Bullhook Community Health Center (BCHC) is an equal opportunity employer. BCHC shall, upon request, provide reasonable accommodations to otherwise qualified individuals with disabilities.
Job Title: Chief Financial Officer (CFO)
Reports to: Chief Executive Officer (CEO)
Supervises: Accounting, Billing Department, Front Staff and Health Informatics/Data Analyst
Salary Range: $70,150 to $105,000
Job Overview: The Chief Financial Officer (CFO), under the direction of the Chief Executive Officer (CEO), provides leadership to ensure the successful achievement of the organization’s mission and strategic plan in the oversight of the financial operations for Bullhook Community Health Center, Inc. (BCHC). The CFO directly leads, supervises and manages the financial functions of BCHC which include Accounting, Billing and Coding, Front Staff and Health Information Technology/Data Analyst. The CFO identifies opportunities and needs relating to fiscal functions and develops and implements the necessary and appropriate processes, programs and budgets. In collaboration with the CEO, the CFO is responsible for the fiscal operations of BCHC to ensure maximum revenue collections and efficient operations of staff. The CFO participates as a productive member of the leadership team, supports the organizational mission and vision and performs other related duties as required or assigned.
Provides financial and administrative leadership in a challenging health care delivery system. The work is performed in accordance with established standards and practices of the medical profession, BCHC requirements, state and federal laws.
Essential Functions (Major Duties or Responsibilities):
- Works collaboratively with members of BCHC’s Leadership Team to assure achievement of annual business and strategic goals and objectives.
- In conjunction with the CEO, seeks to improve and implement the strategic plan for financial operations.
- Works collaboratively with BCHC’s Leadership Team to ensure compliance with Health Resources and Services Administration Section 330 Grant Funding (HRSA) requirements and reporting; including Uniform Data System (UDS), budget period renewals, audits, Federal Financial Report (FFR) and any other submissions required for compliance.
- Provides direct supervision and leadership to the Patient Account Manager, Front Supervisor, Health Informatics Technician/Data Analyst, Payroll/Benefits Specialist and Accounting Associate. (The Patient Account Manager provides direct management to the billing personnel) Provides oversight of appropriate inputting of patient data to foster maximum collections within context of mission – in coordination with the patient account manager and billing staff. This includes system oversight to ensure proper coding and data collection.
- Provides financial statements for the BCHC Board of Directors regarding the activities of the CHC.
- Oversees quality performance of Billing and Coding staff.
- Monitors workload and recommends increased or decreasing staffing levels to accommodate quality patient services.
- Works in collaboration with the CEO and Payroll/Benefits Specialist for all payroll related issues of BCHC staff, including provider contracts, payroll changes and update forms and all other related personnel matters.
- Works closely with the CEO, COO, Chief Medical Officer (CMO), and Chief Dental Officer (CDO) to ensure alignment with BCHC goals and objectives.
- Works closely with the CEO to ensure personnel policies are implemented in all BCHC programs.
- Responsible for leading the budgeting process, annual review of the fee schedule, annual review of the sliding fee scale, annual review of cost to provide services and presentation of recommendations for changes in the same to the BCHC Board for acceptance and approval.
- Presents BCHC Board the annual budget for acceptance.
- Prepares financial statements and reports, analyze costs of services and make recommendations to the CEO.
- Prepares budgets and monthly dash board reports of accounts receivable, collections, days cash on hand, etc. for the CEO and presentation to the BCHC Board of Directors.
- Performs duties with accuracy and punctuality.
- Works closely with fiscal staff and accounting department to ensure fiscal policy is implemented in all BCHC programs.
- Completes and tracks Journal Entry corrections for expense and revenue postings to ensure journal entry accuracy.
- Draws down federal grant funds as appropriate.
- Prepares/Reviews federal, state and local reports, Medicare Cost Reports, UDS, FFR, and all other reports in a timely manner.
- Assists in preparing grants to expand funding opportunities.
- In partnership with the CEO, explores and implements opportunities to expand services to reach a wider demographic while meeting the HRSA requirements and maintaining financial solvency.
