Chief Financial Officer

IMMEDIATE SUPERVISOR : Controller, Director of Patient Accounts, Grants Manager
As part of a dynamic team at Charles River Community Health (CRCH), aFederally Qualified Health Center (FQHC) providing compassionate care to underserved communities, the Interim Chief Financial Officer (CFO) provides strategic leadership in the areas of accounting, patient revenue cycle, finance, planning, budgeting, grants management, reporting and administration. In this capacity, the Interim CFO oversees the financial accounting, auditing, billing/collections, fee-for-service and value-based payer contracts management, grants management, reporting, and accounts receivable and payable functions at the Health Center, and staffs the Board of Directors’ Finance Committee. While this position is at the Senior Leadership Team level, all SLT members also perform hands-on work given the size of the organization.
In addition to being an excellent health care finance and accounting professional, the Interim CFO is expected to be a collaborative and supportive member of the Senior Leadership Team, and champion organizational events, needs, and change management initiatives. The Interim CFO is also expected to set a tone and culture of innovation, encouraging, and supporting streamlining and automating where needed to improve departmental and organizational performance through improved efficiency and effectiveness. The Interim CFO is expected to be a champion of the organization’s mission, vision, and strategic priorities, and embrace a culture of diversity, equity and inclusion.
Charles River Community Health will be going through a planned CEO transition in January 2025 after the current CEO decided 2024 will be her last year at the health center after more than 20 years of service.
Executive oversight of all financial aspects of the delivery of Health Center services. Ensures finance-related activity supports the Health Center’s strategic plan and organizational priorities and needs.
Implements finance plans, programs, standards, procedures and policies and updates same as needed to comply with funder and regulatory requirements.
Evaluates Health Center financial and operational performance and plans and develops standards, procedures, and policies to improve efficiency, productivity, and patient service.
Executive oversight of timely and accurate preparation of financial statements for internal use, as well as cost reports and other financial reports required by funding and regulatory agencies. Ensure budget and other financial materials are easy to comprehend and user-friendly to internal managers with various levels of financial knowledge.
Executive oversight of the preparation of the organization’s year end audit, including A-133 audit, and 403(b) testing and compliance in partnership with HR.
Executive oversight of the preparation and filing of corporate federal and state tax returns.
Executive oversight of the preparation of Health Center’s annual operating and capital budgets; and submits regular budget updates and analysis to the Senior Leadership Team and Board. Maintains fiscal vigilance over Health Center's expenditures in alignment with SLT roles and responsibilities.
Executive oversight of cash flow planning to ensure positive liquidity and availability of funds as needed. Executive oversight of cash and investments; conducts proactive risk-planning and asset management, as well as oversight and implementation of related policies. Provides executive oversight of financing strategies and activities, and banking relationships.
Conducts forward-looking, predictive models and activity-based financial analyses to provide insight into the Health Center’s operations and business plans, especially with the Health Center’s recent move to capitated payment under the MassHealth program.
Ensures adequate controls are in place and that substantiating documentation is approved and available such that all operating, and capital procurement is compliant with funder and regulatory requirements.
Executive oversight of grant funding from prospective applications through to post award budget adjustments and reporting to ensure organization has the grant revenue and resources it needs to support non-billable services, as well as planned and unplanned service expansion and other organizational and community needs.
Stays abreast of changes in payer reimbursement strategy and related models, and is an executive champion and advocate to advance reimbursement for Federally Qualified Health Centers.
Meets regularly with Senior Leadership Team and direct reports to facilitate communication in developing operational and financial goals, objectives, and strategies.
Hires, trains, supervises, and evaluates Accounting, Billing, and Grant staff in accordance with personnel policies.
Actively identifies changes in Federal, State, and local reimbursement and regulations and makes recommendations for change in strategy, patient care, or operations.
Executive oversight of Health Center’s various non-clinical insurance policies; Works collaboratively with Senior Leadership Team and staff in meeting HRSA, DPH, NCQA Patient Centered Medical Home recognition and other regulatory and/or funding requirements.
Performs other roles, responsibilities, and projects requested by the Chief Executive Officer.
Masters’ Degree in business, accounting or finance field required; Previous experience working in Federally Qualified Health Centers (FQHCs) strongly preferred.
This is critical to success in the role given the Health Center’s size and staffing resources.
Hybrid schedule of on-site and remote work available after 90-day on-site new hire period.
particularly in non-profit and grant accounting with minimum operating budget oversight of $20 million.
Strong analysis, communication, operations management, and system management skills.
Strong proficiency in billing/revenue cycle and accounting systems required, and ability to be hands on and run reports required. Blackbaud accounting software experience a plus.
Strongly proficient in Microsoft Office suite of products and able to prepare executive-level communications, presentations, and complex analyses.
Experience in diverse culture preferred with strong commitment to promoting Diversity Equity and Inclusion and reducing inequities.
Must be available to attend monthly evening meetings of the Board and Finance Committee.
Charles River Community Health’s mission is to partner with individuals and families so they can thrive and lead healthier lives by delivering the comprehensive, integrated, and equitable primary healthcare that matters most to them.
CRCH is a comprehensive practice providing medical, pharmacy, dental, behavioral health, optical, and vision services to diverse underserved local communities. We serve over 13,500 patients annually, and 90% of those served are low income, while over 70% need services in a language other than English.
We are committed to providing patients with timely access to the right care, at the right place and at the right time, collaborating with other organizations to connect patients with a comprehensive range of services and provide continuity of care, and creating new community partnerships to meet the changing needs of patients and the community.
We value caring for everyone with dignity, respect, and compassion, reducing cultural, financial and other barriers to care, and eliminating health care disparities for our patients. We also advocate for the needs of our patients, the community, and public health causes.
Medical & Dental Insurance
Short & Long-term Disability Insurance
Generous Paid Time Off
Flexible Spending Account
Employee Assistance Program
Travel Reimbursement
Professional Development Opportunities
Charles River Community Health is strongly committed to diversity and a workplace environment that respects, appreciates and values employee differences and similarities. By providing and supporting a work culture that fosters and builds upon diversity and its strengths, CRCH will better serve our local communities and continue to provide quality patient care and services. CRCH is an employment at-will organization and an equal opportunity employer committed to maintaining a work and learning environment free from discrimination on the basis of sex, race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, genetic information or disability, as defined and required by state and federal laws.