Chief Financial Officer

Chief Financial Officer

Jewish Family Service of Greater Dallas (JFS) is a nonsectarian nonprofit organization dedicated to strengthening the community through comprehensive social services, behavioral health, and healthcare programs — serving individuals and families regardless of race, ethnicity, religion, or ability to pay. JFS has submitted a Federally Qualified Health Center (FQHC) Look-Alike Initial Designation application to the Health Resources and Services Administration (HRSA) and anticipates an initial operational site visit. The organization also maintains a robust portfolio of non-health programs funded by large federal, state, and local grants as well as significant fundraising and philanthropic support.

The Chief Financial Officer (CFO) serves as a key member of the senior leadership team, providing strategic financial leadership and operational oversight across all organizational programs and funding streams. The CFO is responsible for ensuring the financial health and sustainability of JFS, managing complex multi-funding financial operations, supporting FQHC compliance and designation efforts, and advising the Executive Director/CEO and Board of Directors on all fiscal matters.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Serve as the chief financial advisor to the Executive Director/CEO and Board of Directors on all financial matters, including long-range financial planning, organizational strategy, and growth initiatives.
• Develop, implement, and manage annual operating and capital budgets across all programs, grants, and service lines.
• Provide financial modeling, forecasting, and scenario analysis to support strategic decision-making, new program development, and expansion opportunities — including FQHC site and service expansion.
• Ensure the financial sustainability and viability of the organization through sound fiscal management and diversified revenue strategies.
• Present timely and accurate financial reports and analyses to the Executive Director/CEO, Board of Directors, and finance committees.
• Serve as the primary financial liaison to the Board Finance Committee, organizing and attending all committee meetings, presenting monthly financial reports, and supporting the committee in fulfilling its fiduciary responsibilities.

• Oversee all accounting and financial operations, including general ledger management, accounts payable, accounts receivable, payroll, and cash management.
• Maintain robust internal controls to safeguard organizational assets and ensure accuracy and integrity of financial data.
• Ensure compliance with nonprofit accounting standards (GAAP), Uniform Administrative Requirements (2 CFR 200), and all applicable federal, state, and local financial regulations.
• Manage cash flow, banking relationships, investment portfolios, and lines of credit to ensure adequate liquidity and financial stability.
• Oversee financial systems, chart of accounts, and cost allocation methodologies to support accurate program-level and grant-level financial reporting.
• Monitor fund balances, restricted and unrestricted net assets, and ensure appropriate use of designated funds.
• Leverage financial management systems, EHR-integrated reporting, financial dashboards/ KPI reports, and data analytics tools to support timely and data-driven decision-making at the executive and governance levels.
• Oversee or coordinate purchasing and procurement functions, ensuring compliance with organization policies and federal procurement standards (2 CFR 200) when applicable.

• Manage healthcare-specific financial operations, including Medicaid, Medicare, and third-party payer reimbursement, claims adjudication, and revenue recognition.
• Ensure compliance with FQHC regulatory and financial requirements, including HRSA Health Center Program requirements, Prospective Payment System (PPS) reimbursement, Sliding Fee Discount Program financial policies, and applicable Bureau of Primary Health Care (BPHC) compliance standards.
• Support UDS reporting by ensuring accuracy of financial data submitted to HRSA.
• Support preparation and submission of the Medicare Cost Report and state Medicaid reports when applicable, in addition to HRSA Uniform Data System (UDS) financial tables and other FQHC-required regulatory reports.
• Analyze payer mix, reimbursement rates, and cost-per-visit metrics to support operational efficiency and financial performance in the health center.
• Evaluate and support participation in value-based care arrangements, alternative payment methodologies, managed care incentive programs, and other emerging reimbursement models as applicable.
• Support the FQHC Look-Alike designation process, including preparation of financial documentation, budget narratives, and compliance with HRSA site visit requirements.
• Plan and manage the financial transition from Look-Alike to full FQHC status, including federal grant budgeting and Section 330 compliance.

• Provide oversight and strategic direction for the revenue cycle, including patient registration, charge capture, coding, billing, claims processing, collections, and denial management.
• Monitor and report on revenue cycle key performance indicators (KPIs), including days in accounts receivable, denial rates, collection percentages, and payer performance.
• Ensure accurate and timely credentialing and enrollment of providers with Medicaid, Medicare, and commercial payers, in coordination with clinical leadership.
• Collaborate with clinical and operational leaders to maximize compliant charge capture and optimize reimbursement.
• Lead or participate in payer contract negotiations to optimize reimbursement rates and terms with Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers.

• Manage the financial administration of all grants and contracts, including federal (HRSA, SAMHSA, HHS, etc.), state, local, corporate, and foundation funding sources.
• Ensure compliance with grant terms and conditions, including OMB Uniform Guidance (2 CFR 200), allowable cost standards, cost allocation plans, and indirect cost rate proposals.
• Manage the preparation and submission of accurate and timely grant financial reports, drawdowns, and reimbursement-based invoicing.
• Collaborate with program directors and grant managers to develop grant budgets, monitor expenditures against budgets, and ensure proper use of restricted funding.
• Support grant audits and monitoring visits from federal, state, and local funders.
• Provide financial oversight and support for fundraising and development activities, including budgeting for fundraising campaigns, donor stewardship financial reporting, endowment/investment management, and ensuring proper accounting for contributed revenue, pledges, and in-kind donations in accordance with ASC 958 (nonprofit revenue recognition standards). Collaborate with the development/philanthropy team on financial projections, campaign feasibility analyses, and donor reporting requirements.

• Lead annual financial audits (including Single Audit/A-133 if applicable), coordinating with external auditors and ensuring timely resolution of findings.
• Oversee preparation and timely filing of IRS Form 990 and any other local, state, or federal required regulatory filings.
• Oversee cost reports and ensure compliance with applicable healthcare and FQHC-related financial reporting requirements.
• Monitor and ensure compliance with all federal, state, and local financial regulations, including tax-exempt status requirements and nonprofit governance standards.
• Oversee organizational insurance coverage, including general liability, professional liability/malpractice, property, directors and officers (D&O), cyber liability, and employee benefit insurance programs. Manage annual insurance renewal processes and ensure adequate coverage levels.
• Identify and mitigate financial risks across the organization, including those related to payer changes, regulatory shifts, and grant funding fluctuations.
• Ensure appropriate internal controls and segregation of duties across all financial functions.

• Lead, mentor, and develop the finance and accounting team, fostering a culture of accountability, continuous improvement, and professional growth.
• Ensure adequate staffing, training, and resources within the finance department to meet organizational needs.
• Collaborate cross-functionally with operations, clinical leadership, HR, and philanthropy teams to support organizational goals and mission delivery.
• Represent the organization in community, professional, and industry organizations related to financial management, healthcare finance, and the community health center movement. Participate in relevant industry activities and maintain awareness of emerging best practices in FQHC and nonprofit financial leadership.

Qualifications

• Bachelor's degree in Accounting, Finance, Business Administration, or related field required; Master's degree (MBA, MPA, MHA) is strongly preferred.
• CPA designation preferred but not required.
• Minimum of 10 years of progressively responsible financial management experience, with at least 5 years in a senior financial leadership role.
• Healthcare financial management experience required; FQHC or community health center experience strongly preferred.
• Demonstrated experience with federal grant management, including OMB Uniform Guidance (2 CFR 200), federal cost principles, and Single Audit requirements.
• Strong knowledge of nonprofit accounting (GAAP), fund accounting, restricted funding management, and multi-grant financial administration.