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Director, Public Health Finance (Health and Human Services Administrator)

St. Louis County
Berkeley, MO Full Time
POSTED ON 6/3/2026
AVAILABLE BEFORE 6/10/2026
Make a Difference in Your Community

The Saint Louis County Department of Public Health is seeking a dynamic leader to serve as the Director of Public Health Finance (Health and Human Services Administrator). This position reports to the Deputy Director of Public Health Administration and is responsible for directing all fiscal operations for the Saint Louis County Department of Public Health, including budgeting, financial reporting, accounts payable, accounts receivable and internal financial controls. This position ensures compliance with federal, state, and county financial policies and regulations while supporting the Department’s mission to protect and improve community health.

The Director serves as a senior advisor to executive leadership and works closely with internal divisions and external partners to ensure sound financial management, transparency, accountability, and effective stewardship of public funds. 

Why Work with Us?

  • Competitive Average Salary: Typical starting salary range is between $90,022.40 - $108,035.20, based on your qualifications.
  • Comprehensive Benefits: Enjoy a robust benefits package and generous Paid Time Off (PTO). Learn more about St. Louis County benefits: Competitive Benefits - St. Louis County Website
  • Public Service Loan Forgiveness: We participate in this program to support your financial future. Learn more about the program: Public Service Loan Forgiveness | Federal Student Aid
  • Flexible Work Environment: Benefit from a hybrid work model that supports work-life balance


As the Director of Public Health Finance, you will:

  • Direct all fiscal operations of the Department, including budgeting, accounting, financial reporting, revenue tracking, and expenditure monitoring.
  • Oversee the development, implementation, and monitoring of the Department’s annual budget.
  • Direct financial reporting and analysis, including preparing budget reports, financial forecasts, and expenditure projections to support executive decision-making.
  • Direct accounts payable and accounts receivable functions, ensuring timely processing, accuracy, and compliance with county policies and financial procedures.
  • Develop and implements fiscal policies, procedures, and internal controls to ensure compliance with federal, state, and county regulations.
  • Serve as the Department’s primary liaison with other county departments on fiscal and budget matters.
  • Advise executive leadership on fiscal strategy, budget planning, financial risks, and funding availability to support department operations.
  • Manage financial audits and audit preparation, ensuring accurate documentation and timely resolution of audit findings.
  • Direct Public Health Finance staff, including assigning work, setting priorities, developing performance goals, providing coaching, and conducting performance evaluations.
  • Manage fiscal system access levels, compliance with internal control standards, and protection of financial data.
  • Represent the Department in meetings related to fiscal planning, budgeting, and financial management.
  • Perform other duties as assigned.
Supervisory Responsibilities

Director: 1) develop, implement and administer departments unit’s strategies and activities 2) responsible for departments unit’s goal attainments, 3) delegate responsibility for daily operations to subordinates 4) confer with peers to plan and coordinate work and 5) prepare and sign performance appraisals.



  • Requires a bachelor's degree and 5 years of experience, or an equivalent combination of education and experience (9 years).
  • Preference may be given to applicants with the following:
    • Master’s degree in Accounting, Finance, Public Administration (MPA), Business Administration (MBA), or a related field.
    • Experience managing fiscal operations within a public health, governmental, or nonprofit setting.
    • Demonstrated experience in budget development, financial forecasting, and long-range financial planning.
    • Experience with financial reporting, internal controls, and compliance with federal, state, and local regulations.
    • Experience supervising fiscal or accounting staff and leading high performing teams.
    • Strong ability to analyze financial data and provide strategic recommendations to executive leadership.

SELECTION AND APPOINTMENT: A selection committee will evaluate the qualifications of each applicant which will include recentness and appropriateness of the applicant's education and experience, answers to the supplemental questions, results of employment references investigated and any other appropriate information available. The selection committee will admit to the interview only those persons who possess the most job-related qualifications and may establish admittance criteria beyond the minimum qualifications stated above. 


Responses provided to the interview questions listed under the Supplemental Question heading of this posting will comprise 100% of the applicant's earned grade. A candidate must earn a qualifying grade of 70 or more on the interview to be eligible for appointment. Once questions are scored, an email will be sent to the address on file with instructions on how to complete and submit a Conviction Questionnaire. Candidates have 3 days to complete the required questionnaire. The five top ranking candidates, based on the final grade, will be certified to the Department Director/Appointing Authority who will make the final decision.
 
 All applicants conditionally offered a merit position will be required to submit to urinalysis to screen for illegal drug use prior to appointment. Screening will be performed by a reputable clinical laboratory. The cost of screening will be covered by the County.

COVID-19 VACCINATION POLICYIn support of commitment to the health, safety, and wellness of all staff and to be compliant with the Centers for Medicare and Medicaid Services (CMS) Omnibus COVID-19 Health Care Staff Vaccination Rule it is the policy of the Department of Public Health that all newly hired employees are required to provide proof of COVID-19 vaccination. Acceptable forms of proof include CDC COVID-19 vaccination cards (or legible photo), documentation from a health care provider, electronic health record, or state immunization information system record. New employees must be fully vaccinated prior to starting service for the Department, and adherence to this policy is a condition of employment. Full vaccination means having received a Food and Drug Administration (FDA) Emergency Use Authorization (EUA) approved vaccine or vaccine series, consisting of two doses of either of the two-dose vaccines or one dose of the single-dose vaccine. For moderately or severely immunocompromised individuals, a primary series consists of a 3-dose series of an mRNA COVID-19 vaccine or a single dose of Janssen COVID-19 Vaccine. Individuals are considered fully vaccinated two weeks after the second dose in a two-dose series, or two weeks after a single-dose vaccine. At this time, full vaccination does not require a booster shot. The meaning of “fully vaccinated” is subject to change in accordance with the most recent Centers for Disease Control and Prevention (CDC) guidelines. For applicants with a CMS clinical contraindication to the vaccine or sincerely held religious beliefs, which prohibit them from receiving a vaccine, you may contact the Department of Public Health Office of Human Resources (DPH HR) during the hiring phase to request an exemption or reasonable accommodation. Employees granted exemption for medical or religious reasons will be required to wear facial coverings to reduce the risk of transmission to at-risk individuals in DPH facilities and submit to weekly COVID-19 testing. All prospective employees must read and acknowledge the Policy during the application process.


HOW TO APPLYApplicants interested in applying for this position should visit our website at 
www.governmentjobs.com/careers/stlouis.  We only accept on-line applications. 
 
EQUAL EMPLOYMENT OPPORTUNITY POLICYThe policy of the Civil Service Commission of St. Louis County is to support fair and equitable employment opportunities for all persons regardless of race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, marital status, veterans' status or political affiliation. Call the Division of Personnel at (314) 615-5429 for more information on this policy.

St. Louis County
Division of Personnel, 7th Floor
Clayton, MO 63105
(314) 615-5429

Relay MO 711 or 800-735-2966
An Equal Opportunity Employer
Fax: (314) 615-7703

 
www.stlouiscountymo.gov

Salary : $90,022 - $139,568

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