Benefits:

Retirement
Competitive salary
Dental insurance
Health insurance
Paid time off
Training & development
Vision insurance

CHIEF FINANCIAL OFFICER (CFO)

Good Shepherd Community Clinic, Inc. | Ardmore, Oklahoma

Full-Time, Exempt | Reports to CEO | Supervises: Financial Controller, Revenue Cycle Director

You're good at the technical side of healthcare finance. Really good. But somewhere along the way, your role became about producing reports for people who don't read them, defending budgets in organizations that don't act on them, and doing high-level work inside a low-trust culture.

You want to be at a table where your analysis actually drives decisions. You want a CEO who speaks your language and a leadership team that holds itself accountable. You want the work to mean something — not just to the bottom line, but to the people being served.

That's What This Role Is.

Good Shepherd Community Clinic, Inc. (GSCC) is a mission-driven, multi-site Federally Qualified Health Center (FQHC) in Ardmore, Oklahoma. We serve roughly 10,000 patients a year across medical, dental, behavioral health, pharmacy, and women's health — and we do it for the people who need it most. We are in an intentional season of growth, and we need a CFO who is ready to lead from the front.

THE ROLE

This is not a back-office accounting position. The CFO at GSCC is a core executive — a strategic partner to the CEO and Board who owns the full financial function and helps translate vision into financial reality.

You will own financial planning, revenue cycle performance, payer strategy, compliance, 340B program oversight, and long-range capital planning. You will help build dashboards that give our leadership team real-time visibility into performance. You will sit across the table from Medicaid managed care directors and negotiate. You will teach our department directors how to read a budget and actually manage to it.

And you will do all of this inside a team-based leadership model where executive decisions are made collaboratively, where your voice matters, and where the work is genuinely high-stakes and high-impact.

WHY THIS ROLE IS WORTH YOUR ATTENTION

A 4-day work week and 34-36 hour average. We work hard and we work smart. We also believe your life outside of work matters. This is not a perk we're testing — it's a commitment to how we operate.

Real ownership. You won't be a finance function buried under a COO. You will report directly to the CEO, sit at the executive table, and have genuine influence over organizational direction.

A CEO who is financially fluent. You won't be translating spreadsheets to someone who doesn't want to engage. The strategic financial conversation starts on day one.

Mission that is tangible. Our patients are the working poor, the uninsured, and the underserved in rural southern Oklahoma. Every dollar you steward goes directly toward people who have nowhere else to go. That is not abstract — you will see it.

A culture being built intentionally. We are investing in our people through YOUniversity, our internal leadership development program. We expect the CFO to be both a student and a teacher in that process.

Ardmore, Oklahoma. If you're not from here, come find out what you're missing. Southern Oklahoma is an affordable, tight-knit community with access to Lake Murray and Lake Texoma, a lower cost of living than most metros, and the kind of place where your work and your life can actually coexist. If you're already here, you know.

What's Hard About This Role

We believe you deserve honesty upfront.

FQHC finance is genuinely complex. The regulatory environment — HRSA compliance, UDS reporting, 340B, sliding fee, cost reports, federal grant conditions — is not a small lift. If you haven't lived inside an FQHC, there is a real learning curve and we want you to walk in with eyes open.

The finance function at GSCC is capable and committed, but it needs executive-level elevation. You will be building systems, raising the bar, and establishing new standards — not inheriting a fully optimized department.

We are a nonprofit safety-net provider, which means every budget decision involves a real tension between mission and margin. You will need to hold that tension well — with both financial discipline and genuine heart for the people we serve.

If that kind of complexity energizes you, keep reading.

