Finance Director

Finance Director (Part-Time, Potential Full-Time)

Mercy & Truth Healthcare Ministry
Kansas City Metro Area
Reports Directly to: Chief Executive Officer
Start Date: Between now and April 15, 2026
Compensation: Discussed during interview process

Position Summary

Mercy & Truth Healthcare Ministry, an FQHC Look-Alike serving 2 clinic locations, one in Wyandotte and one Johnson Counties to underserved communities in the Kansas City region, seeks a strategic and operationally strong part-time Finance Director/Controller, with the potential to grow into a full-time role.

This position reports directly to the CEO and serves as a key member of the leadership team. The Finance Director/Controller is responsible for both strategic financial leadership and daily financial operations, ensuring full compliance with FQHC Look-Alike standards, federal and state grant requirements, nonprofit accounting standards, and best practices in fiscal stewardship.

This leader must be both strategic and detail-oriented, capable of guiding long-term financial sustainability while ensuring accurate day-to-day execution.

Key Responsibilities

Financial Leadership & Strategy

• Serve as the organization’s senior financial leader and strategic advisor to the CEO.
• Lead long-term financial planning, sustainability modeling, and revenue optimization strategies.
• Analyze and help maximize revenue across all lines of service (clinical, pharmacy, grants, donations, and new lines of service expansion).
• Support new business development initiatives with financial modeling and feasibility analysis.
• Ensure fiscal responsibility and sustainability aligned with mission and growth objectives.

Financial Operations & Oversight

• Oversee all accounting functions, including general ledger, AR, AP, payroll oversight, and financial reporting.
• Supervise and collaborate with the Assistant Controller to ensure vendors are paid timely and financial workflows are efficient.
• Work closely with our on-site pharmacy partner to manage and monitor 340B revenue and savings, ensuring accuracy, transparency, and compliance.
• Ensure proper donor receipting, gift recording, and contribution tracking in accordance with nonprofit standards.
• Maintain strong internal controls and financial policies.
• Oversee and manage the monthly close process.

Reporting & Board Engagement

• Prepare monthly financial statements and dashboards for the CEO to present at Board of Directors meetings.
• Present financial reports and analysis to the CEO for board and leadership team review.
• Develop and track key financial performance indicators.
• Provide timely financial insights to support executive decision-making.

Grants & Budget Development

• Prepare and manage budgets for federal, state, and foundation grants.
• Ensure compliance with updated grant budgets and applicable FQHC requirements.
• Track restricted funding and ensure proper allocation, reporting, and documentation.

Audit & Compliance

• Lead the annual audit process and serve as primary liaison to external auditors.
• Ensure compliance with FQHC Look-Alike regulations, HRSA expectations, and nonprofit financial reporting standards.
• Maintain readiness for financial reviews, grant audits, and regulatory oversight.

Leadership & Organizational Participation

• Participate in executive and leadership team meetings.
• Contribute to strategic planning and cross-departmental initiatives.
• Help foster a culture of fiscal discipline, transparency, and accountability across the organization.

Qualifications

• Bachelor’s degree in accounting, Finance, or related field (CPA preferred).
• Minimum 5–7 years of progressive financial leadership experience.
• Experience in nonprofit healthcare, FQHC, or federally funded environments strongly preferred.
• Experience managing 340B revenue within an FQHC or similar healthcare environment strongly preferred.
• Demonstrated experience managing audits and preparing board-level financial reports.
• Strong understanding of healthcare reimbursement structures and nonprofit accounting.
• High integrity, strategic thinking ability, and strong organizational leadership skills.

Ideal Candidate Profile

• Strategic thinker with operational discipline and works well within a team setting.
• Comfortable operating in both strategic planning and detailed financial execution.
• Mission-driven and aligned with serving underserved populations.
• Able to communicate financial information clearly to non-financial leaders.
• Strong systems mindset with ability to improve processes.

Job Types: Full-time, Part-time

Pay: From $90,000.00 per year

Expected hours: 30 – 40 per week

Benefits:

• Dental insurance
• Health insurance
• Health savings account
• Paid parental leave
• Paid time off
• Parental leave
• Vision insurance

Work Location: In person

Salary : $90,000