Chief Financial Officer

Cahaba Medical Care Foundation•Centreville, AL

About The Position

Cahaba Medical Care Foundation (CMCF), a Federally Qualified Health Center with 27 sites across seven Alabama counties, is seeking a Chief Financial Officer to support the Deputy CEO, CEO, and Board of Directors. The CFO develops and implements financial strategies that advance the organization’s mission and goals, evaluates and reports on its financial health, builds tools for financial and operating decisions, and supports long-term sustainability and growth. The CFO leads a department of approximately 30 staff and oversees accounting, financial reporting, cash management, budgeting, forecasting, financial analysis, and financial compliance. The CFO oversees financial and operational management, financial planning and analysis, strategic planning and leadership, risk management and compliance, board relations and reporting, and finance-team management. The role works closely with executive leadership, the Board, department managers, committee members, and external consultants and financial service providers. The administrative office environment requires professional behavior and business-casual attire, along with strict adherence to safety protocols. Cahaba Medical Care is nicotine-free, prohibits smoking and electronic cigarette use anywhere on its campuses, and requires staff to follow TB screening and immunization policies consistent with CDC recommendations for healthcare workers.

Requirements

At least 12 years of broad finance experience.
Experience managing the finance function—including accounting, budgeting, control, and reporting—within a multi-site entity.
A proven track record of successful financial management, including developing and implementing financial strategies, managing budgets, and overseeing financial reporting and compliance.
Bachelor of Science degree in a business-related field.
Expertise in GAAP compliance and audit coordination.
Experience with revenue cycle management functions, including provider enrollment and medical billing.
Advanced proficiency in managing and using accounting software.
Regular use of spreadsheet software to manipulate large datasets, including complex formulas.
Indisputable reputation for integrity.
Ability to work strategically and tactically in partnership with organizational principals.
Strong cash-management focus.
Ability to translate strategic vision into an operational model.
Collaborative and flexible working style and strong service motivation.
Ability to cooperate persuasively with functional areas outside Finance.
Highly analytical approach and professional curiosity.
Effective leadership and management practices for building and leading high-performing teams across Accounting, Finance, Medical Billing, Provider Enrollment, and Purchasing.
Interest in mentoring others.
Ability to communicate financial information to non-financial stakeholders.
Adherence to the organization’s TB screening and immunization policies for healthcare workers.
Professional conduct, business-casual attire, and adherence to administrative-office safety protocols.

Nice To Haves

Master’s degree.
Finance experience ideally beginning in accounting, followed by experience gathering and evaluating financial information and making actionable recommendations to senior leadership.
Passion for Cahaba Medical Care’s Core Cultural Competencies.

Responsibilities

Develop and implement financial strategies that support the organization’s mission and goals.
Oversee accounts, ledgers, reporting systems, and financial records, ensuring accuracy and compliance with Generally Accepted Accounting Principles (GAAP).
Coordinate audits and provide accurate information and transparent responses to inquiries.
Develop and maintain cash-flow projections, minimum cash thresholds, and reporting mechanisms; optimize banking relationships and cash positions.
Manage grant activity, including budgets, spending monitoring, reconciliations, progress reports, and audit support, according to grantor requirements.
Ensure sound revenue cycle management that maximizes cash flow and complies with billing rules, laws, and regulations.
Prepare and present financial reports and performance metrics, analyses, and recommendations to organizational leaders.
Cooperate with Human Resources to ensure accurate and timely payroll.
Implement spending controls aligned with budgets and goals, including an employee credit-card program.
Review contracts for financial implications and recommend counter-proposals when appropriate.
Represent the organization at internal and external events and meetings, providing financial information, guidance, support, and training as needed.
Develop and maintain forecasting models emphasizing cash-flow management and long-term financial planning.
Analyze financial data, forecast trends, and provide decision-support insights.
Develop and oversee the annual budgeting process with executive leadership, department managers, and stakeholders.
Monitor actual performance against budgets and report updates and analyses to the Deputy CEO, CEO, and Board of Directors.
Develop business cases and profitability models, assess alternative strategies and what-if scenarios, and guide cash allocations.
Work with the Deputy CEO, CEO, and senior leaders to develop and implement strategic plans and goals.
Evaluate financial implications, risks, and potential gains of major decisions.
Develop financial and operational tools and systems and make actionable recommendations on strategy and operations.
Assess organizational performance against long-term strategy and guide capital allocation decisions.
Engage regularly with the Deputy CEO and CEO about issues, trends, and changes in projections; prepare meeting agendas as needed for financial discussions with executive leadership and the Executive Committee.
Select and engage outside consultants, including auditors and subject-matter experts, when appropriate.
Oversee finance and accounting compliance with applicable laws and regulations, including GAAP and FQHC-related requirements, audits, grant management, tax filings, and other reporting obligations.
Identify financial risks and recommend mitigation actions; implement internal controls to guard against fraud, embezzlement, and false reporting.
Maintain relationships with external auditors and financial service providers to support compliance.
Prepare an adapted high-level monthly financial report for the CEO to present to the Board, including budget performance, forecasts, risks, and opportunities.
Report organizational financial performance to the Board when directed by the CEO.
Lead the Finance Committee and collaborate with committee members to provide strategic financial guidance.
Work with executive leadership and the Board to develop and implement financial policies and procedures aligned with organizational values and strategic goals.
Lead, mentor, and develop the finance team, fostering continuous improvement and professional development.
Provide feedback and training, delegate assignments, solve problems, manage work allocation, provide executive support, recognize contributions, enforce discipline, and model organizational core values.
Participate in or lead cross-functional teams, bringing financial perspectives to discussions and decisions.