Consulting Chief Financial Officer (CFO)
Location: Remote (U.S.-based; Ideal candidate residing in TX or CO)
Industry: Federally Qualified Health Center (FQHC) / Behavioral Health
vcfo’s mission is to make our clients stronger
We do that by providing fractional finance and human resources / people operations consulting services to small and medium-sized clients ($10M to $300M) in every industry you can imagine.
CEO Ellen Wood co-founded vcfo in 1996, intent on helping a wide variety of clients develop the strategies and adopt the tactics they needed by providing a slice of expertise at an affordable price point. Many finance professionals told us it would never become a mainstream idea. History tells a different story. Today, our employees in four offices (Austin, Dallas, Denver, and Houston) are closing in on our 6,000th client!
Overview
We are seeking a strategic and operationally minded Chief Financial Officer (CFO) to lead the financial direction of a growing organization in the FQHC and behavioral health space. This is a highly specialized healthcare environment requiring deep expertise in reimbursement models, regulatory compliance, and financial leadership in complex, multi-payer systems.
The CFO will serve as a key member of the executive leadership team, partnering closely with clinical, operational, and board stakeholders to drive financial sustainability, manage risk, and support long-term growth initiatives.
Key Responsibilities
- Lead financial strategy, planning, and forecasting, with a strong focus on cash flow management in delayed reimbursement environments
- Develop and model financial scenarios tied to Medicaid eligibility changes, grant funding, and payer mix variability
- Translate financial performance into actionable insights for executive leadership, clinical teams, and board members
- Oversee budgeting, forecasting, and long-range financial planning
- Ensure compliance with federal, state, and local regulations, including FQHC-specific requirements
- Present financials to boards, lenders, auditors, and funding entities with confidence and credibility
- Guide the organization through audits, including single audits related to grant funding
- Support M&A activity, integrations, and strategic growth initiatives as industry consolidation continues
- Evaluate and improve financial systems, reporting structures, and operational workflows
- Partner with revenue cycle leadership to optimize collections, reduce denials, and improve cash conversion
- Remain up to date with state, federal and local laws and regulations
- Ensure timeliness, accuracy, and consistency of financial and management reporting for federal state and county funders, and Board of directors.
Required Qualifications
- 15+ years of progressive financial leadership experience, including senior-level roles (CFO, VP Finance, etc.)
- CFO for at least five years in a rapidly growing and changing environment
- Deep understanding of Medicaid reimbursement, grant funding, and private insurance revenue streams
- Proven experience managing financial operations in highly regulated environments
- Strong expertise in healthcare cash flow forecasting and revenue recognition in uncertain reimbursement models
- Experience with audits, cost reporting, and multi-state regulatory requirements
- Demonstrated ability to partner with executive leadership and communicate effectively with boards and external stakeholders
Preferred Qualifications
- Direct experience in FQHC, CCBHC, or similar healthcare environments
- Experience with acquisitions, integrations, or organizational scaling in healthcare
- Track record of improving financial infrastructure in underdeveloped or evolving environments
- CPA, MBA, or other advanced financial credentials
What Success Looks Like
- Improved visibility and predictability of cash flow
- Strong alignment between financial strategy and clinical/operational performance
- Enhanced financial systems, reporting accuracy, and audit readiness
- Strategic navigation of reimbursement and regulatory challenges
Benefits:
- Competitive base salary
- Commissions for lead referrals that become clients
- Flexible schedules to accommodate work / life balance
- Medical, dental, and vision insurance
- Company match on 401k contributions
- Short-term and long-term disability (tax free)
- Life insurance
- PTO and company paid holidays
- Paid time to support networking activities
- Paid Admin time for your development and access to company-paid training to support continuing professional education (CPE) requirements
- Give back to the community through our vcfo gives® program
