Chief Financial Officer (CFO)

FoundCare, Inc.•West Palm Beach, FL

21d

About The Position

The Chief Financial Officer (CFO) provides strategic financial leadership as a member of FoundCare’s executive leadership team and advises the Chief Executive Officer, to whom the position reports directly. The CFO ensures financial stewardship, sustainable operations, and financial compliance across health center services, HRSA Section 330 awards, Ryan White funding, patient service revenues, and other public and private funding. The CFO implements financial policies and controls in collaboration with executive leadership, program leaders, and compliance personnel, subject to the CEO’s authority and the Board of Directors’ oversight and approval responsibilities. The role leads organizational and grant budgeting, forecasting, cost analysis, and long-term planning; oversees accounting, award administration, audits, reporting, payroll and purchasing controls, cash management, revenue-cycle financial matters, insurance, assets, tax filings, and financial systems; and prepares financial information and recommendations for the CEO, Board committees, and Board. The CFO also leads and develops the Finance and Accounting team and works with stakeholders across the organization to maintain compliance with applicable accounting, grant, healthcare, tax, privacy, and other regulatory requirements.

Requirements

Bachelor’s or master’s degree from an accredited college or university, or an equivalent combination of education and relevant work experience.
Five to seven years of financial and management experience with the day-to-day financial operations of an organization.
Knowledge of nonprofit U.S. GAAP and applicable FASB standards; federal award administration under 2 CFR Parts 200 and 300; HRSA Health Center Program financial requirements; Ryan White fiscal requirements; healthcare reimbursement; and applicable Florida and local financial compliance obligations.
Ability to analyze financial statements and budgets, assess business opportunities and partnerships, and interpret and apply professional training, literature, and changes in accounting and regulatory requirements.
Ability to communicate complex financial information effectively in meetings and in writing to leadership, the Board, funders, and other stakeholders.
Proficiency in Microsoft Office Suite, including Outlook, Excel, and Word, and ability to navigate electronic health record systems.
Proficiency in Microsoft Business Central or similar nonprofit general ledger software and use of databases.
Ability to communicate effectively verbally, with or without an interpreter, and in writing in English, with or without auxiliary aids or services.
Ability to review, understand, and apply concepts presented in training programs, conferences, and professional literature.
Ability to interact and work with diverse populations.
Ability to maintain confidentiality of patient and organizational information in accordance with HIPAA regulations.
Ability to handle difficult situations involving patients, providers, or others professionally.
Understanding that FoundCare’s HIV prevention mission includes providing information on safer sex practices and may involve exposure to explicit language, printed material, and descriptions of explicit sexual activities.
Ability to endure intermittent or long periods of sitting and/or standing; reach, bend, stoop, handle objects, talk, hear, and see; and lift and carry objects weighing up to 25 pounds.
Ability to use standard office equipment and technology, including computers, telephones, and clinical equipment and systems.
Ability to travel to other FoundCare locations and perform job duties, attend meetings, workshops, and seminars, and travel to other FoundCare departments and conference rooms.
Flexible schedule allowing for weekends or evenings as needed.
This role is not eligible for visa sponsorship.

Nice To Haves

Certified Public Accountant (CPA).

Responsibilities

Lead organizational and grant budgeting, forecasting, cost analysis, and long-term financial planning with the COO and program leaders; prepare the annual Health Center Program project budget for Board approval and monitor budget-to-actual results.
Oversee accounting, accounts payable and receivable, reconciliations, closing, and GAAP financial statements, including applicable nonprofit FASB, revenue recognition, contribution, donor restriction, and disclosure requirements.
Direct fiscal administration of HRSA Section 330, Ryan White, and other awards and subawards; maintain award-level accounting and supporting documentation, submit financial reports, and complete timely closeouts.
Implement applicable federal award requirements, including cost allowability and allocation, compensation documentation, cash drawdowns, procurement, conflicts of interest, prior approvals, record retention, and subrecipient risk assessment and monitoring when applicable.
Oversee Ryan White fiscal controls, including payer-of-last-resort requirements, coordination of benefits, allowable service categories, program income, client charges and annual charge caps, and applicable expenditure limits or approved waivers; prevent duplicate billing and charging costs across funding sources.
Provide financial analysis and recommendations for organizational growth, service expansion, capital investments, and new business opportunities.
Coordinate independent financial statement audits, federal Single Audits, and Florida Single Audits when applicable; ensure accurate expenditure schedules, timely submissions, and documented corrective action while preserving auditor independence.
Oversee financial reports to funding agencies and financial components of required HRSA reporting, including the Uniform Data System; coordinate Medicare and Medicaid cost reports, reimbursement reconciliations, and payer settlements with responsible staff.
Oversee purchasing and payroll controls, payroll tax deposits and filings, and authorized staff and participant payments; partner with Human Resources and legal counsel on compensation, wage-and-hour compliance, employee benefit cost analysis, and applicable 403(b), Internal Revenue Code, and ERISA requirements.
Maintain written financial policies and risk-based internal controls, including segregation of duties, authorization limits, fraud prevention, asset safeguards, and reliable financial systems; monitor compliance changes and escalate suspected misuse, material risks, and required disclosures.
Manage banking relationships, cash forecasting, liquidity, and reserves; administer investments and debt within approved policies and delegated authority.
Prepare and present monthly financial statements, cash flow projections, funding reconciliations, performance indicators, risks, and recommendations to the CEO, Audit/Finance Committee, and Board of Directors.
Oversee financial aspects of the revenue cycle and payer contracts, including Medicare and Florida Medicaid FQHC reimbursement; partner with operations and compliance personnel on billing, overpayments, fee schedules, sliding fee discounts, and collection policies.
Oversee business insurance and coverage analysis, fixed-asset inventories, and federally funded property controls; coordinate financial-system continuity, backup, and disaster recovery planning with information technology personnel.
Lead and develop the Finance and Accounting team, assign responsibilities, supervise staff, conduct performance reviews, and implement training and improvement plans.
Coordinate IRS Form 990 and other required tax, corporate, and financial filings and support continued tax-exempt status; work with compliance personnel and counsel to maintain practices consistent with applicable laws, contractual obligations, healthcare fraud-and-abuse requirements, and privacy and security requirements.
Recognize and respond to the needs of organizational stakeholders, including funding organizations, the Board, community advocates, participants, and employers.
Perform other duties as assigned.