Director of Finance - Healthcare

Keller Executive Search is partnering with an established nonprofit community health organization to appoint a Finance Director. Operating within the Federally Qualified Health Center (FQHC) sector, our client provides accessible healthcare while navigating complex reimbursement, funding, and regulatory requirements.

The Finance Director will oversee all financial operations, including reporting, budgeting, forecasting, reimbursement, cash management, audits, internal controls, and compliance. The role requires strong, hands‑on FQHC expertise, particularly in UDS reporting, PPS reimbursement, Medicare and Medi‑Cal cost reporting, HRSA requirements, and Sliding Fee Discount Program oversight.

Working closely with executive leadership and the Board, the successful candidate will provide strategic financial guidance, lead and develop the finance team, strengthen financial systems and controls, and support the organization's long‑term financial sustainability.

Key Responsibilities

• Lead the finance department and maintain timely, accurate, and compliant financial operations
• Direct monthly, quarterly, and annual close, financial statements, management reporting, and variance analysis
• Lead operating and capital budgeting, forecasting, cash‑flow planning, and financial analysis
• Oversee UDS financial and statistical reporting and its reconciliation with accounting and encounter data
• Direct Medicare and Medi‑Cal cost reporting, reconciliations, settlement reviews, and applicable HCAI reporting
• Lead PPS rate and reimbursement analysis using encounter data, allowable costs, payer trends, and change‑in‑scope considerations
• Oversee the financial administration and HRSA compliance of the Sliding Fee Discount Program
• Analyze payer mix, reimbursement, visit trends, revenue‑cycle performance, costs, and financial risks
• Oversee the general ledger, accounts payable, accounts receivable, payroll coordination, and cash management
• Strengthen accounting policies, procedures, internal controls, and financial reporting systems
• Lead audit preparation and serve as the primary finance liaison with auditors, grantors, payers, and regulators
• Advise executive leadership, operational leaders, and the Board on performance and financial decisions
• Lead, mentor, and develop finance staff while documenting critical processes and building backup capacity

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field
• At least 7 years of progressive accounting or finance experience
• At least 3 years of healthcare finance leadership or management experience
• Strong applied FQHC finance expertise, including UDS, PPS reimbursement, Medicare cost reporting, HRSA requirements, and Sliding Fee Discount Program oversight
• Demonstrated ability to independently direct a healthcare finance function spanning close, reporting, budgeting, cash management, audits, and controls
• Strong knowledge of GAAP, healthcare reimbursement, regulatory financial compliance, and grant‑supported operations
• Strong analytical, organizational, leadership, and executive communication skills
• Existing authorization to work in the United States without employer sponsorship
• Ability to work full‑time on site in Chula Vista, California

Preferred

• Three or more years within an FQHC, community health center, or comparable safety‑net healthcare organization
• Experience with HCAI reporting, Medi‑Cal cost reporting, reconciliations, and settlement review
• HRSA Section 330 grant management, Uniform Guidance, single‑audit, or operational site visit experience
• PPS rate‑setting and change‑in‑scope analysis experience
• Finance leadership across multiple healthcare sites or service lines
• Previous direct supervision of finance or accounting staff
• CPA, MBA, MHA, or another relevant advanced credential
• Advanced Microsoft Excel and accounting or financial reporting systems proficiency

• Salary: $160000 – $200000
• Health, dental, and vision insurance
• 401(k) or retirement plan match
• Paid time off
• Life and disability insurance
• Relocation assistance

Equal Opportunity policy

The statements below apply to both Keller Executive Search and our clients.

Equal Employment Opportunity:

We are Equal Opportunity Employers. Qualified applicants receive consideration without regard to race, skin color, religion, sex, sexual orientation, gender identity or expression, national origin, age, protected veteran status, disability, genetic information, or any other legally protected status.

Diversity:

We are committed to a diverse, inclusive environment where all individuals are valued and respected.

Reasonable Accommodations:

We provide reasonable accommodations to individuals with disabilities and pregnant individuals, determined through an interactive process.

Compensation:

For client positions, compensation appears in the job post or will be shared during interviews per applicable law. Salary ranges are included when legally required and may vary by role and location. Actual salary may depend on skills, experience, and comparison to current employees in similar roles.

Compliance with Laws:

We comply with federal, state, and local nondiscrimination laws across all employment terms, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

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Harassment based on race, skin color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status is prohibited.

E-Verify:

We may participate in E-Verify. Details will be provided during the application process where applicable.

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• California residents: See our Privacy Policy at for the categories of personal information collected for recruiting and employment.
• Colorado, Nevada, New York City, California, and Washington residents: Compensation is in the job post or will be provided during interviews.
• We are committed to pay equity and conduct periodic pay equity analyses per applicable law.

State-Specific Information:

• Rhode Island: We do not request or require salary history.
• Connecticut: We provide wage ranges upon request or before discussing compensation.
• New Jersey: We do not inquire about salary history unless voluntarily disclosed.

Veteran Status:

We provide equal opportunities to veterans and comply with applicable state veteran preference laws. Veterans, please inform us during the application process.

Use of Artificial Intelligence in Recruitment

We may use AI tools solely to support human review of candidate qualifications and materials. AI never automatically rejects, disqualifies, or makes final hiring decisions. Experienced recruiters review all AI‑assisted evaluations, and qualified human recruiters make all hiring decisions. Our AI use aims to enhance fairness, consistency, and efficiency in line with our equal opportunity and non‑discrimination principles.

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Per federal and state law, we do not discriminate based on genetic information or request it from applicants or employees, except as permitted by law.

Local Laws:

We comply with all applicable local employment laws and ordinances where we operate.

Note:

This posting may be for a position with Keller Executive Search or a client. The employer will be identified during the application and interview process. Employment laws and requirements may vary by employer and location.