Demo

Community Health Chief Financial Officer

Tillamook County
Tillamook, OR Full Time
POSTED ON 6/26/2026
AVAILABLE BEFORE 8/26/2026




TO APPLY FOR THIS OPPORTUNITY, CLICK HERE.

This position shall remain open until filled.



The Chief Financial Officer (CFO) of the Health and Human Services (HHS) department is a pivotal role that ensures the financial health and financial compliance including GAAP, GASB and grant requirements. This senior management position requires strategic financial planning, risk management, supervision of administrative staff and effective oversight of financial operations. The CFO reports to the HHS Administrator and plays a critical role in securing funding, financial compliance, grant reporting, contracting, policy development and staff supervision, contributing to the overall mission of HHS.

Knowledge, Skills, and Abilities

The individual in this role is expected to possess and exhibit the following knowledge, skills, and abilities.


Knowledge

  • Extensive knowledge of departmental operations including policies, procedures, and practices.
  • Extensive knowledge of the principles of financial management to communicate and provide direction to accounting and non-accounting staff and coordinate all aspects involved with fiscal requirements of the department.
  • Considerable knowledge of health care related financial and budgetary practices to develop annual budget, analyze financial data and patterns, and prepare financial statements.
  • Considerable knowledge of computer systems, spreadsheet and financial system programs and applications.
  • Considerable knowledge of medical billing and collections for financial sustainability. 
  • Knowledge of accounting principle including GAAP, GASB and grant requirements.
  • Knowledge of clinic’s strategic business objectives and employee performance objectives.
  • Knowledge of governmental and health care fiscal regulations and reporting requirements.


Skills

  • Skill in exercising a high degree of initiative, judgment, discretion and decision making to achieve objectives.
  • Skill in evaluating operations as they relate to financial policies, goals and objectives, costs and rate levels.
  • Skill in establishing and maintaining effective working relationships with patients, medical staff and the public.
  • Skill in identifying and resolving accounting and financial problems.


Abilities

  • Ability to develop comprehensive department plans, budgets, and schedules.
  • Ability to supervise and direct the work of others to attain high quality work in an efficient manner.
  • Ability to use initiative and judgment in completing tasks and responsibilities, establishing new policies and procedures, and resolving novel problems and technical challenges.
  • Ability to communicate effectively orally and in writing.
  • Ability to meet and deal with a variety of employees, advisory boards, community groups, committees, patients, vendors, and county staff. 


Required Qualifications (Minimum qualifications for this role)

Education

  • Bachelor's degree in Finance, Accounting, Business Administration, or a related field.
Experience
  • Five (5) years  of finance or accounting experience preferably in healthcare (fiscal services, grants, contracts, billing and collections, bookkeeping, accounting, reporting) may be substituted and/or combined with education to meet this requirement. 

Certifications or Licenses

  • Must possess a valid Oregon driver's license and maintain an acceptable driving record.

Preferred Qualifications 

  • CPA

Other Qualifications 

  • N/A

Duties assigned to this classification include, but are not limited to, the following examples.

  • Assesses department programs and services for optimum financial operations, compliance with grant provisions, and   compliance with county, state, and federal guidelines, rules, laws and regulations. 
  • Ensure compliance with healthcare regulations, HRSA guidelines, and County policies to minimize legal and financial risks. 
  • Pursues financial activities, in conjunction with the HHS Administrator, including but not limited to, developing the department budget,  providing education and training related to rules and regulations affecting Federally Qualified Health Center’s and public health financial compliance, monitoring and providing oversight for fiscal related compliance issues, and reviewing funding available to non-profit organizations and any related department budget proposals and applications.
  • Develops and implements financial policies and procedures for grants, provider contracting, and healthcare billing and ensures regularly compliance.
  • Maintain financial accounting, recordkeeping, reporting, policies and procedures in accordance with established County rules. Coordinates department budget processes with the HHS Administrator.
  • Analyzes, prepares and presents monthly financial statements to management and the Health Council. Provides department and Health Council training and technical assistance as needed, and presents information at meetings as requested. 
  • Conducts financial analysis and forecasts revenue and expenditure for the department and divisions of the department. Present information to Management, Health Council, and Board of Commissioners as requested.  
  • Responsible for corresponding federal and state tax authorities and government regulators.  Oversee all clinic billing/collections and identifies trends and issues and develops corrective action recommendations. 
  • Interprets and enforces third-party payer rules and regulations, including Medicare requirements.
  • Ensures cost reporting/billing is performed. 
  • Interacts with the Information Services department on computer operations related to billing and financial activities.
  • Maintains strictest of confidentiality.
  • Participates in professional development activities and maintains professional affiliations.


Performs additional duties as assigned.Supervisory Responsibilities
  • This role encompasses supervisory responsibility, including the following tasks (choose all that apply below):

Span of Supervision

  • Directly manage team members, including training, assigning, and directing work, evaluating performance, disciplining as necessary, and addressing employee concerns and grievances.

  • Provide team members with regular feedback on performance, including frequent informal feedback, annual performance reviews, assisting with professional development, and making recommendations for employee separations, promotions, or special assignments.

  • Participate in the recruitment of new employees, including interviewing and making hiring recommendations/decisions and compensation recommendations.

  • Disseminate, implement, and enforce organization and team standards, policies, and procedures, including providing proper guidance to those carrying out related duties.

Supervisory Controls

The level of oversight and guidance the supervisor will provide this position.


Works independently within a broad framework, managing a complex area of responsibility. The supervisor provides direction on overall goals, and performance is

reviewed periodically based on outcomes and expected results.


Working Conditions
Mental effort 
  • Requires an exceptional degree of sustained mental concentration with sustained periods of attention, constant deadlines, or a high level of creative thinking.

Physical effort 

  • Minimal: The work is sedentary. Typically, the employee sits comfortably to do the work. However, there may be some walking; standing; bending; carrying of light items, such as papers, laptop bag, or small parts; or driving an automobile. No special physical demands are required to perform the work.

Work environment 

Everyday Risks/Discomforts: require normal safety precautions typical of such places as offices, meeting and training rooms, libraries, and commercial vehicles, e.g., use

of safe work practices with office equipment, avoidance of trips and falls, observance of fire regulations and traffic signals. The work area is adequately lighted, heated, 

and ventilated.


Salary : $92,076 - $126,000

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