Chief Financial Officer

KEY POINT HEALTH SERVICES INC•Aberdeen, MD

7d•$145,000 - $160,000•Hybrid

About The Position

The Chief Financial Officer (CFO) leads financial strategy and daily accounting operations for Key Point Health Services, Inc. (KPHS), a community behavioral health organization serving individuals and families across Maryland. Reporting to the CEO and serving on the executive leadership team, the CFO supports financial stability, accessible care, and responsible growth. The role combines executive financial leadership with hands-on accounting expertise, owning the integrity of financial records and the close process, leading budgeting, cash flow, and revenue cycle performance, and translating financial information into practical recommendations. The position also supports expanded services and KPHS’s goal of becoming a Certified Community Behavioral Health Clinic (CCBHC) by 2030. Key Point Health Services is a nonprofit agency serving people with behavioral healthcare needs in the Greater Baltimore area. Its community-based services include outpatient mental health centers, adult and child psychiatric rehabilitation programs, school-based therapy, community outreach, and residential services. The role is based at KPHS headquarters in Aberdeen, Maryland. The schedule is Monday through Friday, with a hybrid arrangement available after 90 days. Work involves computer use, financial analysis, meetings, and collaboration across KPHS locations. Periodic travel to program sites and availability for scheduled leadership or advisory board meetings may be required. Essential functions may be performed with reasonable accommodation. Related duties may be assigned as organizational needs evolve.

Requirements

Bachelor’s degree in accounting, finance, or a closely related field with substantial accounting coursework.
At least eight years of progressively responsible finance or accounting experience, including at least five years leading financial operations and supervising staff.
Experience in healthcare or behavioral health finance, including Medicaid reimbursement and revenue cycle management.
Hands-on experience managing the general ledger, preparing financial statements, completing month-end and year-end close, and resolving reconciliation and accounting issues.
Strong knowledge of budgeting, forecasting, cash management, internal controls, and audit preparation; ability to analyze performance across programs and recommend action.
Proficiency with financial systems, spreadsheets, and reporting tools, with the ability to evaluate and improve workflows and data quality.
Ability to communicate financial information clearly, exercise sound judgment, protect confidential information, and work effectively with clinical and nonclinical leaders.

Nice To Haves

Active Certified Public Accountant (CPA) credential.
Master’s degree in accounting, finance, business administration, or a related field.
Experience as a CFO, vice president of finance, controller, or comparable senior finance leader in a nonprofit community behavioral health organization.
Experience with Maryland’s public behavioral health system, psychiatric rehabilitation, residential rehabilitation, outpatient mental health, or similar services.
Experience with nonprofit accounting, grants and restricted funds, government contracts, and healthcare cost reporting.
Familiarity with CCBHC financial planning, cost reporting, or prospective payment methodologies.
Experience supporting organizational growth and systems modernization.

Responsibilities

Advise the CEO and executive leadership team on financial performance, emerging risks, resource allocation, and the financial implications of operational decisions.
Lead annual budgets, rolling forecasts, and multiyear financial plans, including assumptions for staffing, service volume, reimbursement, and expenses.
Assess the financial feasibility of new programs, service expansions, facility projects, partnerships, and other investments; develop business cases and monitor results.
Prepare financial reports and recommendations for the CEO, advisory board, and applicable committees, explaining variances, corrective actions, and decisions requiring attention.
Own the general ledger and monthly and year-end close calendar; prepare or review journal entries, accruals, adjusting entries, and supporting schedules, and resolve discrepancies.
Prepare or review bank, balance sheet, and subledger reconciliations, including accounts receivable and payroll liabilities; investigate differences and maintain documentation.
Manage accounts payable, receivables accounting, payroll accounting, and cash receipt processes, ensuring accurate coding, timely processing, and required approvals.
Prepare or review financial statements in accordance with generally accepted accounting principles and applicable nonprofit requirements; maintain supporting records and explain significant changes.
Maintain the chart of accounts, fixed asset and depreciation schedules, restricted fund accounting, and consistent cost allocations; report results by program, location, and funding source.
Oversee administration of the organization’s 403(b) retirement plan, including contributions, withdrawals, and loans, in coordination with payroll and the plan administrator.
Compile supporting information and assist independent auditors with the required annual 403(b) plan audit.
Manage accounting and financial activities for St. Anthony’s Homes, Inc., including payments, receipts, rent rolls, general ledger accounts, and budgets.
Coordinate correspondence with HUD, work with the Administrative Services Organization (ASO), review contracts, and compile financial records and supporting schedules for the annual HUD-required independent audit.
Maintain short-term cash forecasts, monitor liquidity and reserves, and recommend actions to meet obligations and support financial stability.
Oversee banking relationships, debt and financing arrangements, and investment activities within approved authority and organizational policies.
Partner with leaders on staffing plans, purchasing, vendor agreements, and expense controls that support service quality and long-term sustainability.
Lead revenue cycle performance with clinical, operations, billing, and technology leaders, covering eligibility and authorization through billing, payment posting, collections, and reconciliation.
Monitor accounts receivable aging, denials, underpayments, unbilled services, and collection trends; establish accountability for resolving issues and preventing recurrence.
Evaluate payer reimbursement, service costs, contract terms, and program margins, and communicate the financial impact of payer and policy changes.
Collaborate with program and compliance leaders to strengthen documentation and billing workflows, reduce preventable revenue loss, and support accurate claims.
Serve as the primary contact for external auditors and tax preparers; prepare audit schedules, coordinate tax filings and required cost reports, and address findings.
Oversee financial administration of grants, contracts, and restricted funds, including budgets, allowable costs, allocation methods, reporting, and reconciliation.
Maintain internal controls, approval limits, and segregation of duties, and arrange independent review of transactions and reconciliations prepared by this role.
Partner with compliance and program leaders on payer reviews, accreditation preparation, and applicable federal, state, and contractual financial requirements.
Lead, coach, and develop finance, accounting, and revenue cycle personnel within the assigned reporting structure; establish expectations and cross-training.
Build financial understanding among program leaders through practical budget reviews, accessible reports, and shared ownership of corrective actions.
Improve financial systems, dashboards, and workflows; partner with IT to strengthen data integrity, automate manual work, and connect financial and operational reporting.
Develop financial readiness for CCBHC planning, including service cost analysis, funding scenarios, and reporting capacity as requirements become applicable.