Chief Financial Officer

Easterseals Bluegrass•Lexington, KY

3d•Onsite

About The Position

The Chief Financial Officer oversees the financial operations of Easterseals Bluegrass with a focus on grant and fund accounting, regulatory compliance, and financial stewardship of restricted and unrestricted funds. This role ensures accurate tracking, reporting, and reconciliation of multiple funding sources, including government grants, contracts, and private funding. The Chief Financial Officer manages accounting systems and internal controls to ensure compliance with nonprofit accounting standards and funder requirements. A strong knowledge of medical billing, coding, reimbursement, and healthcare revenue cycle management is required. As a key financial leader, the Chief Financial Officer supervises day-to-day accounting functions such as general ledger management, accounts payable and receivable, payroll oversight, and financial reporting. The role is responsible for grant budgeting, expense allocation, cost tracking, and preparation of financial reports for funders, leadership, and the board of directors. The Chief Financial Officer supports audits, monitoring visits, and regulatory reviews, ensuring documentation and reporting meet all applicable standards. This position plays a critical role in safeguarding organizational resources, maintaining transparency, and supporting informed decision-making to sustain the nonprofit’s mission and programs.

Requirements

Bachelor’s degree in Accounting, Finance, or related field
Minimum of 5 years of progressive accounting experience, including nonprofit accounting
3-5+ years healthcare or medical billing experience
Demonstrated experience with grant and fund accounting, including restricted funds
Strong knowledge of nonprofit accounting standards and financial reporting practices
Experience preparing financial reports for grants, contracts, and funding agencies
Experience supporting audits and maintaining audit-ready documentation
Knowledge of internal controls, financial compliance, and regulatory requirements
Supervisory experience and ability to lead accounting staff
Proficiency with accounting software and financial management systems
Advanced Excel and financial analysis skills

Nice To Haves

Certified Public Accountant (CPA) or equivalent credential
Experience with government grants or federally funded programs
Experience in a healthcare setting to understand medical billing, coding, and lifecycle of revenue
Experience working in a nonprofit or community-based organization
Experience with cost allocation plans and indirect cost recovery
Knowledge of board reporting and nonprofit financial governance

Responsibilities

Oversee accounting for multiple funding sources, including government grants, contracts, and private funding
Ensure accurate tracking of restricted and unrestricted funds
Monitor grant budgets, expense allocations, and cost allowability
Prepare and submit financial reports for funders in accordance with grant and contract requirements
Support grant budgeting, renewals, and financial components of proposals
Prepare monthly, quarterly, and annual financial statements
Ensure compliance with nonprofit accounting standards and regulatory requirements
Maintain documentation to support audits, monitoring visits, and financial reviews
Assist with preparation for annual audits and coordinate auditor requests
Oversee general ledger, journal entries, reconciliations, and month-end close
Supervise accounts payable, accounts receivable, billing, and payroll processes
Ensure proper internal controls and financial procedures are in place
Maintain accounting systems and chart of accounts to support fund tracking
Assist leadership with organizational and program budgeting
Provide financial analysis and reporting to support decision-making
Monitor expenditures and identify variances or financial risks
Supervise billing department and revenue cycle staff
Monitor claims submission, denials, and reimbursement trends
Ensure proper CPT, ICD-10, and HCPCS coding compliance
Review payer contracts and reimbursement rates
Analyze KPIs (Days in AR, Net Collection Rate, Denial Rate)
Ensure compliance with Medicare, Medicaid, and commercial payer regulations
Supervise accounting and billing staff and support professional development
Promote accountability, accuracy, and efficiency within financial operations
Prepare financial reports for executive leadership and the board of directors
Communicate financial information clearly to non-financial stakeholders
Ensure responsible stewardship of organizational resources
Support the nonprofit’s mission through transparent and compliant financial practices