Director of Financial Operations

CHARTER OAK HEALTH CENTER INC•Hartford, CT

70d•$120,000 - $140,000

About The Position

The Director of Finance & Operations provides regional leadership over financial, administrative, and clinical support operations across a multi-site network. Reporting directly to the Controller and collaborating with the CEO and Board of Directors as needed, the role safeguards the organization’s nonprofit funding architecture and uses eClinicalWorks (eCW) to support data transparency, medical billing efficiency, compliance, and regional resource allocation. The position oversees revenue cycle management across regional clinics, including medical billing, insurance claims, Medicaid and Medicare reimbursements, and sliding-fee-scale compliance. It manages restricted and unrestricted funds, grants, and philanthropic allocations; partners with the Controller on consolidated financial statements and regional performance analysis; and serves as the primary liaison for annual financial audits, corporate filings, and preparation of IRS Form 990. The Director maintains GAAP-based accounting records and internal controls; oversees general ledger reconciliation, payroll, cash accounts, vendors, and financial reporting; and supports retirement and flexible-account programs. The role also supervises and develops a 5–7-person team, oversees multi-facility administrative logistics and emergency planning, directs eClinicalWorks deployment and optimization, and manages regional procurement, vendor agreements, assets, and clinical equipment.

Requirements

Strong leadership skills.
Excellent analytical and problem-solving abilities.
Demonstrated ability to work and interact with departments throughout the organization.
Exceptional written and verbal communication skills.
Knowledge of GAAP and internal controls.
Proficiency with Microsoft Office and accounting software.
Strong organizational and time-management skills.
Thorough knowledge and understanding of accounting, balancing, and reconciliations.
Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
5–8+ years of deep technical accounting experience.
3–5+ years of financial leadership experience.
Knowledge of accounting systems such as FundEZ, Sage, Great Plains, or Oracle NetSuite, and HRIS systems such as Paycom, Paylocity, BambooHR, or UKG.

Nice To Haves

MBA preferred.
Financial leadership experience in healthcare and/or nonprofit sectors preferred.
CPA designation preferred.

Responsibilities

Overhaul and direct end-to-end medical revenue cycle management in eClinicalWorks across regional clinics.
Supervise medical billing, insurance provider claims, Medicaid and Medicare reimbursements, and sliding-fee-scale compliance.
Manage tracking of restricted and unrestricted funds, HRSA and federal grants, and private philanthropic allocations across site budgets under Uniform Guidance rules.
Partner with the Controller to prepare unified multi-site monthly, quarterly, and annual financial statements and provide regional performance analyses, variance tracking, and requested reports to executive leadership.
Serve as the primary liaison for independent annual financial audits and corporate filings, and oversee accurate preparation of IRS Form 990 for multi-facility operations.
Maintain accurate records using GAAP practices.
Reconcile, control, and store payroll registers, 1099-MISC and W-2 statements, and fixed-asset registers.
Ensure general ledger accounts are reconciled with payroll, accounts receivable, accounts payable, and fixed-asset subsidiary ledgers, and ensure necessary adjustments are made.
Maintain internal controls over procedures and systems to ensure accuracy and security of financial records and source documents; run reports and enhance the accounting system.
Manage state and federal budget and financial reporting and cash drawdown.
Supervise and support the professional development of a 5–7-person team.
Monitor and reconcile cash account balances monthly and maintain appropriate controls over cash accounts.
Review and authorize vendor additions, deactivate older vendors as appropriate, and ensure the accounts-payable subsidiary ledger is reconciled with the general ledger, including significant vendors.
Provide financial support and guidance for the retirement/403(b) plan and flexible accounts program.
Oversee payroll processing.
Support other departments and external agencies with documentation for independent audits, state audits, EEO Program audits, and other requests.
Oversee day-to-day administrative infrastructure, clinic logistics, emergency planning, and workflow efficiency across regional network sites.
Direct technical deployment, reporting structures, and optimization of the eClinicalWorks EHR platform to support cross-clinic data consistency and clean fiscal reporting.
Negotiate regional vendor agreements, supervise asset scaling, and manage technical evaluation, leasing, and maintenance of clinical medical hardware.
Maintain appropriate attendance and perform miscellaneous duties as required by management.