Director of Finance

Orchid Health • Portland, OR

5d • $120,000 - $140,000 • Hybrid

About The Position

Join an Organization that Puts its People First!

Interested in helping grow a healthcare model based on trusting relationships, joy in work, and health equity? Orchid Health might be just the place for you!
Orchid Health was founded over 10 years ago with the belief that the most effective way to improve the health of our communities is through integrated patient-centered care that takes the time to listen to and build trusting relationships with each patient. We currently see thousands of patients at our Oregon clinic locations, all supported by a talented, passionate, and dedicated staff.
Our mission is to advance a new model for community health to thrive based on relationships, joy in work, and health equity. We achieve this by leaning into our four pillars and core values:

Core Values:
● Challenge the Status Quo
● Cultivate Respect
● Courageously Vulnerable and Accountable
Four Pillars (in order of priority):
● Pillar 1: Employee Well-Being
● Pillar 2: Trusting Patient Relationships
● Pillar 3: Community Health
● Pillar 4: Financial Sustainability
Why work for Orchid Health?
At Orchid Health, we’re moving away from traditional top-down management to something more human: self-management. Our teams work together to make most day-to-day decisions, without a clinic manager giving direction. Instead, team members take on shared responsibilities based on their strengths, hold each other accountable, and are supported by peers, coaches, and access to clear, timely information. This structure reduces bureaucracy, supports collaboration, and makes work more meaningful. We believe that the people doing the work are best positioned to lead it, and we’ve built our organization around that belief. Orchid’s team members have abundant opportunities to expand their professional skills in a supportive environment, participate in community outreach efforts, and enjoy a robust benefits package.

Requirements

• Must already be located in or willing to relocate to Oregon.
• Bachelor's degree in business administration, accounting, finance, or a related field.
• Minimum of three (3) years of senior finance leadership experience in a healthcare organization.
• Strong understanding of medical billing, collections, payment posting, revenue cycle, third-party payers, Medicare, and Oregon and federal payer regulations.
• Working knowledge of HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and appeal processes.
• Knowledge of business management and basic accounting principles, with the ability to partner effectively with accounting support and organizational leadership.
• Experience supervising, training, organizing, prioritizing, and scheduling work to meet operational and financial timelines.
• Proficiency with Microsoft Office, including Outlook, Word, and Excel.
• Strong organization, attention to detail, critical thinking, professional judgment, and the ability to work independently with frequent interruptions.
• Ability to communicate calmly, respectfully, transparently, and professionally with staff, patients, partners, payers, and other stakeholders.

Nice To Haves

• Prior Finance Director experience in a Rural Health Clinic, Federally Qualified Health Center, or similar healthcare setting.
• Experience with QuickBooks management and reporting.
• Experience with Medicare Cost Reporting, grant accounting and reporting, payer contracting, and alternative payment models.
• Experience producing and presenting detailed financial, billing, and accounts receivable reports.
• Strong negotiation skills and tact when discussing payer, partner, or patient financial matters.

Responsibilities

• Lead Orchid Health's finance, revenue cycle, and administrative finance functions, including cash flow, budgeting, forecasting, accounts payable, accounts receivable, and monthly budget reporting.
• Partner with the Executive Director and contracted CPA to manage accounting processes, QuickBooks reporting, Medicare cost reporting, tax preparation, and related financial procedures.
• Oversee revenue cycle operations, including billing, coding, collections, claims submission, payer follow-up, payment posting, and patient account processes.
• Create, implement, audit, and improve patient account and billing processes to support timely, accurate, compliant reimbursement.
• Analyze financial, billing, claims, collections, and accounts receivable trends, then recommend process, staffing, or policy improvements as needed.
• Review payer contracts annually, identify areas for renegotiation, and evaluate alternative payment model opportunities.
• Oversee grant management, including supporting grant writing as needed and managing grant accounting and reporting.
• Manage key business administration functions, including provider credentialing, business insurance, property leases, and asset purchasing and tracking.
• Ensure coding and billing operations follow Orchid protocols and applicable federal, state, and payer regulations, guidelines, and requirements.
• Stay current on HIPAA, health information management, billing and coding regulations, payer requirements, and carrier rule changes, and share updates with the appropriate teams.
• Provide, oversee, or coordinate training and support for billing and finance-related staff on systems, procedures, standards, and best practices.
• Partner with the Executive Director to support fundraising efforts for new locations, expansions, and strategic organizational growth.

Benefits

• Medical, Dental, & Vision – Orchid pays monthly premiums at 100% for team members and at least 50% for their dependents for base medical and dental plans
• $1,000/year Wellness Benefit - for things that make you happy!
• 401(k) with a company match and financial planning and wellness resources available at no cost.
• A Continuing Education / Continuing Medical Education budget for all team members
• 128 hours of PTO per year, annually front-loaded with tenure-based increases
• 40 hours of paid inclement weather and emergency closure leave, annually front-loaded
• 8 paid holidays, plus your birthday off!
• Free care at our clinics for team members and their families

What This Job Offers

• Job Type: Full-time
• Career Level: Director