Chief Financial Officer

The Chief Financial Officer (CFO) is a strategic financial leader, with FQHC and nonprofit finance experience, a strong background in healthcare financial management, and expertise in grants accounting, audits, and regulatory compliance.

Position Overview

A leading healthcare nonprofit in Hawaii is seeking an experienced Chief Financial Officer (CFO) to oversee financial strategy, compliance, and operations for a multi-location nonprofit healthcare organization. This role is ideal for a seasoned finance executive with deep expertise in nonprofit healthcare accounting, grants management, and financial audits. The CFO will play a key role in driving financial sustainability, ensuring compliance with federal and state regulations, and optimizing revenue cycle processes while supporting the organization’s mission to provide accessible, high-quality healthcare to the community.

Responsibilities

• Lead financial strategy, budgeting, and forecasting to support long-term sustainability.
• Oversee all financial reporting, audits, and compliance with GAAP, HRSA, Medicaid/Medicare, and grant funding requirements.
• Manage a complex grants portfolio, ensuring proper allocation and regulatory adherence.
• Optimize revenue cycle management, including reimbursement processes from government programs and private insurers.
• Provide strategic financial guidance to the CEO, Board of Directors, and leadership team.
• Supervise and develop the finance, accounting, and billing teams.

Skills

• FQHC and nonprofit financial management (including grant accounting and compliance).
• GAAP accounting, financial reporting, and audits.
• Medicare/Medicaid reimbursement and HRSA compliance.
• Budgeting, forecasting, and cash flow management.
• Revenue cycle optimization and financial strategy development.
• Leadership and team development in a healthcare finance setting.

Requirements

• 5+ years of progressive financial management experience.
• 5+ years in an FQHC, nonprofit, or healthcare finance leadership role.
• Strong background in federal and state grant management, audits, and compliance.
• Experience leading financial strategy, reporting, and board presentations.
• Bachelor's degree required; CPA, CMA, or Master’s in Accounting/Finance preferred.