What You'll Own

Strategic Financial Leadership

Core advisor to the CEO and Board on financial strategy, capital allocation, and risk
Long-range financial planning aligned with GSCC's growth strategy — provider panel expansion, care model development, workforce investment
Financial modeling for strategic initiatives: scenario planning, sensitivity analysis, ROI frameworks
Value-based care readiness: risk-share modeling, payer contract evaluation, attribution analysis
External relationships with lenders, auditors, HRSA, and payer partners

Financial Planning & Analysis

Annual operating and capital budget process — built collaboratively with operations, not handed down
Financial forecasts with variance analysis and executive/board-ready dashboards
Provider productivity, service line performance, cost structure, and payer mix analysis
Financial education across the leadership team — every director owns their numbers

Revenue Cycle & Reimbursement

Executive oversight of billing, coding, collections, and AR performance
Reimbursement optimization across Medicaid, Medicare, commercial, sliding fee, and grants
Payer contract renegotiation strategy in partnership with the CEO
Revenue leakage identification and closure — utilization, coding gaps, pharmacy capture, underpayments
340B program financial performance and compliance: contract pharmacy, split-billing, TPA oversight

Financial Operations & Controls

Timely, accurate financial reporting — monthly, quarterly, annual
Internal controls and compliance: GAAP, HRSA, federal grant conditions
Cost reports, UDS financial reporting, regulatory filings
Audit preparation and management
Cash flow, liquidity, and financial risk — reserves and line of credit oversight

Capital Strategy & Long-Term Growth

Financial planning and feasibility analysis for future facility needs and long-range capital modeling
Relationships with financial institutions and HRSA capital funding sources
ROI evaluation on major investments, new service lines, and strategic partnerships
Grant budgeting, financial reporting, and compliance

Team Leadership & Financial Education

Lead and develop the finance and revenue cycle team: Controller, accounting, payroll, AR/AP, revenue cycle director, billers
Teach department directors to read, interpret, and manage their budgets — build real financial ownership across the leadership team
Operate as a full participant in GSCC's team-based executive model — collaborative, transparent, trusted
Participate in GSCC YOUniversity leadership development — as both learner and teacher
Model the standard: high integrity, transparent communication, stewardship of public resources

What We'll Measure

You will own visibility into — and accountability for — the following:

Days Cash on Hand
Operating Margin
Revenue per Visit / per Patient
Accounts Receivable Days
Net Collection Rate
Cost per Patient / Cost per Visit
Provider Productivity Financial Impact
Budget vs. Actual Performance
340B Program Net Revenue
Payer Mix & Contract Performance

Required

WHAT YOU BRING

Master's degree in Accounting, Finance, Business Administration, or related field
CPA strongly preferred
7-10 years of progressive financial leadership, including executive-level responsibility
Experience managing finances in a $10M-$50M organization with full P&L ownership
Strong command of GAAP, financial modeling, budget development, and internal controls
Ability to communicate financial complexity clearly to non-financial leaders and boards

These Will Set You Apart

Direct FQHC experience: HRSA compliance, UDS and federal grant reporting, Medicare/Medicaid cost reports
340B program management and compliance expertise: contract pharmacy, split billing, TPA oversight
Experience with value-based payment models: shared savings, risk-sharing, quality-linked incentives
Track record leading or supporting a major capital planning or facility development process

What Success Looks Like

90 days: Full command of GSCC's financial position, revenue cycle performance, and key payer contracts

6 months: Dashboards live and leadership team has real-time financial visibility

6 months: Revenue leakage identified and remediation plan in motion

12 months: Long-range capital planning underway with financial feasibility established

12 months: Operating margin improved and GSCC positioned for sustainable growth

Who We Are

Our mission: The GSCC exists so that the working poor and others who lack healthcare access receive quality care and improved health outcomes.

Our vision: "To show the world what care should feel like."

Our values:

Connection means being fully present — listening, noticing, and caring enough to follow through.

Ownership means taking responsibility for both what you do and what you allow.

We are not a perfect organization. We are a committed one. We show up every day for people who depend on us, and we hold ourselves to a standard that matches the weight of that responsibility. If that resonates with you, we want to talk.

READY TO APPLY?

If you've read this far and something in you said yes — that's the signal. We'd love to hear from you.

Apply at buildinghealthypeople.org!

Good Shepherd Community Clinic, Inc. is an Equal Opportunity Employer and a federally funded health center committed to serving all patients regardless of ability to pay.

Good Shepherd Community Clinic, Inc. Jobs

Chief Financial Officer