Chief Finance Officer

Community Health Center Network IncSan Leandro, CA

About The Position

The Chief Financial Officer (CFO) is responsible for the planning, implementation and oversight of all finance activities, including budgeting, financial forecasting, oversight of accounting operations, financial reporting, grant compliance and contract negotiations. As a member of the CHCN’s Executive Team, the CFO will participate in executive level decision-making, strategic planning and development of business initiatives and advancing the overall mission and goals of CHCN. The CFO will ensure that all financial reporting and related compliance requirements are fulfilled. The primary function of this role is to provide strong financial leadership for CHCN and AHC across risk-based operations, MSO services, and nonprofit functions.

Requirements

  • Ten (10) years of progressively more responsible executive level experience in health care finance, strategy, and business development.
  • Healthcare finance, managed care and/or Medi-Cal programs, health plans, health centers, strong understanding of capitation models and compliance requirements highly desired.
  • Demonstrated experience working with public funding and healthcare regulatory frameworks preferred.
  • Bachelor’s degree in Finance, Accounting, Business Administration, or related field.
  • A strategic executive with health care experience.
  • A visionary with sound analytical ability, good judgment and strong operational focus.
  • A well-organized and self-directed individual who is politically attuned and a team player.
  • An emotionally intelligent and articulate individual who can relate to people at all levels of an organization.
  • An individual who is trustworthy and willing to share information and serve as a mentor and coach.
  • A decisive individual who possesses a "big picture" perspective and is well versed in the administrative, fiscal and clinical aspects of health care systems management.
  • Very strong understanding of business strategies and drivers.
  • Excellent written and verbal communication skills.
  • Flexibility to quickly adapt to new challenge capacity.

Nice To Haves

  • Master’s degree preferred.

Responsibilities

  • Participate in the development of CHCN’s strategic plans and programs.
  • Participate in Executive Team and advise the CEO on financial matters.
  • Evaluate and advise on the impact of long-range planning, introduction of new programs/strategies and regulatory action.
  • Provide timely and accurate analysis of budgets, financial reports, and financial trends in order to assist the CEO and other senior executives in meeting CHCN’s goals and metrics.
  • Monitor, interpret and analyze performance related to managed care membership, revenue, expenses, medical costs, and utilization.
  • Identify risks and potential business opportunities and make recommendation for action, including providing financial expertise in the planning of new services, contracts, insourcing/outsourcing and expansion.
  • Consult with departments and make recommendations to ensure financial health of the organization in terms of financial results and operating efficiencies.
  • Enhance and/or develop, implement and enforce policies and procedures that will improve the overall operation and effectiveness of the organization.
  • Provide strategic financial input and leadership on decision making issues affecting the organization.
  • Review IBNR methodology and insure accurate calculation on a quarterly basis
  • Ensure assets of the organization are protected.
  • Act as an advisor from the financial perspective on any contracts into which the CHCN may enter.
  • Stay abreast of emerging trends and regulations to ensure effectiveness and compliance for the finance functions.
  • Evaluate, advise on and/or negotiate managed care contracting, both with health plans and specialty physicians.
  • Ensure that financial reporting and financial related compliance requirements are met in accordance with all applicable laws, regulations, and accounting principles.
  • Develop and sustainable growth strategy and monitor controls to preserve the agencies’ assets.
  • Participate in risk management including insurance and business continuity planning.
  • Work with Executive Team to establish specific plans, deliverables and measurable objectives that are related to the short and long-term strategic plan for the organization.
  • Along with the Executive Team, explore opportunities for strategic partnerships.
  • Design financial modeling and contract rate analysis and recommend changes to current business practices based upon findings.
  • Evaluate and advise on the financial impact of long-range planning, introduction of new programs/strategies and regulatory interaction.
  • Provide executive oversight of all accounting functions, including general ledger, accounts payable, accounts receivable, payroll, and month-end/year-end close processes.
  • Ensure timely and accurate preparation of financial statements, management reports, and supporting schedules.
  • Establish and maintain strong internal controls and accounting policies to ensure accuracy, transparency, and compliance.
  • Oversee cash management, liquidity planning, and treasury functions, including banking relationships and investment strategies.
  • Ensure proper revenue recognition across multiple revenue streams, including managed care, MSO service arrangements, and grant funding.
  • Lead the optimization and oversight of financial systems (e.g. ERP platforms such as NetSuite), ensuring alignment with operational and reporting needs.
  • Lead all external audit activities, including annual financial statement audits, single audits (if applicable), and regulatory reviews.
  • Serve as the primary liaison with external auditors, regulatory agencies, and tax advisors.
  • Ensure compliance with all federal, state, and local financial reporting requirements, including nonprofit reporting obligations (e.g., Form 990)
  • Strengthen and maintain internal control frameworks to mitigate financial and operational risk.
  • Oversee the development and documentation of financial policies and procedures to support organizational compliance and audit readiness
  • Oversee financial operations across affiliated entities, including MSO structures, risk-bearing entities, and nonprofit operations
  • Ensure appropriate cost allocation methodologies between entities (e.g., administrative services, shared costs, and intercompany transactions).
  • Monitor financial performance across entities and provide consolidated reporting and insights to executive leadership and the Board.
  • Support structuring and financial oversight of MSO agreements, provider arrangements, and value-based payment models.
  • Establish and cultivate key relationships with our health centers, health plans, provider groups and other community partners.
  • Support CFO peer-to-peer network meetings.
  • Support the CEO in the interaction with the Board of Directors including the attendance at Board meetings
  • Present financial results, forecasts, and strategic insights to executive leadership and the Board.
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