Chief Financial Officer - Ahoskie, NC

North Carolina Community Health Center Association
Ahoskie, NC

Title: Chief Financial Officer
Reports To: Chief Executive Officer
Direct Reports: Director of Finance
Classification/Category: Executive Level Management
Workgroup(s): Executive Team (E-Team), Senior Leadership, Executive Board Committee, Finance
Board Committee, Governance Board Committee, Advocacy Board Committee, Quality Board
Committee, Quality Improvement Committee, Environment of Care Committee, Productivity Committee

Work Status: Hybrid

Salary Range:
  • Stipend(s): $50/monthly for mobile device.


Status: Exempt

Summary of Position:
  • The Chief Financial Officer (CFO) is a strategic leader who is directly responsible for managing all financial operations and systems within the organization. This includes ensuring that all accounting and fiscal functions comply with legal and regulatory standards. The CFO oversees the administration of the organization's financial strategic plan, which includes budgeting, accounting, purchasing, payroll, grants management, auditing, internal and external reporting, cash flow management, accounts receivables management, financial planning, data analysis, revenue cycle management, value-based care, and compliance with regulatory requirements.
  • The CFO collaborates with the chief executive officer to create the strategic plan and ensures that the financial systems and technology align with people, processes, and values that support and further the organization’s mission. The Chief Financial Officer is responsible for the overall operations concerning financial matters. They model behaviors consistent with the published values and the Code of Conduct of the organization.


RCCHC Mission, Vision and Values:
Mission: Great care for every one every day.
Vision: Striving to be the primary healthcare provider, dedicated to and supported by the people we serve.
Values: (R)espectful, (C)ompassionate, (C)aring, (H)onest, (C)omitted.

Population Served:
Roanoke Chowan Community Health Center will provide open access, community-oriented primary care of the highest quality to all residents within our service area and surrounding counties, regardless of their ability to pay.

Minimum Qualifications:
  • Knowledge of Federal guidelines regarding budget and grant management.
  • Ability to perform various duties ranging from direct involvement in report analysis, annual audit procedures, preparation of annual budgets.
  • Oral and written communication skills to present and discuss financial issues with Administration and the Board of Directors.
  • Works effectively with others and is able to organize workload, as well as assume responsibility and maintain confidentiality.
  • Must be able to work independently, exercise appropriate decision-making skills, and function effectively on a team.
  • Must be able to speak and communicate clearly and effectively.


Education:

  • Bachelor’s degree (BA/BS) in Accounting or Business Administration with a major in Accounting.

Experience:

  • Minimum of five to seven years of experience in a federally qualified health center financial leadership position preferred.


Certification(s)/Licensure:

  • MBA and CPA preferred.


Knowledge:

  • Knowledge and thorough understanding of Federally Qualified Health Centers (FQHC’s) in regard to the Federal 330 Public Health Service Act.
  • Knowledge of thorough understanding of the 340B program.
  • Knowledge of computer systems and applications.


Skills:

  • Skill in exercising a high degree of initiative, judgment, and discretion.
  • Skill in analyzing situations accurately and taking effective action.
  • Skill in establishing and maintaining effective working relationships with the medical and administrative staff, patients and the community.
  • Skill in planning, organizing, and prioritizing work; delegating and achieving goals and objectives.
  • Skill in exercising judgment and discretion in developing, interpreting, and implementing departmental policies and procedures.
  • Skill in identifying and resolving problems.
  • Skill in developing comprehensive reports.


Abilities:

  • Ability to plan, organize, and integrate priorities and deadlines.
  • Ability to identify, analyze, and interpret complex data and, resolve operational problems.
  • Ability to evaluate and make recommendations for continuous quality improvement.
  • Ability to evaluate and make recommendations for continuous risk assessment.
  • Ability to anticipate and react calmly in emergency situations.
  • Ability to communicate clearly and effectively orally and in writing.
  • Ability to competently use Microsoft Office, including Word, PowerPoint, Excel, and appropriate organizational software.

Essential Functions:

  • Develop and implement internal controls, policies and procedures.
  • Manage accounts receivable, collections or receivables and control billing to third parties.
  • Manage cash flow.
  • Supervise finance department staff.
  • Oversee general accounting to ensure financial transactions are recorded accurately and timely.
  • Facilitate and assist with the preparation of reports to include but not limited to UDS report, Financial status report, HRSA reporting, grant reporting.
  • Produce financial reports for management and the Board of Directors.
  • Assist managers in monitoring the use of program resources.
  • Serve as a liaison between management and the Board Finance Committee.
  • Work in conjunction with the CEO to plan and finance growth of RCCHC Safeguard assets.
  • Provide needed data and cost analysis to assist Leadership team in decision making by evaluation cost implications and sustainability.
  • Monitor and communicate observed trends affecting operations related to revenue streams and grant funding levels.
  • Supports implementation of the health care plan and provides feedback needed to assess organizational accomplishments.
  • Plan and monitor cash requirements, prepare budgets and assist with preparation of grants.
  • Participate in quarterly Provider meetings on an as needed basis.
  • Participate as an active member of the Executive team.
  • Maintain compliance with workflows, policies and procedures as well as other activities to support PCMH model of care and accreditation.
  • Other job duties may be required that are not listed above.


Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, and telephones.


Work Environment: Position is in a well-lighted office environment. May be exposed to contagious diseases and other patient-related conditions. Occasional evening and weekend work and some travel.


Physical Requirements:

  • The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job.
  • Repetitive movement of hands and fingers – typing and/or writing.
  • Occasional standing, walking, stooping, kneeling or crouching.
  • Reach with hands and arms.
  • Talk and hear.


I have reviewed this job description and I understand all my job duties and responsibilities. I am able to perform the essential functions as outlined. I understand that my job may change on a temporary or regular basis according to the needs of my location or department without it being specifically included in the job description. If I have any questions about job duties not specified on this description that I am asked to perform, I should discuss them with my immediate supervisor or a member of the Human Resources staff.

I further understand that future performance appraisals and merit increases to my compensation are based on my ability to perform the duties and responsibilities outlined in this job description to the satisfaction of my immediate supervisor.

I have discussed any questions I may have had about this job description prior to signing this form.

Employee’s Signature Date: __________________________________

Employee’s Name (Please print): ______________________________

Human Resources Signature Date: _____________________________
Human Resources Name (Please print: __________________________


This position requires compliance with Roanoke Chowan Community Health Center’s written standards, including its Code of Conduct and policies and procedures (“Written Standards”). Such compliance will be an element considered as part of the employee’s regular performance appraisal.

Failure to comply with Roanoke Chowan Community Health Center’s Written Standards, which may include the failure to report any conduct or event that potentially violates legal or compliance requirements or Roanoke Chowan Community Health Center’s Written Standards, will be met by the enforcement of disciplinary action, up to and including possible termination, in accordance with Roanoke Chowan Community Health Center’s Compliance Program Policy and Procedure: Addressing Instances of Non-Compliance Through Appropriate Disciplinary Actions.
Posted 2025-09-05

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