Chief Financial Officer

Job Title: Chief Financial Officer

Department: Administration

Reports to: CEO

FLSA Status: Exempt

Prepared by: Human Resources

Last Modified: 05/11/2026

Summary

The Chief Financial Officer (CFO) is responsible for providing strategic and operational leadership for all financial functions of the organization, including accounting, budgeting, revenue cycle management, grants management, financial reporting, compliance, reimbursement, payroll, purchasing, and financial risk management. As a key member of the executive leadership team, the CFO partners with organizational leadership to ensure the financial sustainability, operational efficiency, and long-term growth of the health center while supporting UCHC’s mission and strategic objectives.

The CFO oversees financial planning and analysis, develops internal controls and compliance systems, supports payer and reimbursement strategies, and ensures accurate and timely reporting to executive leadership, the Board of Directors, regulatory agencies, funders, and other stakeholders. This role also provides leadership for financial operations related to FQHC requirements, HRSA compliance, UDS reporting support, grants administration, and managed care reimbursement optimization.

General Accountabilities

• Provide executive leadership and strategic direction for all financial operations of the organization, ensuring alignment with organizational goals, mission, and long-term sustainability.
• Develop and execute short- and long-range financial strategies, forecasts, and operational plans to support organizational growth and financial stability.
• Oversee all accounting, finance, budgeting, payroll, purchasing, accounts payable, accounts receivable, billing, and financial reporting functions.
• Lead the preparation and monitoring of the organization’s annual operating budget, departmental budgets, grant budgets, financial forecasts, and variance analyses.
• Develop and maintain internal financial reporting systems and dashboards to support executive decision-making, financial performance monitoring, and scenario planning.
• Ensure accurate and timely preparation of financial reports for executive leadership, Board of Directors, HRSA, federal/state agencies, grantors, auditors, lenders, and other stakeholders.
• Oversee the organization’s revenue cycle management strategy in collaboration with operational leadership, including billing performance, claims management, reimbursement optimization, collections, and managed care performance.
• Monitor Medi-Cal, Medicare, PPS, capitated payment arrangements, managed care contracts, and third-party reimbursement methodologies to maximize reimbursement and ensure compliance.
• Oversees annual PPS reconciliation processes and financial risk management strategies to protect organizational assets and maintain fiscal integrity.
• Oversee annual Medicare Cost Report preparation.
• Ensure compliance with Generally Accepted Accounting Principles (GAAP), federal and state regulations, HRSA/FQHC requirements, grant requirements, and applicable financial reporting standards.
• Direct the organization’s internal audit activities and coordinate annual independent audits, tax filings, and regulatory reporting requirements (e.g., Form 990, Medicare/Medicaid reports, financial status reports).
• Collaborate with grant and program leadership to develop grant budgets, monitor expenditures, and ensure compliance with funding requirements and reporting obligations.
• Establish and maintain strong internal controls, policies, and procedures to safeguard organizational assets and reduce operational and financial risk.
• Oversee organizational insurance coverage, including malpractice, general liability, property, and directors’ and officers’ insurance, ensuring appropriate coverage and renewals.
• Serve as the primary financial liaison with banks, auditors, regulatory agencies, funding organizations, insurers, consultants, and external business partners.
• Attend and present financial reports and organizational fiscal updates to the Finance Committee and Board of Directors as requested by executive leadership.
• Provide leadership, mentorship, supervision, and performance management for finance, billing, payroll, accounting, purchasing, and related department staff.
• Support organizational strategic planning, business development initiatives, operational expansion, and financial feasibility analysis for new programs and services.
• Collaborate with executive leadership to improve operational efficiencies, strengthen financial performance, and support organizational quality and compliance initiatives.
• Promote a culture of accountability, ethical financial stewardship, collaboration, and continuous improvement throughout the organization.
• Perform other duties as assigned by the CEO.

Job Qualifications

Required

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field required.
• Minimum 7–10 years of progressively responsible financial leadership experience, including healthcare finance and at least 3 years in a supervisory or executive leadership role.
• Strong knowledge of healthcare finance, including FQHC reimbursement methodologies, Medi-Cal, Medicare, PPS reimbursement, managed care, and third-party billing processes.
• Experience overseeing budgeting, forecasting, financial reporting, audits, internal controls, grants management, and revenue cycle operations.
• Strong understanding of GAAP, financial compliance standards, federal grant compliance and applicable federal/state healthcare regulations.
• Experience with grant-funded programs and federal grant compliance
• Experience managing and developing high-performing finance and accounting teams.
• Proficiency with accounting systems, billing systems, Microsoft Office/Google Workspace, and financial reporting tools.
• Excellent analytical, organizational, problem-solving, and strategic planning skills.
• Strong verbal and written communication skills with the ability to present financial information clearly to executive leadership, Board members, and external stakeholders.
• Ability to maintain confidentiality and exercise sound judgment when handling sensitive financial and organizational information.
• Ability to work effectively in a fast-paced healthcare environment and collaborate across departments and leadership levels.

Preferred

• Master’s degree in Accounting & Finance
• Certified Public Accountant (CPA), Certified Management Accountant (CMA) designation preferred.
• Prior experience in an FQHC, community health center, nonprofit healthcare organization, or HRSA-funded environment strongly preferred.
• Familiarity with HRSA operational site visit (OSV) preparation and UDS-related financial reporting preferred.
• Experience with automated healthcare accounting systems and EHR/practice management platforms preferred.

Skills

• Strategic financial planning and forecasting
• Healthcare finance and reimbursement expertise
• Revenue cycle management and payer analysis
• Budget development and variance analysis
• Financial reporting and dashboard interpretation
• Grants management and regulatory compliance
• Risk management and internal controls
• GAAP and nonprofit accounting principles
• Audit preparation and financial oversight
• Executive leadership and team development
• Data-driven decision-making and problem-solving
• Business operations and process improvement
• Board and executive-level presentation skills
• Contract and vendor management
• Strong interpersonal, communication, and collaboration skills
• High level of integrity, professionalism, and accountability

Skills: Language

• Bilingual-English/Spanish preferred.

Physical Requirement

• Physical effort which may include occasional light lifting to a 25 pound limit, and some bending, stooping or squatting.  Considerable walking may be involved. The ability to sit or stand for extended periods of time is required.
• Flexibility to work in multiple locations throughout the week.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee may be required to travel to all UCHC facilities as needed.
• Occasionally required to sit and walk.
• Finger dexterity required.
• Hand coordination required.
• Specific vision abilities required for this job include: close vision, distance vision, ability to adjust or focus.

Work Environment

• Exposure to adverse conditions.
• Exposure to extreme heat.
• Exposure to extreme cold.
• Exposure to wet and/or humid conditions.
• Exposure to moving mechanical parts.
• Exposure to high, precarious places.
• Exposure to fumes or airborne particles.
• Exposure to toxic or caustic chemicals.
• Exposure to outside weather conditions.
• Possible risk of electrical shock
• Exposure to explosives
• Possible risk of radiation and vibration.
• Protective clothing or equipment is required including: gloves, helmets, steel-toed boots, protective eyewear.
• The noise level in the work environment is usually high.

Acknowledgement:

I understand that I may be asked to perform job-related duties not listed in the description and that my duties may change at any time, according to the UCHC needs. Nothing in this position description is intended to create a contract of employment of any type. Employment is strictly on an at-will basis.