Director of Finance - Healthcare

Haldren Group•Chula Vista, CA

1d•$160,000 - $200,000•Onsite

About The Position

Haldren is recruiting a Finance Director on behalf of our client, an established nonprofit healthcare organization committed to providing accessible healthcare services. Operating as a Federally Qualified Health Center (FQHC), the organization manages a complex financial environment shaped by healthcare reimbursement structures, diverse funding sources, and regulatory obligations. The Finance Director will lead the organization's financial function, overseeing accounting, financial reporting, budgeting, forecasting, reimbursement, audits, cash management, internal controls, and regulatory compliance. This position calls for extensive practical experience in FQHC financial management, including UDS reporting, PPS reimbursement, Medicare and Medi-Cal cost reporting, HRSA regulations, and administration of the Sliding Fee Discount Program. As a key partner to executive leadership and the Board, the Finance Director will help guide financial decisions, improve financial processes, develop the finance team, and maintain the organization's financial stability and long-term sustainability.

Requirements

A minimum of 3 years in a management or leadership capacity within healthcare finance.
Practical FQHC financial experience covering UDS reporting, PPS reimbursement, Medicare cost reporting, HRSA regulations, and Sliding Fee Discount Program administration.
A bachelor's degree in Finance, Accounting, Business Administration, or a closely related discipline.
Ability to work on site full-time in Chula Vista, California.
Comprehensive understanding of GAAP, healthcare payment structures, financial regulatory requirements, and grant-funded operations.
At least 7 years of progressively responsible experience in accounting or finance.
Strong capabilities in financial analysis, organization, team leadership, and communication with senior executives.
Current legal authorization to work in the United States without the need for employer sponsorship.
Proven experience independently managing healthcare financial operations, including accounting close, reporting, budgets, liquidity management, audits, and internal controls.

Nice To Haves

Experience overseeing financial operations for healthcare organizations with multiple locations or distinct service lines.
An MBA, MHA, CPA designation, or another relevant advanced qualification.
Background in PPS reimbursement rate development and evaluating change-in-scope adjustments.
At least 3 years of experience working within an FQHC, community health center, or similar safety-net healthcare setting.
Proficiency in advanced Microsoft Excel functions and accounting or financial reporting software.
Familiarity with HRSA Section 330 grant administration, Uniform Guidance requirements, single audits, or operational site visits.
Prior experience directly managing accounting or finance team members.
Knowledge of HCAI reporting, Medi-Cal cost reports, account reconciliations, and settlement evaluation.

Responsibilities

Manage the general ledger, accounts receivable, accounts payable, payroll coordination, and organizational cash management.
Direct operating and capital budget development, financial forecasts, cash-flow projections, and ongoing financial analysis.
Lead the finance function, ensuring financial activities remain accurate, efficient, timely, and compliant with applicable requirements.
Manage Medicare and Medi-Cal cost reports, including reconciliations, settlement assessments, and relevant HCAI reporting obligations.
Evaluate reimbursement performance, payer mix, patient visit patterns, revenue-cycle results, operating expenses, and potential financial exposure.
Oversee monthly, quarterly, and year-end accounting close processes, financial statement preparation, management reports, and variance reviews.
Provide financial insight and recommendations to executive management, operational leadership, and the Board to support informed decision-making.
Direct UDS financial and statistical submissions, ensuring consistency between reported figures, accounting records, and patient encounter information.
Establish and improve accounting practices, financial controls, reporting procedures, and supporting financial systems.
Supervise financial administration of the Sliding Fee Discount Program, maintaining alignment with HRSA compliance standards.
Manage audit readiness and act as the principal financial contact for auditors, funding organizations, payers, and regulatory authorities.
Assess PPS reimbursement rates through encounter information, allowable expenses, payer patterns, and potential change-in-scope adjustments.
Support the professional development of finance personnel through coaching, process documentation, and cross-training to maintain operational continuity.