Finance Director

Director of Finance

The Director of Finance serves as the financial leader of Hometown Health Center (HHC), a Federally Qualified Health Center (FQHC) committed to providing comprehensive, high-quality, patient-centered care to all members of our community regardless of ability to pay. Reporting directly to the Chief Executive Officer, the Director of Finance is responsible for the accuracy, integrity, and strategic direction of HHC's financial operations, including accounting, budgeting, financial reporting, and revenue cycle performance.

The Director of Finance provides direct oversight of the Staff Accountant and Billing & Revenue Coordinator, ensuring compliance with Generally Accepted Accounting Principles (GAAP), HRSA financial reporting requirements, and applicable federal and state regulations. This leader serves as a key financial partner to the CEO, Board of Directors, and organizational leadership in driving fiscal sustainability, sound internal controls, and data-driven decision making aligned with HHC's mission, vision, and values.

Essential Duties and Responsibilities:

• Directs and coordinates the annual budget development process in partnership with the CEO and department leadership, ensuring alignment with strategic and grant priorities.
• Prepares financial forecasts and outlooks to support organizational planning and Board decision-making.
• Monitors and analyzes monthly operating results against budget, identifying variances and recommending corrective actions.
• Recommends and monitors benchmarks for measuring the financial and operating performance of departments and service lines.

• Maintains timely and accurate financial accounting records on the accrual basis, ensuring compliance with Generally Accepted Accounting Principles (GAAP).
• Prepares monthly financial statements and operational/statistical reports to track HHC's financial and organizational performance.
• Manages the preparation of the annual report of actual revenues and expenses, and supports the annual independent audit.
• Directs financial audits and implements recommendations for procedural and internal control improvements.
• Develops and maintains systems, policies, and procedures for financial transactions in accordance with professional accounting standards.

• Provides direct oversight of the Billing & Revenue Coordinator, ensuring efficient and compliant billing, collections, and reimbursement processes across all payers.
• Monitors key revenue cycle metrics, including accounts receivable aging, denial rates, and collection performance, and leads improvement initiatives as needed.
• Ensures accurate and timely charge capture, coding compliance, and claims submission in coordination with clinical and operations leadership.
• Supports value-based care and alternative payment model reporting in collaboration with Community Care Partnership of Maine (CCPM) and payer partners.

• Ensures compliance with local, state, and federal budgetary and financial reporting requirements, including HRSA Section 330 grant financial obligations.
• Supports preparation for HRSA operational site visits related to financial management and Federal Tort Claims Act (FTCA) requirements as applicable.
• Ensures compliance with sliding fee discount program financial policies and 340B drug pricing program financial oversight in coordination with organizational leadership.
• Maintains working knowledge of applicable federal and state financial regulations, including UDS reporting requirements.

• Recruits, trains, supervises, and evaluates the performance of the Staff Accountant and Billing & Revenue Coordinator.
• Provides accounting policy orientation and ongoing professional development for finance department staff.
• Designs and maintains an organizational structure and staffing plan to effectively accomplish finance department goals.
• Participates as an integral member of the leadership team, contributing financial expertise to organizational strategy and decision-making.

• Partners with the CEO and Board Finance Committee to develop short- and long-range financial goals, objectives, and operating procedures.
• Prepares financial analysis to support contract negotiations, payer agreements, and capital investment decisions.
• Directs and coordinates debt financing and debt service payments with external agencies, as applicable.
• Serves as a key financial resource for grant applications, funder reporting, and capital campaign planning.

Competencies:

• Financial Acumen: Demonstrates deep knowledge of finance, accounting, budgeting, and cost control principles, including GAAP and healthcare-specific financial regulations.
• Analytical Rigor: Analyzes financial data to prepare accurate reports, statements, and projections that inform organizational decision-making.
• Revenue Cycle Expertise: Applies working knowledge of billing, collections, and reimbursement processes to optimize financial performance.
• Regulatory Acumen: Maintains current knowledge of HRSA financial reporting requirements, UDS measures, and applicable federal/state compliance standards.
• People Leadership: Develops, motivates, and retains high-performing finance staff; fosters accountability and continuous improvement.
• Executive Communication: Communicates financial information clearly to the CEO, Board, and staff with varying levels of financial literacy.
• Process Improvement: Identifies and implements systems, policies, and procedures that strengthen internal controls and operational efficiency.
• Confidentiality & Integrity: Models the highest standards of ethical decision-making in handling sensitive financial and organizational information.

General Expectations:

• Be committed to the mission of Hometown Health Center and the communities we serve.
• Demonstrate and promote HHC's values of respect, honesty, dignity, and equity in all interactions with patients, families, staff, and partners.
• Pursue excellence and continuous improvement in the delivery of care and organizational operations.
• Maintain a professional appearance and demeanor consistent with an executive leadership role.
• Comply with HHC's Standards of Conduct, Compliance Program, and all applicable policies and procedures; compliance will be evaluated as part of the annual performance review process.
• Model punctuality, accountability, and professionalism for the teams you lead.

Physical Requirements:

The physical requirements described here are representative of those that must be met by the Incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee is regularly required to sit for extended periods and operate a standard computer keyboard and mouse, as well as talk and hear. The employee may occasionally be required to stand, walk, and lift and/or move up to 10 pounds. Vision requirements include close vision, distance vision, depth perception, and the ability to adjust focus. Occasional travel to HHC practice locations and off-site meetings may be required.

Work Environment:

The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work is performed primarily in an administrative office setting within a busy medical office environment, with frequent deadlines and periodic interruptions. This role requires the ability to manage competing priorities, maintain accuracy under time pressure, and exercise sound judgment on sensitive financial matters.

Qualifications Needed for Position:

• Education: Bachelor's degree in Accounting, Finance, or related field required. CPA (Certified Public Accountant) or CMA (Certified Management Accountant) certification preferred.
• Experience: Minimum of 5-7 years of progressive accounting/finance experience, including budget development and reporting, general ledger, accounts payable/receivable, and annual audit required. Supervisory experience required. Experience in a Federally Qualified Health Center (FQHC), community health center, or physician practice setting strongly preferred. Working knowledge of healthcare revenue cycle management, HRSA financial reporting requirements, and value-based care payment models preferred.
• Skills & Abilities: Excellent written and verbal communication skills, including the ability to present financial information to the CEO, Board, and staff. Strong analytical skills with advanced proficiency in Excel and financial/accounting software systems. Demonstrated ability to lead a team, manage multiple projects, and meet deadlines in a fast-paced environment. High level of professional judgment and discretion in handling confidential financial and organizational information.