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Esperanza Health Center

Chief Financial Officer (CFO) Job Description

SUPERVISOR: Chief Executive Officer

FLSA STATUS: Exempt

DEPARTMENT: Finance/Billing Department

SUMMARY

The Chief Financial Officer (CFO) oversees Esperanza Health Center's financial aspects, including accounting, financial reporting, budgeting, reimbursement, and strategic financial planning. This role ensures the organization's financial sustainability and compliance while contributing to the achievement of Esperanza's mission.

ESSENTIAL FUNCTIONS

Strategic Leadership

•    Participate as a core leadership team member in strategic planning, providing financial insights to support programmatic and organizational initiatives.

•    Lead the development of financial plans and strategies to ensure long-term fiscal health and alignment with organizational goals.

•    Establish and monitor financial Key Performance Indicators (KPIs) to evaluate and report on the organization’s fiscal health.

•    Provide financial analysis and support for major decisions, including mergers, expansions, and other strategic initiatives.

Operational Oversight

•    Lead the annual budget process, working closely with management and leadership teams to accurately project trends and financial activities.

•    Oversee cash management in accordance with organizational policies and best practices.

•    Ensure the financial performance of grant programs, patient billing, and the operating and capital budgets.

•    Collaborate with clinical and operational leadership to align financial planning with program priorities.

•    Develop and maintain internal controls to safeguard the organization’s financial assets and mitigate risks.

Compliance & Risk Management

•    Ensure compliance with generally accepted accounting principles (GAAP) and all pertinent federal, state, and local regulations.

•    Plan and execute the annual financial and compliance (A-133) audits.

•    Oversee the timely filing of payroll tax returns and the annual Form 990 following the completion of audits.

•    Administer grant reporting and compliance, including federal, state, and private grants (e.g., 330 FQHC, Ryan White Part C).

Team Leadership and Development

•    Manage and develop the finance team, fostering a culture of accountability, collaboration, and continuous improvement.

•    Lead and participate in departmental meetings, staff meetings, and monthly finance committee meetings.

•    Mentor staff, identifying opportunities for professional growth and skill development.

Technology and Analytics

•    Leverage financial technologies and data analytics to enhance reporting, identify trends, and provide actionable insights for decision-making.

•    Promote the integration of innovative financial tools and systems to improve operational efficiency.

Collaboration and Communication

•    Communicate regularly with management to facilitate cross-departmental objectives and address budget variances collaboratively.

•    Present financial updates and reports at monthly board meetings, finance committee meetings, and other organizational gatherings.

Faith-Based Mission Alignment

•    Represent Christ and His mission within and outside the health center.

•    Work collaboratively with staff and volunteers to further Esperanza's mission and vision.

Other Responsibilities

•    Work on additional projects and tasks as needed or as the CEO requests.

•    Adhere to health center policies and procedures and recommend changes where appropriate.

KNOWLEDGE, SKILLS, AND ABILITIES

• Bachelor's degree in accounting or finance, health care administration, business or related field (or equivalent work experience). Master's degree preferred.

• Desire 5-7 years of financial management experience, preferably in primary medical care.

• Experience managing staff and leading teams.

• Strong organizational, interpersonal, and communication skills.

• Strong computer skills.

• Demonstrated ability to handle many details and multiple priorities. Must be dependable and able to work under pressure.

• Financial experience in a medical setting, particularly in a Federally Qualified Health Center, and experience in medical billing and grants management are

   desirable.

WORKING CONDITIONS

• Must be able to sit/stand at a desk for long periods.

• Must read fine print on paper, computer, and databases.

• Must lift 20 lbs., climb stairs, drive or travel to other EHC sites, and walk to and from parking lots.