensure compliance with all business office, patient access/HIMS and revenue cycle practices.
• Maintains effective financial internal controls for KPHC, including ensuring information and control systems accurately track specific operational and financial data.
• Responsible for ensuring all required tax returns and tax planning are accurately completed and timely filed.

Overall responsible for establishing, managing, and maintaining effective communication and coordination with KPHC and SDHC personnel, departments and senior management.

• Advise CEO and/or KPHC Health Board for all critical financial/accounting matters and revenue cycle issues. Provide periodic updates on PRC funds. 

• Particiapte in meetings and committees as appropriate.

Overall responsible for establishing and maintaining effective business relations with vendors, outside auditors and regulators, and professional trade groups. 

• Serve as primary financial representative between KPHC external auditors and regulatory authorities.
• Negotiate contracts and agreements with third parties.
• Represent KPHC to various trade professionals and groups.
• Participate in professional associations and community service activities. 
• Ensure that KPHC’s professional reputation is maintained. Ensure appropriate levels of confidentiality regarding KPHC and SDHC.

Overall responsible to ensure Finance, PRC and Business Office personnel are performing at optimal performance.

• Plan, assign, and review work of each department to ensure that group objectives are met.
• Ensure to hire and train well-qualified personnel to meet objectives of each department.
• Provide leadership to each deaprtment through effective objective setting, delegation, and communication. Conduct regular meetings to ensure that each department is well informed of changes in programs, policies, and procedures.
• Ensure timely performance appraisals of finance/PRC and Business Office personnel. 
• Develop key performance indicators and dashboards for each department, with periodic reporting and action planning. 

Overall responsible for related duties as required or assigned.

• Ensure that work areas are secure and in compliance with privacy policies and regulations.

• Complete special projects as assigned.

MINIMUM MANDATORY QUALIFICATIONS:

Education: 

• Master’s Degree in Accounting, Business Administration, Finance, or another related financial field. 

Experience: 

• Ten years of high-level professional healthcare finance or accounting experience in an ambulatory, hospital, or large medical group finance leadership role.
• Prior experience working with Indian Health Services (IHS), a Tribe or Tribal Organization.

Mandatory Knowledge Skills, Abilities and Other Qualifications: 

• Excellent knowledge of financial and accounting practices, principals, and procedures.
• Knowledge of provider billing practices and understanding of healthcare reimbursement methodologies. 
• Strong understanding of governmental, financial, and accounting regulations and reporting and compliance requirements.
• Strong understanding of related auditing and compliance functions, practices, principals, and procedures in a healthcare setting.
• Ability to work with accounting software and within company financial database and make recommendations for efficient financial accounting and control systems as needed.

• Strong organizational skills to keep and maintain company’s financial records and documentation.
• Current on federal, state, and local accounting procedures and regulations to ensure company practices are in compliance.
• Experience in public speaking, business preparations, meeting management, and business correspondence.
• Ability to handle confidential and/or sensitive corporate information.
• Ability to multi-task and solve complex operational issues in a health care setting.
• Excellent leadership and human relations abilities.
• Able to organize, coordinate, and direct projects.
• Ability to communicate clearly and effectively as displayed in both oral and written skills and reporting.
• Solid analytical skills and problem-solving and critical thinking to analyze problems and develop innovative solutions based on extensive cross-functional knowledge of the entire organization.

• A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers.

• Ability to perform other duties as assigned.

• Incumbent may be required to work day, evening or holiday shifts.

PREFERRED QUALIFICATIONS: 

• Active CPA License.

WORK ENVIRONMENT: 

The work environment characteristics described here are representative of those an employee encounters while performing the primary functions of this job. Normal office conditions exist, and the noise level in the work environment can vary from low to moderate. This position may be exposed to certain health risks that are inherent when working within a health center facility.

PHYSICAL DEMANDS: 

The physical demands described here are representative of those that must be met by an employee to successfully perform the primary functions of this job. While performing the duties of this job, the employee may be required to frequently stand, walk, sit, bend, twist, talk and hear. There may be prolonged periods of sitting, keyboarding, reading, as well as driving or riding in transport vehicles. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include reading, distance, computer, and color vision. Talking and hearing are essential to communicate with patients, vendors and staff.

MENTAL DEMANDS: 

There are a number of deadlines associated with this position. The employee must also multi-task and interact with a wider variety of people on various and, at times, complicated issues. 

OTHER: 

All employees must uphold all principles of confidentiality and patient care to the fullest extent. This position has access to sensitive information and a breach of these principles will be grounds for immediate termination.

Disclaimer: The information on this position description has been designed to indicate the general nature and level of work performance by employees in this position. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position. Employees will be asked to perform other duties as needed.