Chief Financial Officer

NeighborHealth•Revere, MA

11d•$240,000 - $450,000•Hybrid

About The Position

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center! As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community! Interested in this position? Apply online and create a personal candidate account! Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions. To learn more about working at NeighborHealth and our benefits, please visit out our Careers Page. Time Type: Full time Department: Finance All Locations: 300 Ocean Avenue – Revere Position Summary: The Chief Financial Officer (CFO) is a key strategic partner to the President & CEO and a critical member of NeighborHealth’s Executive Leadership Team. The CFO provides vision, oversight, and accountability for all financial operations across the organization—including primary care, behavioral health, specialties, PACE, pharmacy/340B, grants management, and administrative functions. The CFO is responsible for the organization’s long-term financial sustainability, the integrity of all financial reporting, and execution of systems, controls, and processes that meet Federal, State, HRSA, CMS, and hospital-licensed health center (HLHC) requirements. This role oversees Accounting, Financial Planning & Analysis (FP&A), Revenue Cycle, Billing/Coding, Payroll, Payables, Procurement, and Grants Management functions. The CFO ensures accurate, timely, and transparent financial information to leadership and the Board, while positioning NeighborHealth to thrive in an increasingly complex and value-based healthcare environment.

Requirements

Bachelor’s degree in Accounting, Finance, Business Administration, or related field required.
Minimum of 7–10 years of progressive leadership experience in healthcare finance, with at least 5 years as a senior leader (Controller, VP Finance, CFO).
Direct experience in: Federally Qualified Health Centers (FQHCs) or community health systems PACE program financial management and regulatory compliance Pharmacy/340B program finance Hospital-based or HLHC billing and reimbursement preferred
Demonstrated experience with multi-payer environments—including capitation, risk-based contracts, ACO models, commercial plans, Medicare/Medicaid, and value-based arrangements.
Proven leadership in systems modernization, process improvement, and financial transformation.
Deep knowledge of: FQHC and PACE regulations, 340B program, and Medicaid/Medicare reimbursement Third-party billing, risk adjustment, and alternative payment methodologies Grants management (federal, state, private) and uniform guidance Healthcare operations, capital planning, and cost accounting
Strong analytical skills; ability to model scenarios, analyze financial performance, and communicate complex concepts clearly.
Exceptional communication and presentation skills; comfortable engaging with Board members, community partners, auditors, and regulators.
Strong relationship-builder with the ability to work across functions and foster organizational trust.
Strategic, innovative, and mission-driven, with the willingness to “roll up sleeves” in a dynamic environment.

Nice To Haves

Master’s degree (MBA, MHA, MPH) and/or CPA strongly preferred.

Responsibilities

Strategic Financial Leadership Serve as the organization’s chief financial strategist, developing long-range financial models, forecasts, and strategies aligned with NeighborHealth’s mission and strategic plan. Advise the CEO, Board of Directors, and Executive Leadership Team on the financial implications of strategic initiatives, new programs, partnerships, and market trends. Lead short- and long-term capital planning, debt management, investment strategies, and liquidity management. Present financial performance, risks, and opportunities to the Finance Committee and Board of Directors.
Financial Operations & Compliance Oversee all financial accounting, reporting, and internal control functions to ensure accuracy, transparency, and compliance with GAAP, OMB Uniform Guidance, HRSA, CMS, 340B, and federal/state regulatory requirements. Direct preparation of all regulatory filings, including UDS, FSR, Medicaid cost reports, PACE financial reporting, IRS Form 990, and grant financial reports. Serve as primary liaison to external auditors, financial institutions, and regulatory agencies. Ensure appropriate organizational insurance coverage, including property, liability, malpractice, directors & officers, workers’ compensation, and stop-loss coverage.
Oversee Finance, Revenue Cycle, and Billing Operations Provide leadership to Accounting, Financial Planning & Analysis (FP&A), Revenue Cycle, Billing/Coding, Payroll, Payables, Procurement, and Grants Management teams. Ensure efficient, compliant billing and collections processes across primary care, behavioral health, dental, pharmacy, PACE, and specialty programs. Oversee optimization of E&M, HCC, and risk-based payment accuracy; drive strategies to maximize reimbursement and reduce avoidable denials. Maintain strong internal controls around cash, purchasing, procurement, and treasury functions.
PACE & Pharmacy/340B Financial Oversight Ensure compliance with federal and state PACE financial requirements, including budgeting, encounter reporting, capitation reconciliation, risk adjustment, and cost allocation. Serve as internal advisor on 340B/retail pharmacy strategy; oversee financial modeling, contracting, and compliance with HRSA, state, and payer requirements. Review and negotiate key financial contracts for PACE, pharmacy vendors, payer agreements, value-based arrangements, and managed care contracts.
Budgeting, Forecasting & Analytics Lead development of the annual operating and capital budgets in collaboration with all departments; ensure budget accountability throughout the year. Create and maintain dashboards, KPIs, and data analytics to support decision-making across clinical, operational, and financial domains. Analyze financial performance trends, risks, and opportunities; implement cost management and revenue enhancement strategies.
Systems & Process Modernization Lead modernization of financial systems, decision-support tools, and revenue cycle infrastructure to increase efficiency, accuracy, and scalability. Ensure the Finance and Revenue Cycle teams have robust technology, business intelligence tools, and workflows to support a rapidly growing, multi-site organization.
Leadership & Culture Recruit, develop, mentor, and evaluate a high-performing Finance and Revenue Cycle team; foster a culture of accountability, continuous improvement, and service excellence. Promote collaborative partnerships across clinical, operational, IT, and administrative teams. Uphold NeighborHealth values of respect, compassion, teamwork, and innovation in all interactions.