- Regularly schedules interdepartmental and departmental meetings to maintain liaison among departments and/or staff.
- Assist in the development and review of policies and procedures and assure all staff adhere to them to improve patient care and utilization of health center resources.
- Supervises and coordinates various personnel actions including, but not limited to, recruiting, directing, training, competencies, performance appraisals, promotions, monitoring time and attendance, and vacation schedules to ensure the clinic operates in an efficient manner and patients receive high quality customer service.
- Ensures recruitment, selection and promotion procedures are coordinated and carried out in compliance with federal and state guidelines and policies (such as EEO, ADA, and AAP). Provides technical assistance and advice to the hiring managers or directors in complex and/or non-routine recruitment/selection actions. Responds to complaints/grievances from employees, applicants, or others concerning the hiring process. Investigates complaints and identifies corrective actions. Develops selection devices and practices and assists managers in the development of screening criteria and interview questions. Manages recruitment and selection efforts including advertising; vacancy postings; receiving completed hiring files; oversight of entering/maintaining accurate applicant flow/EEO data, storing files; etc.
- Remain knowledgeable of support staff’s roles and responsibilities, as well as all areas of practice to provide continuity of services during position vacancies; maintains work schedules for all staff.
- Provides leadership, conflict resolution, motivation and promotes team work of employees in achieving agency goals.
- Assists other members of the management team in developing ongoing management objectives.
- Works with CEO, department directors and managers on the preparation and development of their budgets.
- Responsible for completing various special projects/events, which may require reviewing and analyzing information, identifying problems, recommending solutions and writing reports.
- Performs a variety of other duties as assigned; which may include but are not limited to: directing or participating in special projects and events, conducting research, representing BCHC at meetings and conferences, and attending continuing education and training events.
- Provide recommendations in strategy development and execution, planning and facilitation of employee relations efforts. Direct needs assessment for training and staff development to enhance effectiveness of employee performance. Together with department managers, annually update training programs, suggest personnel policies and procedures, offer input to the compensation programs, and job descriptions. Assist the CEO to develop and implement comprehensive compensation and benefit plans that are competitive and cost effective for the firm.
- Work together with the CEO and payroll staff to develop and maintain employee personnel files, affirmative action program, worker’s compensation and leave records. Evaluate reports, decisions and results in relation to established goals. Work directly with managers to assist them in carrying out their responsibilities on personnel matters. Recommend new approaches, policies, and procedures to effect continual improvements in efficiency of BCHC and services performed.
- Maintain knowledge of industry trends and employment legislation and ensure BCHC compliance. Assist the C Suite in all responsibilities for compliance with federal and state legislation pertaining to all personnel matters. Consult with legal counsel as appropriate or as directed by CEO on personnel matters.
- Act in behalf of the Chief Executive Officer in his/her absence and upon request.
- Maintain strict confidentiality.
- Various duties as assigned.
Minimum Qualifications (Education and Experience):
- Bachelor’s Degree in finance, business, accounting or closely related field with two (2) years of experience in a health care financial environment and two (2) years of supervisory experience required.
- Or any equivalent combination of experience and education relevant to the position totaling four (4) years that include two (2) years of supervisory experience.
- Three years federal and private grant management experience preferred.
Must possess a valid driver’s license issued by the State of Montana.
Knowledge, Skills and Abilities (KSA’s): Demonstrated experience in the finance functions with responsibilities of non-profit business accounting, cost analysis and control. Skilled in organizational development, personnel management, budget and resource development, and strategic planning. Excellent people skills, with an ability to partner with a dynamic leadership team. Possess personal qualities of integrity, credibility, and commitment to the organizational mission. Flexible and able to multitask; can work with an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities and guiding investment in people and systems.
Physical and Environmental Demands: Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of the job, the employee is regularly required to talk and hear. Required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Occasionally lift up to 30 pounds.
Special Requirements: N/A
The specific statements shown in each section of this description are not intended to be all inclusive. They represent typical elements and criteria considered necessary to perform the job successfully.