Chief Financial Officer

Job Summary

The Chief Financial Officer (CFO) leads the financial strategy, planning, reporting, and overall financial operations of the clinic. In collaboration with the CEO and clinical leadership, the CFO drives financial health, ensures regulatory compliance, enhances operational efficiency, and supports strategic growth initiatives. The role combines strategic financial leadership with hands-on oversight of accounting, budgeting, reimbursement, risk management, and financial reporting.

Supervises

• Controller / Accounting Manager

• Billing / Revenue Cycle Manager

• Finance / Grants / Compliance Staff

• Possible IT/systems or contracting staff (depending on structure)

Supervisory Responsibilities

• Hire, train, evaluate, and develop finance team.

• Assign, oversee, and approve major financial projects and tasks.

• Ensure cross-departmental adherence to financial policies.

Duties / Responsibilities

Strategic & Leadership

• Establish and implement financial strategies aligned with organizational mission and growth.

• Advise senior leadership on investments, capital projects, new services, and financial risks.

• Lead long-range financial planning, forecasting, and scenario analysis.

• Prepare executive and board financial presentations and dashboards.

Budgeting & Financial Planning

• Oversee annual operating and capital budgets; monitor variances and recommend adjustments.

• Perform sensitivity and cost-benefit analyses to inform decision-making.

Accounting, Reporting & Compliance

• Ensure accurate GAAP-compliant financial statements and regulatory reporting.

• Oversee accounting functions, internal controls, and external audits.

• Maintain compliance with healthcare financial regulations (e.g., Medicare/Medicaid).

Revenue Cycle & Payer Management

• Oversee billing, coding, claims, receivables, collections, and denial management.

• Analyze and negotiate payer contracts and reimbursement rates.

Cash Flow & Treasury

• Manage liquidity, working capital, cash forecasting, banking relationships, debt, and reserves.

Risk, Audit & Insurance

• Lead internal/external audits and implement audit findings.

• Manage insurance programs and identify financial risks, proposing mitigation strategies.

Operational Collaboration

• Partner with operations, HR, IT, and compliance to align financial and operational goals.

• Lead financial due diligence for service expansions or capital improvements.

• Drive process improvements and cost optimization.

Ad Hoc / Special Projects

• Conduct financial feasibility and ROI assessments for strategic initiatives (e.g., telehealth).

Education / Certifications / Licenses

Required

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field.

Preferred

• Master’s degree (MBA, MHA) or professional certification (CPA, CMA, CGMA).

• Healthcare finance certification (HFMA, CHFP).

• Ongoing education in reimbursement, compliance, and financial management.

Experience

Required

• Minimum 10 years of progressive finance experience with at least 5 years in senior leadership.

• Experience in healthcare, nonprofit, or clinic environment with understanding of reimbursement and compliance.

• Demonstrated success in financial strategy, budgeting, reporting, and team leadership.

Preferred

• Experience in scaling organizations, mergers/acquisitions, service expansion.

• Grant funding, philanthropy, and public/private funding experience.

• Deep experience in revenue cycle and payer negotiations.

• Experience with ERP or financial system implementations.

Required Skills / Abilities

• Strategic thinking with advanced financial modeling and analysis.

• Strong leadership, communication, and team development skills.

• Deep expertise in accounting, GAAP, internal controls, and audits.

• Understanding of healthcare reimbursement and regulatory compliance.

• Ability to simplify and explain complex financial data.

• Proficiency with financial systems and MS Excel.

• Project management, change management, and process improvement capabilities.

• High integrity, attention to detail, and performance under pressure.