Finance/Revenue Cycle Director

Community Health Service Inc. • Grafton, ND

4d • Hybrid

About The Position

Here at Community Health Service, Inc (CHSI), our mission is to provide high-quality health care to those who are often overlooked and underserved. Sound rewarding? You bet it is! If you are looking for more than just a "job" and want to invest your time making an impact on the lives of others, this is your chance to join our CHSI team! WHAT DO WE DO? CHSI is a private, non-profit organization established in 1973 to serve the health needs of migrant & seasonal farmworkers and their family members. Today, CHSI has expanded services and provides mental & physical healthcare to all individuals in our communities. Our services are provided on a more affordable sliding fee scale to those who are under-insured or un-insured. We also accept ND and MN Medicaid, Medicare, and most private insurance plans. We currently operate four nurse-managed clinics, two mobile medical units, and two victim advocacy program centers in Minnesota & North Dakota. WHO ARE WE LOOKING FOR? We are on the search for a full-time Finance/Revenue Cycle Director to join our Grafton, ND team.

Requirements

• Bachelor's degree in business administration, Finance, Healthcare Administration, or a related field (master's preferred).
• 5+ years of experience in healthcare financial management and project management, with at least 2 years in a supervisory or leadership role.
• Expertise in FQHC revenue cycle management and healthcare financial operations.
• Strong project management experience: PMP (Project Management Professional) certification preferred or willingness to obtain within one year.
• Familiarity with EHR and billing systems (e.g., NextGen, eClinicalWorks, Epic) and project management tools (e.g., Asana, Smartsheet, MS Project).
• Knowledge of HRSA, Medicaid, Medicare, and healthcare finance regulations.
• Excellent communication, leadership, organizational, and analytical skills.
• 4 years of leadership experience, preferably in healthcare, preferably in FQHC or non-profit sector, partnering with executive leadership teams, and cross-functional
• Proven experience with transformation of organizational culture
• Experience leading clinical functions and back-office processes, systems, and administrative responsibilities
• Expertise in organizational effectiveness, continuous improvement, change management and performance management.
• The ability to influence culture and engagement while sustaining results during times of transition and growth.
• Experience managing cross-functional responsibilities, budgets, and setting strategic and operational plans.
• Mature leader able to manage conflict constructively, lead with acumen and influence, while developing meaningful relationships built on mutual trust.
• Expertise in aligning key messages and engaging key stakeholders and strategic vendors.
• Ability to innovate strategies based on cost-benefit analysis.

Nice To Haves

• Master's degree in business administration, Finance, Healthcare Administration, or a related field
• PMP (Project Management Professional) certification

Responsibilities

• Lead, supervise, and mentor the finance team, including billing, collections, revenue cycle, and accounting staff.
• CHSI liaison to the Outsource Revenue team to ensure: billing, coding, claims processing, collections, and denial management.
• Implement strategies to maximize collections, reduce accounts receivable days, and improve cash flow.
• Maintain knowledge of FQHC-specific billing practices, Medicaid/Medicare reimbursement, wrap payments, sliding fee scales, and UDS reporting.
• Collaborate with clinical and operational leaders to optimize charge capture and documentation.
• Assist in annual budget development, financial forecasting, and financial reporting.
• Support compliance with federal and state financial regulations (e.g., HRSA, UDS, Medicaid cost reporting).
• Manage cross-departmental projects from initiation through completion, ensuring projects meet scope, timeline, and budget targets.
• Lead efforts to improve internal processes across clinical, operational, and administrative areas.
• Develop and maintain project plans, timelines, resource allocations, and risk management plans.
• Facilitate project team meetings, stakeholder communications, and progress reporting.
• Introduce project management best practices and tools across the organization to build a culture of accountability and innovation.
• Support grant-funded projects and ensure deliverables align with funder expectations and organizational goals.

Benefits

• Executive Paid Time Off (PTO): 240 hours per year!
• Personal Days Off (PDO): In addition to PTO, we offer 4 paid personal days each year.
• Paid Holidays: CHSI offers 11 days of holiday pay.
• 401K Retirement Plan, with a 4% company match!
• Health, Dental, and Vision insurance
• HSA Health Savings Account and/or Flexible Spending Account
• Life & Disability Insurance (Short Term Disability premiums paid by CHSI)
• Supplemental Voluntary Benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 101-250 employees