Current employees: Please apply through the employee portal to be considered for this opportunity.

Pay Range

$118,948.83 - $190,317.60 Annual

Department

Health Department

Job Type

Limited Duration

Exemption Status

United States of America (Exempt)

Closing Date (Open Until Filled If No Date Specified)

October 29, 2025

The Opportunity

This Work Matters!

We seek leaders, achievers and doers who bring skill and passion to a challenging and evolving environment. At the Multnomah County Community Health Center we are all inspired by the mission: We work with communities to advance health equity, protect the most vulnerable, and promote health and wellness for everyone and we uphold the values: Compassion and Care, Empowerment, Racial Equity, Creativity and Integrity. We create a culture of respect, trust and understanding for the highly diverse population we serve in our communities.

As the Chief Financial Officer for the Community Health Center, you will report to the Community Health Center Executive Director, providing expert financial guidance and managing daily financial operations. This role is crucial for Oregon's largest Federally Qualified Health Center (FQHC), a $217 million entity with over 900 FTEs across multiple sites, offering primary care, dental, pharmacy, and integrated behavioral health services. You will be responsible for planning, directing, and managing all financial services, optimizing financial systems within a large, complex governmental agency. Your leadership will extend to the Revenue Cycle, Accounts Receivable, Eligibility, and Financial Budget Management teams. Additionally, you will work in partnership with the Business and Financial Management team and guide the Decision Support team that supports the FQHC.

This is a Limited Duration Assignment (LDA). Limited Duration Assignments are expected to last up to two (2) years, but may end sooner.

As The FQHC Chief Financial Officer, You Will

Plan, organize, manage, and administer multiple finance-related work units, sections, and functions; develop and implement program and strategic planning.
Develop, implement and assist in the development of financial and budget policies for the FQHC, procedures, and business practices.
Evaluate goals, objectives, priorities, and activities to improve performance and outcomes.
Recommend and establish administrative controls and improvements; develop procedures to implement new and/or changing regulatory requirements.
Serve as a member of the Health Center and Business and Financial Management management teams.
Recommend financial strategy; participate in funding negotiations with stakeholders; act as key financial advisor to the FQHC.
Conduct or coordinate audits of division accounts and financial transactions; develop and conceptualize new enterprise or joint ventures; set strategy and direction for procurement and contract activities.
Attend CHCB governing board and CHCB Finance Committee meetings.
Oversee the development of the annual FQHC Budget, including annual County submission, Board presentations, and HRSA budget submissions.
Administer and monitor budgets; develop justifications for budgetary recommendations and/or adjustments.
Develop long-term sustainable financial and operating plans; assure financial sustainability, highlighting risks and opportunities.
Provide strategic financial forecasts, analysis, and leadership on business models; oversee efforts to maximize third-party reimbursement; manage third party insurance payer contracts.
Collaborate and communicate with financial functions in the Financial and Business Management division of the Health Department.
Provide direction, guidance, and leadership to staff; advise on complex and sensitive concerns and issues.
Serve as an advisor to the Health Center Executive Director in the areas of healthcare and financial management, and budgetary regulatory compliance and requirements related to Human Resources and Services Administration (HRSA).
Develop and maintain collaborative relationships with other financial professionals within the Department and the County for best practices and quality improvement.
Collaborate with external partners as needed, including CCOs, state and federal, funding partners, accreditation agencies.

Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees. We are proud to be an Equal Opportunity Employer. As a Health Department employee you will create a work culture of respect, trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the County's attention conduct that interferes with providing a work environment free of illegal discrimination and harassment.

To Qualify

We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant.

Minimum Qualifications/Transferable Skills*:

Education/ training equivalent to a bachelor's degree.
Three (3) to six (6) years of relevant experience.
Must pass a reference check.

Preferred Qualifications/ Transferable Skills*: You do not need to have the following preferred qualifications/transferable skills to qualify. However, keep in mind we may consider some or all of the following when identifying the most qualified candidates. Please clearly explain on your application how you meet any of the following preferred qualifications/transferable skills.

Previous experience working at a Federally Qualified Health Center (FQHC)
Experience managing end-to-end revenue cycles and budgets
Proven ability to collaborate effectively with diverse stakeholders and departments, fostering strong relationships to achieve shared goals
Experience or ability to synthesize data in order to independently solve problems or formulate recommendations
Ability to work and lead effectively in a cross-cultural or multicultural organization ensuring equity and inclusion initiatives are implemented and measured across the organization
Transferable skills: Your transferable skills are any skills you have gained through education, work experience (including the military) or life experiences that are relevant for this position. Be sure to describe any transferable skills on your application and clearly explain how they apply to this position.

SCREENING AND EVALUATION: The Selection Process: For details about how we typically screen applications, review our overview of the selection process page. We expect to evaluate candidates for this recruitment as follows:

Initial review of minimum qualifications
An evaluation of application materials to identify the most qualified candidates
Consideration of top candidates/interviews
Background, reference, and education checks

Pay Equity: Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.

The Application Packet: You must submit all requested items below. Failure to do so will be deemed as an incomplete application.

A completed online application.
A resume that explains all related experience (paid or unpaid) and training in your resume.
A cover letter that expands on your resume addressing how you qualify for the position; how you collaborate and break down silos; how you ensure continued financial sustainability of an organization; and why you are interested in the role.

Note: The application, resume, and cover letter should demonstrate your work experience/ skills and how it is related to those shown in the Overview and To Qualify sections of the job announcement. Please be thorough, as these materials may be scored and determine your eligibility for an interview.

Please be mindful of checking your email inbox for messages from the Recruiter as you may be emailed requesting additional information. If a response is not received in a timely manner your application may not be considered.

Additional Details

Type of Position: This salaried position is not eligible for overtime.

Type: Not Represented

FLSA: Exempt

Schedule: Monday to Friday, 8 hrs/ day (flexible/ schedule to be determined)

Hybrid Telework: This position is designated as “hybrid telework,” meaning you will be working both remotely (from home) and in person at an onsite location. The designation of Hybrid Telework may be subject to change at a future time. All employees must reside in Oregon or Washington; the county cannot support ongoing telework from other locations. The onsite work location for this position is the Gladys McCoy Building 619 NW 6th Ave, Portland OR 97204. This position will be required to be onsite at Gladys McCoy on Tuesday and Thursday each week.

Serving The Public, Even During Disasters

Everyday, Multnomah County staff work together to serve as a safety net for our communities. During a disaster, this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather, natural disaster, or other types of community emergency response. During these emergency responses, while typically there begins with a call for volunteers, county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information, please visit the Disaster Service Worker Information page.

In accordance with Oregon Law, Multnomah County is not collecting school attendance dates in the initial application process; please do not include these dates in your resume, cover letter and other application materials.

Diversity and Inclusion: At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees.

We are proud to be an Equal Opportunity Employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran or protected veteran status, genetic information and other legally protected characteristics. The EEO Know Your Rights poster is available for your reference. Multnomah County is a VEVRAA Federal Contractor. We request priority protected veteran referrals.

Veterans’ Preference: Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.

Accommodation under the Americans with Disabilities Act: We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.

Questions?

Recruiter

Chandra Montgomery

Email

chandra.montgomery@multco.us

Phone

+1 (503) 9884733 x84733

Application information may be used throughout the entire selection process. This process is subject to change without notice.

Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.

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