Strategic Financial Leadership

Develops and leads the organization’s overall financial strategy, aligning fiscal operations with long-term goals.
Advises the CEO, executive leadership team, and Board of Directors on financial planning, forecasting, and strategic decision-making.
Prepares and presents financial statements, reports, and dashboards for internal and external stakeholders.
Participates in the development and review of the annual Federal 330 grant budget submission.
Develops KPIs and other key data to assess the financial health of the organization.

Financial Operations & Compliance

Oversees accounts payable/receivable, payroll, general ledger, and monthly reconciliations.
Manages all aspects of the annual audit process, working with external auditors and staff to ensure accuracy and compliance.
Ensures compliance with GAAP, HRSA, Uniform Guidance (2 CFR Part 200), and other regulatory requirements.
Monitors cash flow, reserves, and investment accounts to maintain organizational liquidity and solvency.
Stay informed of regulatory changes affecting FQHCs and bring recommendations to leadership.

Budgeting & Grants Management

Leads the annual budgeting process, working with department heads to align resources with program goals.
Oversees grant budgeting, drawdowns, reporting, and reconciliation to ensure proper use of restricted and unrestricted funds.
Ensures timely and accurate financial reporting to federal, state, and private funders.

Supervision & Collaboration

Supervises finance, billing, and revenue cycle teams, setting clear expectations and providing performance evaluations.
Collaborates with department leads to strengthen financial literacy, budget accountability, and cost-efficiency.
Supports strategic initiatives such as capital projects, new site development, or program expansion.

Bachelor’s degree in Accounting, Finance, or related field.
Minimum of 3–4 years of progressive financial leadership experience in a Federally Qualified Health Center (FQHC), or similar healthcare organization.
Strong understanding of healthcare billing, revenue cycle management, and grant compliance.
Proficiency in accounting software (e.g., QuickBooks, MIP Fund Accounting, SAGE, or similar) and Microsoft Excel.

Master’s degree in Accounting, Finance, Healthcare Administration, or related field.
Experience with the operating and compliance requirements of HRSA-funded primary care programs.
Experience managing federal grants and Uniform Guidance compliance (2 CFR Part 200).
Prior experience preparing budgets for HRSA Section 330 grant applications or capital expansion grants.
Experience working with diverse and underserved communities.

Competitive salary based on experience.
Comprehensive benefits package including health, dental, vision, retirement plan, and generous PTO.
Remote/flexible hybrid schedule with the ability to travel to St. Paul, MN for meetings and organizational functions.
Opportunities for professional development and advancement.

Open Cities Health Center