Senior Director of Finance
About The Position
Haymarket Center is the largest and most comprehensive provider of treatment for substance use and mental health conditions in Chicago. As a values-based nonprofit, it prioritizes access to care and health equity, serving over 12,000 patients annually across more than 30 specialized programs with a $40 million operating budget. Care is available 24/7, regardless of ability to pay. Reporting to the Chief Financial Officer, this role leads the organization's financial planning, analysis, budgeting, forecasting, financial reporting, reimbursement analysis, and grant financial management. The Senior Director acts as a strategic partner to the CFO and executive leadership, providing financial insights, identifying opportunities, and supporting data-driven decision-making. The position supports financial operations across various healthcare sectors including behavioral health, substance use disorder (SUD), Federally Qualified Health Center (FQHC), Illinois Department of Human Services Division of Mental Health (DMH), Certified Community Behavioral Health Clinic (CCBHC), and government-funded programs. This is a hands-on leadership position requiring active involvement in financial analysis, executive reporting, budgeting, forecasting, reimbursement, and strategic initiatives. The role is fully in-person, primarily based at the Chicago West Loop facility.
Requirements
- Bachelor's degree
- Degree, certification, or credential in Finance, Accounting, Business Administration, Healthcare Administration, or related field
- 7+ years of progressive finance experience
- 3+ years of supervisory experience
- Healthcare finance experience
- Demonstrated expertise in financial planning and analysis, budgeting, forecasting, grant financial management, reimbursement analysis, and executive financial reporting
- Advanced-level proficiency in Microsoft Excel including advanced formulas, PivotTables, financial modeling, dashboard development, and analysis of large, complex datasets.
- Advanced experience in Microsoft Power BI developing executive dashboards, KPI scorecards, interactive reports, and data visualizations using multiple data sources.
- Ability to develop polished executive presentations using Microsoft PowerPoint that clearly communicate financial performance, trends, and strategic recommendations.
Nice To Haves
- Experience with behavioral health, FQHC, DMH, CCBHC, nonprofit healthcare, and government-funded programs strongly preferred.
- Technical proficiency with: Microsoft Access, SQL, Sage Intacct, NextGen EHR/Practice Management, and Paylocity
Responsibilities
- Develop annual operating budgets, departmental budgets, grant budgets, and financial forecasts.
- Build financial models and scenario analyses to support strategic planning and executive decision-making.
- Analyze financial and operational performance, identify trends, explain variances, and recommend corrective actions.
- Prepare and present monthly financial reports, forecasts, dashboards, and recommendations to executive leadership.
- Support new programs, service lines, and organizational initiatives through financial analysis and implementation.
- Lead the financial management of more than 50 federal, state, county, city, and private foundation grants.
- Develop grant budgets for new funding opportunities and competitive grant applications.
- Monitor grant expenditures, spending trajectories, and revenue projections to ensure timely utilization of funds.
- Prepare grant financial reports, budget revisions, reimbursement requests, and financial close-out documentation.
- Ensure compliance with grant requirements, cost principles, and reporting deadlines.
- Develop executive dashboards, KPI scorecards, and financial performance reports.
- Analyze revenue, expenses, productivity, census, payer mix, reimbursement, and program performance.
- Monitor cash flow, revenue trends, budget performance, and organizational financial health.
- Partner with Revenue Cycle leadership to monitor reimbursement performance across Medicaid, Medicare, Commercial, FQHC, DMH, and CCBHC programs.
- Analyze claims, denials, collections, payer performance, accounts receivable, and reimbursement trends.
- Provide financial oversight of outsourced billing operations and collaborate with internal Revenue Cycle leadership to improve financial performance.
- Identify opportunities to improve reimbursement, revenue capture, and operational efficiency.
- Coordinate and oversee the annual Single Audit.
- Lead financial activities related to federal, state, county, and city audits.
- Prepare audit schedules, supporting documentation, and financial analyses.
- Maintain strong internal controls and ensure compliance with grant, contractual, and regulatory requirements.
- Serve as the primary finance liaison for external auditors and funding agencies.
- Lead, mentor, and develop 2 finance staff members while maintaining an active role in daily financial operations.
- Establish department priorities and ensure timely completion of deliverables.
- Identify opportunities to improve financial reporting, automate processes, and strengthen internal controls.
- Collaborate with Revenue Cycle, Clinical Operations, Grants, Compliance, Information Technology, and Executive Leadership staff to improve organizational performance.
- Cultivate a team and organizational culture representing Haymarket Center’s Core Values: Integrity, Diversity, Financial Focus, Customer Focus, Professionalism, and Teamwork.
Benefits
- Group Healthcare
- Vision and Dental Insurance
- Generous PTO that grows with service
- 10 Paid Holidays
- Flexible Spending Accounts (FSA) including: Dependent Care, Health & Transportation
- Life Insurance
- Short- and Long-Term Disability
- Employee Assistance Program
- 403 (b) with match
- Pet insurance
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What This Job Offers
Job Type
Full-time
Career Level
Senior
