Chief Financial Officer (CFO)

Job Description

Job Description

Job description:

The Chief Financial Officer (CFO) is a key member of QCHC’s executive leadership team, responsible for safeguarding the organization’s financial health, ensuring fiscal sustainability, and guiding financial strategies to support growth and innovation.

This role requires a leader who thrives in both complex healthcare finance and mission-driven nonprofit management. The CFO will oversee all aspects of financial planning, budgeting, grants management, compliance, and reporting, while working closely with the CEO, Board of Directors, and external partners.

Essential Duties & Responsibilities

• Directs treasury, budgeting, audit, tax, accounting, purchasing, real estate, and insurance activities.
• Prepares and presents monthly, quarterly, and annual financial statements to the CEO, CPO, and Board of Directors.
• Appraises the agency’s financial position and provides timely financial and operational reports.
• Oversees and ensures timely month-end and year-end close procedures.
• Monitors cash flow, investments, and reserves to support organizational sustainability.

Grants & Compliance

• Ensures fiscal compliance with federal, state, and local funding sources (e.g., HRSA, CDC, Ryan White, HOPWA, SAMHSA, 340B).
• Develops and monitors grant budgets; ensures timely reporting to funders.
• Works closely with program managers to align financial reporting with program deliverables.
• Oversees 340B pharmacy revenue cycle, reconciliation, and compliance.

Internal Controls & Risk Management

• Establishes and maintains strong internal control policies and procedures.
• Coordinates annual external audit and works with auditors to ensure accuracy and compliance.
• Monitors risk management, including insurance coverage and liability protections.
• Ensures compliance with all nonprofits, IRS (990), and healthcare finance regulations.

Strategic Leadership

• Works closely with the CEO/CPO to develop long-term financial strategies aligned with QCHC’s mission.
• Advises leadership on financial implications of strategic initiatives, partnerships, and capital projects.
• Supports sustainability planning, including fundraising strategies and diversified revenue streams.
• Participates actively in Board Finance Committee meetings and provides training on nonprofit financial literacy to board members when needed.

Staff & Systems Oversight

• Supervises fiscal staff, including training, mentoring, and performance evaluation.
• Ensures efficiency of payroll and HRIS systems (Nextep or equivalent).
• Maintains proficiency in EMR (Electronic Medical Record) financial reporting tools.
• Leads process improvement for financial technology systems (QuickBooks Online, fund accounting platforms).

Education & Experience Requirements

• Minimum Bachelor’s degree in Accounting, Finance, or related field (Master’s degree or CPA preferred).
• At least 10–15 years of progressive finance experience, including nonprofit and/or healthcare settings.
• Experience managing government grants and contracts.
• Strong knowledge of GAAP, nonprofit fund accounting, and cost allocation methodologies.
• Familiarity with HRSA, CDC, 340B, Ryan White, HOPWA, and SAMHSA compliance requirements preferred.
• Experience with QuickBooks Online, EMR financial systems, and Nextep Payroll strongly preferred.
• Excellent organizational, communication, and leadership skills.
• Ability to manage multiple priorities in a fast-paced, mission-driven environment.
• Commitment to the mission, vision, and values of QCHC.

Core Competencies

• Strategic Financial Leadership: Ability to align financial strategy with organizational mission and long-term sustainability.
• Nonprofit Compliance: Strong knowledge of nonprofit reporting requirements and funding regulations.
• Analytical Thinking: Skilled in interpreting data and translating insights into actionable recommendations.
• Collaboration: Ability to partner across departments and with external stakeholders.
• Integrity & Stewardship: Commitment to transparency, accountability, and ethical management of resources.