Fractional Chief Financial Officer (CFO)

B&D Integrated Health Services • Part-time • Durham, North Carolina, United States • $80k / year • 1m ago

About Us

B and D Integrated Health Services (BDIHS) is a mission-driven nonprofit healthcare organization dedicated to expanding access to high-quality, integrated care for underserved communities. As we grow toward Federally Qualified Health Center (FQHC) Look-Alike status, we are seeking an experienced Fractional Chief Financial Officer (CFO) to provide strategic financial leadership during this critical stage.

Position Overview

The Fractional CFO will serve as a senior financial strategist and trusted advisor to executive leadership and the Board of Directors. This role will focus on strengthening financial systems, ensuring compliance, and guiding long-term sustainability in a complex healthcare and regulatory environment.

This is a part-time, contract executive role ideal for a seasoned financial leader with deep experience in nonprofit healthcare—particularly FQHCs or similar organizations.

Key ResponsibilitiesStrategic Financial Leadership

Advise leadership and the Board on financial strategy and sustainability
Develop multi-year financial forecasts and strategic plans
Establish KPIs, financial dashboards, and performance metrics
Support organizational growth, partnerships, and new service lines

Financial Management & Compliance

Ensure compliance with nonprofit, state, and federal financial regulations
Oversee budgeting, forecasting, and financial reporting
Strengthen internal controls and accounting processes
Evaluate and improve financial systems and workflows

Medicare Cost Reporting

Implement accounting practices for Medicare cost reporting compliance
Coordinate preparation and submission of cost reports
Collaborate with external accounting/consulting partners
Support initial and partial-year reporting requirements

HRSA & Grant Management

Ensure compliance with HRSA financial standards
Support grant budgeting, tracking, and reporting
Develop systems for restricted funds and grant expenditure tracking
Assist with Uniform Guidance and federal compliance

Board & Executive Support

Present financial data to leadership and Board of Directors
Translate complex financial insights into actionable recommendations
Participate in governance and strategic planning

Required Qualifications

Bachelor’s degree in Accounting, Finance, Business Administration, or related field
3–5+ years of progressive financial leadership experience
Experience as CFO, Controller, Finance Director, or similar role
Strong background in nonprofit financial management
Expertise in budgeting, forecasting, cash flow, and internal controls

Preferred Qualifications (Strongly Preferred)

Candidates with experience in the following will be highly prioritized: