Chief Financial Officer

Company Overview

Nehalem Bay Health Center is a community-focused healthcare provider situated along the scenic Oregon coast in north Tillamook County. Dedicated to delivering high-quality, personalized medical care, the clinic serves residents and visitors in federally-designated Health Professional Shortage and Medically Underserved Areas, offering comprehensive services in a welcoming environment.

Overview

We are seeking a highly skilled and strategic Chief Financial Officer (CFO) to lead our financial operations and drive sustainable growth. The CFO is a member of the organization's executive leadership team and is responsible for the overall financial management, fiscal integrity, and financial sustainability of the health center. The CFO provides leadership and oversight of accounting, budgeting, financial reporting, revenue cycle, grants management, internal controls, audits, cash management, and other financial operations. The CFO works closely with the Chief Executive Officer, Board of Directors, leadership team, auditors, and department managers to ensure sound financial practices and compliance with applicable federal, state, grant, and organizational requirements. The CFO supports the organization's mission and ensures financial resources are appropriately managed to support high-quality, accessible healthcare services for the communities served.

Duties

Financial Leadership and Management:

• Direct and oversee the organization's financial operations, accounting systems, and fiscal management activities.
• Develop and monitor annual operating and capital budgets.
• Prepare and present accurate and timely financial statements, forecasts, dashboards, and other financial reports to the CEO, Board of Directors, Finance Committee, and leadership team.
• Monitor financial performance, cash flow, operating results, and organizational financial stability.
• Identify financial trends, risks, and opportunities and recommend appropriate actions to executive leadership.
• Maintain effective systems for accounts payable, accounts receivable, payroll, general ledger, purchasing, and cash management.
• Ensure appropriate segregation of duties and internal financial controls.
• Safeguard organizational funds, property, and other assets.

FQHC and Federal Grant Compliance:

• Maintain financial management systems and internal controls consistent with applicable HRSA management activities.
• Develop Health Center Program requirements and federal award requirements.
• Oversee financial administration and reporting associated with federal, state, and other grant-funded programs.
• Ensure grant expenditures are appropriately tracked and supported by adequate documentation.
• Monitor expenditures against approved grant and organizational budgets.
• Support compliance with applicable Uniform Guidance requirements under 2 CFR Part 200.
• Participate in HRSA Operational Site Visits and other regulatory or funding agency reviews as appropriate.
• Maintain financial documentation necessary to demonstrate compliance with applicable Health Center Program requirements.

Accounting, Auditing, and Reporting:

• Ensure the organization's financial management and accounting systems appropriately reflect applicable Generally Accepted Accounting Principles (GAAP) or other required accounting standards.
• Coordinate annual financial and Single Audits, when applicable, and serve as the primary liaison with independent auditors.
• Oversee preparation of financial reports and supporting documentation requested by auditors, governmental agencies, funders, and leadership.
• Develop and implement corrective actions when financial or audit findings are identified.
• Maintain accurate and complete financial records in accordance with applicable record-retention requirements.

Revenue Cycle and Healthcare Finance:

• Provide financial oversight of patient revenue, billing, collections, accounts receivable, and revenue-cycle performance.
• Monitor Medicare, Medicaid, commercial insurance, self-pay, and other healthcare revenue sources.
• Collaborate with operational and billing leadership to improve revenue-cycle performance.
• Support financial oversight of the Sliding Fee Discount Program and related financial processes.
• Monitor reimbursement trends and their potential impact on organizational finances.

Policies and Internal Controls:

• Develop, maintain, and recommend updates to financial policies, procedures, and internal controls.
• Ensure appropriate controls are maintained for purchasing, expenditures, cash handling, credit cards, payroll, banking, and organizational assets.
• Assist leadership and the Board in periodically evaluating financial policies and systems.
• Promote accountability, transparency, and responsible stewardship of organizational resources.

Leadership and Collaboration:

• Serve as a member of the executive leadership team.
• Provide financial guidance and education to managers and department leaders.
• Collaborate with clinical, operational, administrative, and executive leadership on organizational planning and decision-making.
• Supervise, develop, and evaluate assigned finance and accounting personnel.
• Establish expectations for accuracy, accountability, confidentiality, and timely completion of financial responsibilities.
• Perform other duties necessary to support the organization's mission and financial operations.

Skills

• Strong financial and accounting knowledge.
• Strong knowledge of 340 B program
• Ability to understand and interpret financial statements, budgets, audits, and financial reports.
• Knowledge of internal controls and sound financial-management practices.
• Ability to understand and apply federal grant and healthcare financial requirements.
• Strong analytical and problem-solving skills.
• High degree of accuracy and attention to detail.
• Sound professional judgment and ethical decision making.
• Ability to communicate complex financial information clearly to individuals without financial backgrounds.
• Ability to communicate effectively with executive leadership and the Board of Directors.
• Ability to maintain confidentiality of sensitive financial, employee, organizational, and patient information.
• Strong organizational, leadership, and time-management skills.
• Proficiency with accounting software, spreadsheets, electronic financial systems, and standard office technology.

Qualifications

Education:

• A college degree is not required.
• Education or formal training in accounting, finance, business administration, healthcare administration, or a related field is preferred.
• Relevant professional education, continuing education, certifications, specialized training, and progressively responsible experience may be considered in evaluating a candidate's overall qualifications.

Experience:

• Significant, progressively responsible experience in accounting, finance, budgeting, financial operations, or financial management.
• Demonstrated experience managing or overseeing organizational budgets and financial reporting.
• Demonstrated knowledge of accounting principles, internal controls, financial statements, and financial analysis.
• Experience working with audits and external accounting professionals.
• Experience supervising staff and/or leading financial functions.
• Healthcare, nonprofit, FQHC, rural healthcare, or federally funded program experience strongly preferred.
• Experience with federal grants.
• Experience with Medicare, Medicaid, healthcare reimbursement, revenue cycle, and HRSA Health Center Program requirements preferred.
• An equivalent combination of relevant professional experience, training, demonstrated competency, and education may be considered.
• 340 B experience.

Join our team as we strengthen our community’s health through sound financial stewardship combined with visionary leadership!

Pay: $105,000.00 - $165,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance

Work Location: In person

Salary : $105,000 - $165,000