Finance Director

Finance Director

Established in 1971, HealthQ has been a trailblazing and trusted non-profit organization providing sexual and reproductive healthcare in Massachusetts' North Shore and Merrimack Valley for over 50 years. At HealthQ, we are committed to providing exceptional reproductive and sexual health care to all who need it without judgment and without barriers. Our services include birth control, abortion, gender-affirming care, STI testing and treatment, vasectomies, HIV testing and referral, and other preventive health services.

The Finance Director is responsible for the oversight and day-to-day management of financial operations, revenue cycle management, and financial compliance for HealthQ, an organization with an annual budget of approximately $5 million and a staff of 30. This role ensures the integrity, accuracy, and timeliness of financial reporting, and provides effective management across key functional areas including billing, accounts receivable, grant management, payer contracting, and adherence with federal, state, and organizational requirements.

The Finance Director directly supervises a part-time Finance Assistant and provides oversight of key outsourced partners, including third-party accounting / bookkeeping and medical billing vendors. Working in close collaboration with clinical and administrative leadership, this position plays a key role in advancing organizational sustainability and effectiveness by delivering sound financial stewardship, operational insight, and strategic guidance.

Financial Management & Reporting:

• Supervise financial processes, including budgeting, forecasting, cash flow management, and financial analysis, to support decision-making.
• Oversee general ledger activity, monthly reconciliations, accounts payable, and payroll coordination to ensure timely, accurate financial records.
• Prepare monthly, quarterly, and annual financial reports, ensuring accuracy and compliance with GAAP and non-profit accounting standards. Present reports to the Board Finance Committee.
• Monitor financial performance and trends, recommend strategies to optimize revenue and sustainability.
• Support leadership with short- and long-term cash flow forecasts and financial planning.

Revenue Cycle Management:

• Oversee the full revenue cycle, including patient billing, claims submission, payment processing, and collections.
• Ensure timely reimbursement, denial management, and optimization of accounts receivable performance.
• Supervise payer contracting (including negotiations) and relationships to optimize reimbursement rates.
• Develop, implement and maintain compliance policies and procedures in alignment with Medicaid, Medicare, commercial insurance, and other third-party payer requirements.

Supervision & Vendor Oversight:

• Directly supervise and coach a part-time Finance Assistant, including performance management, goal setting, and professional development.
• Provide oversight and performance management of a third-party accounting and bookkeeping vendor, ensuring accuracy, timeliness, and adherence to GAAP and non-profit accounting standards.
• Provide oversight and performance management of a third-party medical billing vendor; establishing KPIs, monitoring accounts receivable, denial rates, and reimbursement timeliness.

Compliance & Risk Management:

• Ensure compliance with federal, state, and payer regulations, including HIPAA, billing guidelines, 340B, and non-profit financial requirements.
• Lead coordination of financial audits and tax filings, in collaboration with the Administrative Operations Director and external auditors.
• Coordinate presentation of financial audit reports to the board and address adverse outcomes, if any.
• Maintain and strengthen internal financial control and safeguard systems, to mitigate risks and optimize revenue integrity.

Grants, Cost Reimbursement Contracts, and Restricted Funds Management:

• Oversee financial management and reporting for grants and restricted funding, ensuring expenditures are aligned with approved budgets and funder requirements.
• Prepare, review and submit financial reports to government agencies, foundations, and other grantors, as required.

Financial Management of Bank Accounts:

• Oversee the organization's bank accounts, including establishing and maintaining appropriate account structures to support operational and programmatic needs.
• Monitor daily cash balances and liquidity to ensure sufficient funds are available to meet obligations.
• Implement and enforce internal controls over cash handling, disbursements, and account access to safeguard organizational assets.
• Manage banking relationships, including negotiating services, fees, and credit arrangements.
• Develop and maintain cash management and investment strategies aligned with organizational policies and risk tolerance.
• Oversee compliance with all relevant financial regulations, audit requirements, and organizational policies related to cash handling and banking activities.

Process Improvement & Team Leadership:

• Identify and implement opportunities to streamline financial and revenue cycle processes to improve efficiency and effectiveness.
• Lead the evaluation and adoption of technology solutions to enhance billing accuracy and reduce administrative burden.
• Collaborate with cross-functional leaders to translate complex financial data into clear, actionable insights to support informed decision-making.

Other Responsibilities:

Perform other duties as assigned.

Qualifications & Skills:

Experience/Skill Requirements:

• Minimum of 5 years of experience in healthcare finance, revenue cycle management, or a related role.
• Strong knowledge of GAAP accounting principles
• Knowledge of Medicaid, Medicare, and commercial insurance reimbursement policies
• Experience managing cash flow in a reimbursement-driven healthcare environment
• Experience with electronic health records (EHR) and billing systems, preferably athenahealth.
• Strong analytical skills with the ability to interpret financial data and implement strategic solutions
• Excellent leadership, communication, and interpersonal skills, with the ability to build relationships and work effectively with leadership, external partners, and team members
• Commitment to reproductive health care, equity, and social justice
• Ability to manage complexity and ambiguity.
• Proficiency in MS Office, Quickbooks systems, and other financial reporting software.

Education/Knowledge Requirements:

• Bachelor's degree in Finance, Accounting, Healthcare Administration, or a related field required; Master's degree preferred.
• Certification as a Certified Public Account (CPA), Healthcare Financial Management (e.g., HFMA CRCR, CHFP), or Certified Professional Coder (CPC) is a plus.
• Experience in a federally-funded nonprofit or health center.
• Familiarity with grant financial management and reporting requirements.
• Bilingual preferred, especially Spanish.

Compensation and Benefits:

The compensation range for this position is $83,000 - $104,000 and the starting salary offer will primarily be determined by the years of experience the candidate brings to the role. HealthQ offers annual increases

Benefits:

• Health insurance for employees and dependents (75% employer-paid)
• Dental and vision insurance
• Vacation (3 weeks) and sick (2 weeks) time
• Retirement plan (3% match after 1 year)
• Self-care benefit reimbursement
• Education reimbursement and more

Work Schedule:

This position is fully on-site and requires regular, in-person presence at the home-site location. HealthQ's health centers are open Monday - Friday between 8:30 am and 7:30 pm. The position offers some flexibility in determining a work schedule that aligns with staff and organizational needs. Occasional early morning, evening, and weekend hours may be required based on organizational and project needs.

Physical Requirements:

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

While performing the duties of this job, the employee is regularly required to utilize devices for data entry. The employee is frequently required to stand; sit; use hands to finger, handle, or feel and reach with hands and arms. The employee may occasionally be asked to lift up to 25 pounds. The vision requirements include: close vision, color vision and depth perception and the ability to read 10 point or larger type. The employee must communicate effectively in English both orally and in writing sufficient to prepare and send reports, and to interact with staff and peers.

To Apply:

Candidates should submit a cover letter outlining their interest and qualifications, along with a resume.

Applications will be reviewed on a rolling basis. There will be 3 rounds of interviews. The process will include a screening interview with a member of HealthQ