General Definition and Scope of Job


The CFO reports directly to the CEO and is responsible for directing the fiscal functions of the organization in accordance with generally accepted accounting principles and using management techniques and practices appropriate within the not-for-profit health care sector.  The CFO will work closely with the CEO, other senior leadership, and the Board of Directors to develop and implement financial management and oversight strategies across the organization. This position will work closely with senior management across Manet to develop annual budgets, provide monitoring and oversight, and provide financial planning and guidance.

The CFO will also oversee investment, analysis, revenue cycle, payables, pharmacy, billing, and budgeting processes, as well as  compliance for government (federal and state) contracts, grants, and patient service revenue . This position will assess and evaluate the financial performance of the organization with regard to long term operational goals, budgets and forecasts. The CFO will be an integral part of external committees and groups including and not limited to the state trade association, clinical and contracting affiliates and accountable care organizations. s/he will work closely with the CEO to develop and implement strategies for growth, the assessment and sustainability of programs, and in new business development efforts.  Specific responsibilities of this position are to:

Core Responsibilities

  • Dedicates to the values of the health center including: equitable access and delivery of health care services, responsive, affordable services, continuous transformation and community collaboration.
  • Plans, organizes, implements, directs and evaluates the organization’s fiscal function and performance. Responsible for all financial accounting in accordance with GAAP, reporting, and procedures, and for the maintenance of appropriate internal controls.
  • Effectively manages the finance department. Mentors, informs, engages and develop staff using supportive and collaborative approaches, assign accountabilities, set objectives, and monitor and evaluate results.
  • Provides timely and accurate preparation and analysis of budgets, financial reports and financial trends in order to assist the CEO, Board of Directors and other senior managers in financial planning and decision making.
  • Educates the Providers and Managers on financial impacts and functions of the health center. Bi-annually prepares and presents the financial state of the organization to all-employees.
  • Oversees the month-end close process and prepare and leads the monthly presentation to Manet’s Finance Committee of the Board of Directors.
  • Develops and coordinates all efforts to attain maximum third-party reimbursement and successfully manage payor contracts and all risk sharing arrangements.
  • Analyzes cash flow, cost controls, and expenses to guide business decisions. Analyze financial statements to identify areas of concern. Improve the budgeting process through education of department managers on financial issues effecting their budgets. Participate in encouraging and teaching financial literacy for employees across the health center.
  • Provides strategic financial input on decision making issues affecting the organization; i.e., new programs, evaluation of potential alliances, payor relationships and partnerships.
  • Identifies opportunities for growth and expansion of revenue and work with CEO and senior management to implement and sustain new programmatic areas.
  • Advises on any contracts into which the organization may enter, including lease negotiations for major equipment and space needs when applicable. As needed, negotiate contracts on behalf of the health center.
  • Serves as the leader in vendor, innovation, space and payor contracting (primary care, behavioral health, specialty services) relations, and negotiations.
  • Maintains outstanding banking relationships and initiate appropriate strategies to enhance cash position.
  • Represents organization to banks, auditors, commercial insurance brokers, investment consultants and other appropriate external parties.
  • Monitors compliance with bank covenants as required and communicates results to Senior Leadership.
  • Works collaboratively with the Finance Committee and the Board of Directors.
  • Collects, monitors and distributes reports and other information relevant to the investment portfolio.
  • Manages the preparation and implementation of the annual financial audit, 403b audit, and all reports required for federal filings, state and local reports.
  • Oversees the preparation and compliance of and timely filing of all state, federal, and local tax returns and annually reporting
  • Manages the organization’s insurance policies.
  • Ensures legal, corporate, and regulatory compliance regarding all financial functions and oversees the organization’s observance of required procurement practices.
  • Enhances and/or develops, implements and enforces policies and procedures that improve the overall financial operation of the organization.
  • Manages as business official business elements of leases and leased properties.
  • Works closely with Human Resources on employee health and other benefit renewals and on all issues related to retirement plans.
  • Works collaboratively and actively with Facilities and Operations leaders to help maintain and ensure outstanding, safe and comfortable environments for consumers, guests and partners.
  • Actively participates in monthly Senior Management Team meetings.

Minimum Skills, Experience and Educational Requirement

  • MBA, MS.
  • The CFO must be a technically skilled, versatile professional who is hands-on and can operate effectively at both the day-to-day and big-picture strategic levels.
  • Be an experienced finance manager with excellent accounting/finance skills and appropriate industry experience including third party reimbursement with an insistence of accurate and timely reporting and recording.
  • Management, accounting, health care experience a must, (preferably in a community health center), facilities, payroll, accounts payable, cost reporting, auditing, insurance, banking, accounts receivable management, investments and financial reporting.
  • Possess at least ten years related experience in progressive financial management roles.
  • Be attuned to finance/accounting in a mission-driven, not-for-profit sector.
  • Enjoy working in a fast-paced, challenging, and highly rewarding environment.
  • Be able to synthesize information and be productive at both the detailed and the “big picture strategic” levels, by utilizing strategic thinking and problem-solving skills.
  • Have excellent interpersonal, leadership and mentoring skills and the ability to collaborate and work well with others.
  • Possess clear communication skills, with the ability to convey financial information to multiple and varied audiences.
  • Have strong computer skills in Excel and other financial applications and software.
  • Be experienced in financial oversight of federal grants.

Required Certifications and Licenses

CPA, or equivalent preferred

Critical Demands of the Job

  • Manages multiple requests and sets priorities appropriately;
  • Be inspired by and committed to the mission of the Manet Community Health Center
  • Pays close attention to details and promptly follows up;
  • Strong communication and leadership skills;
  • Thrive in a highly collaborative, team-oriented culture
  • Ability to function effectively in a fast paced multi-faceted, multi-funded, and multi-cultural organization.
  • Demonstrate utmost integrity, ethics, and trustworthiness
  • Have excellent oral and written communication skills
  • Show energy and initiative; seek innovation
  • Work closely with clinical leadership and support staff and achieve strong understanding of services


Working Conditions

  • Works in well-lighted environment with comfortable surroundings.
  • Stressful at times due to competing demands and overlapping priorities, including attention to multiple patients and staff.
  • Includes walking and standing for long periods of time, sitting for short period of time, hand dexterity, clear hearing and speaking ability. Must be able to lift a maximum of 1/3 of their body weight.

Required Availability

May be required to work a rotating schedule, as the department requires. This includes evenings, holidays and weekends.