Chief Financial Officer

Chief Financial Officer (Suffolk County, NY | $175–205K)

High‑impact financial executive role overseeing enterprise‑wide financial strategy, operations, and compliance for a large healthcare organization. Leads all financial management functions, long‑term planning, reimbursement optimization, and revenue‑cycle performance while directing a multidisciplinary finance team.

Key Responsibilities

Executive Leadership & Strategy

• Serve on the Executive Team to shape organizational strategy and financial direction.
• Lead financial strategy for FQHC operations, including PPS optimization, wrap reconciliation, and reimbursement maximization.
• Provide financial dashboards, analytics, and insights to support executive decision‑making.
• Lead Board Finance Committee engagement and present organizational financial performance.

Financial Operations & Compliance

• Oversee all financial management functions: reporting, budgeting, cash management, banking, taxes, regulatory compliance, revenue cycle, and internal controls.
• Own enterprise revenue‑cycle KPIs (Days in AR, Net Collection Rate, PPS realization).
• Direct preparation of GAAP financial statements, annual operating/capital/cash budgets, and grant‑related budgets.
• Ensure timely submission of Medicaid/Medicare cost reports, CFR (Article 16), and MCVR filings.
• Oversee external audits and maintain adequate insurance coverage.

Systems, Processes & Infrastructure

• Lead modernization of financial systems, BI tools, and reporting workflows.
• Develop and enforce organization‑wide financial policies and internal controls.
• Oversee purchasing and IT financial functions.
• Collaborate with HR on benefits, pension, and payroll; serve as Administrator for the 403B plan.
• Direct and develop a multi‑level finance team (Controller, Accounting Manager, Analysts, Credentialing, Purchasing).
• Manage hiring, training, performance evaluations, promotions, and disciplinary actions.
• Foster a culture of accountability, accuracy, and continuous improvement.

Qualifications

• Master’s degree in Finance, Accounting, Healthcare Administration, Business, or related field.
• CPA, CPC, COC, or similar certification preferred.
• Minimum 10 years of experience, including 7+ years in healthcare; FQHC experience strongly preferred.
• Advanced knowledge of PPS, APGs, Article 28/31/16 reimbursement frameworks.
• Experience with financial systems modernization and BI tools.
• Strong analytical, strategic‑thinking, communication, and leadership skills.
• Proficiency with Microsoft Office and financial systems (Great Plains, eClinicalWorks, PayChex, UltiPro, Dynamics).