THE POSITION:
The Chief Financial Officer is responsible for strategic and operational leadership of VCH’s finance and accounting functions, ensuring long-term financial sustainability, regulatory compliance, and operational effectiveness. The position oversees financial planning, systems, and operations in support of the organization’s mission, clinical priorities, and strategic goals.
PRIMARY RESPONSIBLITIES:
1. Strategic & Financial Leadership
- With the CEO and ELT, develop and execute forward-looking financial strategies to support VCH’s mission, growth, and long-term sustainability
- Collaborate with the CEO, ELT and Board on strategic initiatives, providing ongoing financial analysis and insights for short- and long-term planning
- Lead and oversee all financial reporting, policies and procedures, and internal controls
- Provide high-level supervision of accounting functions, including payroll, purchasing, and all accounts receivable and payable activities
- Work with Department Heads on pricing, purchasing, capital expenditure, and other strategic financial issues
2. Planning, Budgeting, & Performance Reporting
- Working with Department Heads, lead the development and monitoring of the annual budget, including revisions as necessary
- Supervise the preparation of all regulatory filings (e.g. FFR, UDS, Medicare and Medi-Cal reconciliations, Form 990, Form 199, and related)
- Review and coordinate Department budgets to ensure that expenditures adhere to legal and budgetary requirements
- Conduct financial forecasting and variance analysis to inform decision-making
- Staff the Finance and Audit Committees of the Board and provide all required financial materials, including reports on operating results
- Oversee capital planning and investment strategies for future growth
- Collaborate with Operations on purchasing and inventory control along with utilization and health center costs
3. Governance, Compliance & Internal Controls
- Oversee financial reporting, audits, and compliance with all federal, state, and local regulations
- Oversee annual independent audit, inventory, and fiscal year-end activities
- Continually assess the effectiveness of current financial policies and procedures
- Ensure compliance with HRSA (Health Resources & Services Administration) and other federal grant requirements
- Manage financial controls and procedures to safeguard assets and prevent fraud
- Maintain relationships with external auditors, banking institutions, insurance brokers, and financial stakeholders
4. Revenue Optimization & Grants Stewardship
- Provide high-level oversight and support to billing, collections, and reimbursement processes, ensuring optimization of revenue streams
- Ensure effective management and optimization of revenue sources such as Medi-Cal, Medicaid, Medicare, insurance reimbursements, and private grants
- Partner with the Chief Development Officer and Development Team to ensure proper allocation, reporting, and compliance with grant terms
- Oversee financial components of HRSA grants and other federal funding
- Develop, supervise, and coordinate efforts to attain maximum third-party reimbursement, including capitated arrangements
5. People Leadership & Team Development
- Lead by example to advance a team culture of collaboration, transparency, and trust within the finance organization
- Supervise, mentor, evaluate, and support accounting, finance, and revenue cycle management teams, championing innovation, continuous improvement, and adherence to best practices and regulatory requirements
- Strengthen cross-department communication and transparency around financial management and performance
- Analyze and revise team structure, roles and responsibilities, and job descriptions – as necessary and within budget parameters – to maximize capacity and impact
6. Technology, Systems & Operational Infrastructure
- Oversee financial, billing, and data systems to ensure they meet the evolving needs of a growing, multi-site FQHC
- Assess the current suite of financial, billing, and reporting systems and recommend necessary changes to upgrade, optimize, or replace outdated platforms
- Review, recommend, and implement finance and/or accounting policies and procedures to ensure organized, efficient, and compliant management systems
- Implement technology solutions to facilitate financial accuracy, efficiency, transparency, and integration across departments
- Lead integration of data across finance, clinical, operational, and development/fundraising systems to support data-driven decision making
CANDIDATE PROFILE:
You are a mission-driven financial leader who works to ensure everyone has the opportunity to be healthy, and to expand access to high-quality care for underserved communities. You understand and appreciate the unique role that FQHCs play in the healthcare ecosystem and in the lives of the people they serve. You value partnership and transparency and have a track record of serving as a strategic partner to CEOs, executive teams, clinical leaders, and/or Boards of Directors. You are a collaborative and relational leader who builds relationships and trust across teams and departments. You are a strategic thinker and systems-oriented problem solver who understands the interdependence of finance, operations, revenue cycle, and patient care. You maintain perspective, make sound decisions under pressure, and foster confidence in those around you. You bring curiosity, big-picture thinking, and a continuous-improvement mindset to your work. You act with clarity, fairness, and consistency.
REQUIRED SKILLS AND EXPERIENCE
- A minimum of 10 years of progressive financial leadership experience in large, complex nonprofit organizations, ideally including an FQHC or similar healthcare/direct-service environment
- Deep knowledge of healthcare finance and reimbursement, including Medicaid/Medi-Cal, Medicare, managed care, third-party billing, and payer mix optimization in a safety-net setting
- Demonstrated expertise in budgeting, forecasting, and financial scenario planning, including multi-year, enterprise-level financial modeling
- Experience overseeing revenue cycle operations, including billing, coding, collections, denial management, and performance monitoring across public and private payers
- Strong background in grants management and federal compliance, including HRSA funding, Uniform Guidance requirements, grant budgeting, reporting, and audit readiness
- Experience with Medicare and/or Medicaid cost reporting, including oversight of preparation, reconciliation, and submission processes
- Proficiency with financial, billing, and accounting systems, including ERP platforms, Electronic Health Records (EHR), and reporting tools; experience leading system integrations or upgrades preferred
- Expertise in financial reporting, internal controls, and coordination of external audits
- Excellent communications skills with the ability to translate complex financial concepts into understandable language for non-financial audiences and stakeholders
- Experience supporting Board and Finance Committee reporting, including preparation of clear, timely financial materials and presentations
- Proven ability to lead, develop, and manage high-performing finance and revenue cycle teams, while contributing to enterprise-wide leadership and cross-functional collaboration
- Bachelor’s degree in finance, accounting, business administration or related field; advanced degree (M.B.A., M.P.A., or similar) or CPA designation is a plus
PERSONAL CHARACTERISTICS:
- Demonstrated passion for community building and for centering the needs of vulnerable individuals and populations
- High levels of professional maturity, emotional intelligence, and self-awareness
- Impeccable ethical standards and a deep sense of integrity, judgment, and accountability
- Ability to engage authentically and build trust across internal teams and with external partners
- Collaborative and partnership-oriented approach with the ability to further position Finance as a trusted business partner across departments
- Calm, steady, and resilient management style in the face of operational challenges, regulatory shifts, or unexpected crises
- Hands-on leadership and operational savvy, combined with effective strategic, big-picture thinking
- Purpose-driven leadership with a strong sense of stewardship, and accountability
- Ability to pay keen attention to detail without losing sight of larger objectives
- Flexibility and adaptability, able to shift gears and respond effectively to change
- Commitment to cultivating leadership and practices that ensure fairness, opportunity, and a sense of belonging for everyone
