Vivo HealthStaff is recruiting for a Chief Financial Officer for a Community Health Organization in the San Francisco Bay Area.

The CFO reports directly to the CEO and regularly interacts with the Board of Directors (BOD). This role is critical in maintaining the financial health and sustainability of the organization. The CFO oversees all financial operations, ensuring compliance with state and federal regulations as well as grant requirements. Key responsibilities include leading the annual budgeting process, preparing monthly financial statements and performance reports for the BOD and internal management, and ensuring compliance with reporting requirements for various funding sources.

The CFO establishes and maintains accounting principles, practices, and procedures in accordance with generally accepted accounting principles (GAAP). This role involves maintaining all financial records, analyzing financial and statistical data, and providing insights into operating results, including costs, budgets, policies, trends, billing, collections, and revenue opportunities.

Responsibilities:

• Maintains accurate financial records in accordance with GAAP-compliant policies and procedures.
• Monitors financial performance and ensures timely and accurate financial reporting.
• Presents financial statements and audits to the CEO and BOD.
• Works with the executive leadership team to develop the annual budget and oversees financial performance relative to the budget. Manages auditing, accounting, purchasing, insurance, investing, and long-range forecasting processes.
• Monitors monthly billings to grantor sources and ensures timely submission of required reports and deposits.
• Establishes and ensures compliance with internal financial controls to safeguard assets.
• Provides timely and accurate financial reports to federal, state, county, and local agencies.
• Serves as staff to the Finance Committee of the BOD.
• Directs studies on economic, business, and financial conditions, analyzing their impact on organizational policies and operations.
• Oversees the preparation and publication of the organization’s annual report.
• Provides direction, supervision, and evaluation for finance department staff, promoting teamwork with other departments.
• Participates in the executive leadership team to develop organizational goals, strategies, policies, and activities. Leads strategic growth research and proforma development when requested by the CEO.
• Attends BOD and Finance Committee meetings as directed by the CEO.
• Performs other duties as assigned.

Supervisory Responsibilities:
Directly supervises the Controller and Director of Patient Accounts, who manage the Accounting and Billing departments, including Patient Revenue Cycle, Accounts Payable, and Purchasing.
Responsibilities include:

• Interviewing, hiring, and training staff.
• Planning, assigning, and directing work.
• Evaluating performance, rewarding, and disciplining employees.
• Resolving complaints and addressing problems.

Qualifications:

Education and Experience:

• Bachelor’s degree in accounting or business administration required; master’s degree and CPA credential preferred.
• Minimum of 5-10 years of management accounting and financial leadership experience in healthcare and/or non-profit environments.
• Experience with public and private grants, including related accounting, reporting, and review processes.
• Federally Qualified Health Center (FQHC) experience required.
• Knowledge of PPS reimbursement, PPS rate setting, PPS reconciliation, Medicare cost reporting, 340B programming, and FQHC APM highly desirable.
• Experience with California’s Medi-Cal program and PPS rate adjustments preferred.
• Proven ability to develop and implement systems and procedures in a growing organization.

Required Skills and Abilities:

• Strong financial acumen with expertise in healthcare finance and reimbursement.
• Proficiency in financial modeling and trend analysis.
• Knowledge of information systems preferred.
• In-depth understanding of FQHC regulations and compliance.
• Effective leadership skills, fostering accountability and high performance.
• Strong written and verbal communication skills, including the ability to present financial data to non-financial stakeholders.
• Familiarity with change management principles in healthcare.
• Commitment to ethical and transparent financial practices.
• Analytical and problem-solving skills, with a focus on data-driven decision-making.
• Strategic thinking to support long-term organizational vision and mission.

Physical Requirements and Working Conditions:

• Primarily office-based, requiring extended periods at a desk using a computer.
• Occasional travel to clinic sites and for meetings, training, or conferences.
• May require extended hours during budget cycles, audits, and other deadlines.