Chief Financial Officer

Galveston County Health District•Texas City, TX

25d

About The Position

Coastal Health & Wellness is seeking an experienced, strategic financial leader to oversee financial operations, strengthen fiscal accountability, and support the long-term sustainability of its community health center. This executive leadership position contributes to financial planning and operational decision-making while ensuring resources are managed effectively to support quality healthcare services for Galveston County residents. The CFO leads finance and revenue cycle teams and collaborates with executive and department leaders to inform organizational decisions.

Requirements

Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a closely related field.
Significant progressively responsible financial management experience.
Demonstrated experience in budgeting, financial reporting, internal controls, audits, cash management, and accounting operations.
Advanced knowledge of accounting principles, financial planning, forecasting, and financial analysis.
Knowledge of healthcare finance, reimbursement, and financial operations.
Understanding of Federally Qualified Health Center (FQHC) financial operations and federal grant requirements.
Strong analytical, problem-solving, organizational, and leadership skills.
Ability to communicate complex financial information clearly to executive leadership and non-financial audiences.
Strong written, verbal, and presentation skills.
Ability to manage competing priorities, meet deadlines, and maintain confidentiality.
High standards of integrity, accountability, accuracy, and financial stewardship.
Ability to travel between clinic locations and work outside normal business hours as needed.

Nice To Haves

Master's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field.
CPA, CMA, CHFP, or comparable professional certification.
Senior financial leadership experience in healthcare.
Experience in an FQHC, community health center, nonprofit healthcare organization, or public healthcare setting.
Experience with federal grants and grant accounting.
Experience with healthcare revenue cycle management.
Experience working with Governing Boards or Board finance committees.
Experience with 340B financial operations, Medicare/Medicaid reimbursement, cost reporting, or public healthcare financing.

Responsibilities

Provide executive leadership and oversight of financial operations, accounting, and fiscal management.
Develop financial strategies that support organizational growth, sustainability, and strategic priorities.
Lead development and management of annual operating and capital budgets.
Prepare and present financial statements, forecasts, and performance reports to executive leadership and the Governing Board.
Oversee accounting operations, cash management, internal controls, and financial reporting.
Direct financial oversight of federal grants, grant accounting, and restricted funding.
Coordinate annual financial audits and ensure compliance with applicable financial and regulatory requirements.
Provide executive oversight of revenue cycle operations, including billing, collections, reimbursement, and accounts receivable.
Oversee financial performance and reporting related to the 340B Drug Pricing Program.
Ensure purchasing, procurement, and financial transactions comply with organizational policies and applicable requirements.
Monitor financial risks, identify opportunities for improvement, and recommend corrective actions.
Evaluate the financial feasibility of new programs, service expansions, and organizational initiatives.
Lead, mentor, and develop finance and revenue cycle teams.
Collaborate with executive leadership and department leaders to support informed financial and operational decisions.