The Business Manager for our federally qualified health centers (FQHCs) is a crucial member of our Finance team and is responsible for the overall business office operation and financial reporting required to be a federally qualified health center, which includes administering, planning, and coordinating the annual budget process for the clinics and programs under the FQHC, monitoring and analyzing the financial performance on an ongoing basis, providing recommendations to executive leadership as needed, and directing and analyzing financial information, interfacing with Executive leadership, colleagues, and program managers, and organizing, implementing and supervising business office functions in accordance with standard internal control procedures and generally accepted accounting procedures.

To be successful in this role, this person would:

• Possess extensive knowledge of general operations to assist programs or clinics with fiscal planning. 

• Be able to assist in making comprehensive, informed business decisions through data analysis and coordination with Administration and Program Managers/Leaders for new services or operational changes. 

• Understand funding source requirements, rules, standards, and the financial impact on operations for items such as fee development and compensation plans.

• Prepare and coordinate the annual budget process.
• Regularly monitor actual results compared to budget and analyze differences.
• Analyzes statistical and financial reports to help direct managers at each site or program to improve performance, along with associated visit revenue generation and documentation.
• Create an appropriate reporting structure for efficient program, state, county, federal, or other budget management.
• Provide financial analysis information to various Directors to aid in making financial, operational, and/or training recommendations.
• Examines historical clinical and financial transactions to generate accurate and reliable recommendations. 
• Audits routinely generated reports to ensure accuracy and assist managers and support staff in making necessary corrections.
• Supervises the generation of various statistical and management reports regarding service utilization trends and program productivity, which are used for state and federal reporting, performance management, and agency administration.
• Utilizes NextGen, Crystal Reports, Oracle, and other program-specific applications such as Excel and Tableau to obtain data and create reports.
• Provides account analysis for accurate reporting to meet cost and grant reporting requirements
• Approve requisitions, vouchers, p-card reconciliations, position action forms, position posting requests, and mileage reimbursements daily.
• Review and analyze private pay fee amounts and collections.
• Maintains a working knowledge of relevant protocols and audit requirements and assists with managing periodic audits as required by regulatory authorities, including, but not limited to, HRSA, IDPH, 340B, or DHS as assigned.
• Supervises the financial operations of the business unit office.
• Provides trend analyses for expense and revenue by management center or grant as needed
• Acquires and utilizes knowledge of the LCHD/CHC billing systems to accurately and effectively coordinate documentation requirements between the LCHD and funding agencies.
• Responsible for implementing new program procedures to improve flow, efficiency, and cost-effectiveness.
• Coordinates financial reporting and operational changes with the Finance, Non-FQHC Business Office, Grants, Patient Accounts, and Central Billing Office teams.
• Communicates effectively with the other financial teams to maintain efficiencies and compliance with reporting requirements.
• Assure no duplication of efforts exists with other finance teams.
• Review monthly-generated reports to ensure accuracy and assist managers in analyzing financial data.
• Assists program managers with tracking and reporting program goals and performance measures to internal and external customers regarding finance.
• Prepares the FQHC 330 grant budget for HRSA.
• Understand the business operations of grant programs to ensure reporting structures are set up most efficiently and comprehensively to meet all financial reporting requirements.
• Work closely with the grants team to ensure budgets are integrated correctly into the county budget.
• Performs role as a consultant and reviewer on agency grants.
• Tracks all equipment purchases and works with managers on replacement plans
• Serves as the Finance representative for financial functions such as Payroll and BOSS.
• Develops and maintains knowledge of services and their operations at the LCHD/CHC.
• Train clinical/operational management on financial information that impacts their program/clinic.
• Recruit, train, schedule, and evaluate new staff under direct supervision.
• Directs all the daily business operations, such as billing operations, etc., for the accounting specialist(s).
• Conducts staff meetings, sets objectives, and completes performance evaluations.
• Implementation of financial policies and procedures.
• Participates in quality improvement activities to assess, monitor, and improve program services.
• Participates in mandatory in-services and drills and attends staff meetings and other training, including age-specific educational training offered regularly for professional development.
• Performs other duties as assigned by the Director of Finance or other Operational Directors within the FQHC Business Area.

• A bachelor’s degree program from a university or recognized standing with major coursework in Business, Healthcare Management, Finance, or a relevant healthcare discipline is required.
• Eight (8) years of progressively responsible experience in healthcare business operations or finance, including at least six years of management experience (two years of experience may be substituted for a master’s degree in Healthcare, Business Administration, or a finance or accounting-related field)
• Possession of a valid driver’s license supplemented by a satisfactory driving record is required.