Director of Finance

First Choice Community Health Centers
Lillington, NC

Why Join First Choice Community Health Centers
Nestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big-city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement.
At First Choice, we’re proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close-knit community while staying connected to the vibrant Triangle region. With a perfect balance of peaceful + affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home.

Position Summary
The Director of Finance and Operations will oversee and serve as the manager of all financial activities/operations and ensure the corporation’s financial health. Develops and executes financial policies and procedures. Principal responsibilities include overseeing the financial reporting, short range and long-term financial planning, general accounting, subsidiary corporation implementation and billing, audit coordination, taxes, banking, and monthly cash flow. Directly accountable for the functions of the general ledger, payroll, accounts payable, accounts receivable, grants accounting, budget preparation, logistics functions, information management systems and other related operations as may be necessary. Position may involve the performance management of subordinate employees.

Benefits Offered
  • Company paid Medical Insurance
  • Dental and Vision insurance
  • Retirement Planning (403B)
  • Health Reimbursement Account (HRA)
  • 11 Paid Holidays

Essential D uties and Responsibilities

  • Serves as the primary business advisor to service line teams.
  • Collaborates with physicians and executive leadership to ensure accurate data usage and recommend enhancements based on industry trends.
  • Lead financial reporting and ensure regulatory compliance.
  • Develop internal accounting policies and controls.
  • Manage budgeting, forecasting, and financial operations.
  • Oversee audits and internal control activities.
  • Provide financial analysis and strategic support to executives.
  • Ensure compliance with all financial regulations.
  • Oversee billing and collections.
  • Oversee/handle bookkeeping and Accounting.
  • Asset Management (physical and financial).
  • Oversee accounting operations, managing accounting personnel, and providing training plus the recording of transaction and reconciliation of balance sheets.
  • Handle purchasing and Vendor Relations.

Education and Experience

  • Bachelor’s degree from a four-year college or university
  • Two years related experience in a health care setting where Federal Medicare cost reporting is used or equivalent combination of experience and education or 5 years experience in accounting.
  • CPA is required, preferably in a business-related discipline. A MBA is strongly preferred.
  • Applicable certification in computer network management plus two years experience of network management for multiple locations preferably within the medical industry.
  • Possess a minimum of 3 years of financial experience as Director or CFO level finance professional, preferably in the software, internet, technology or consulting medical services industry.
  • Strong leadership, communication and operations experience is required.
  • Knowledge of the principles and practice of not-for-profit health care organizations;
  • Knowledge of state and federal laws, as pertaining to HHS/HRSA-BPHC regulations and policies.
  • Knowledge of the structure and operations of federally qualified health centers (FQHC’s).
  • Experience with computerized accounting systems and spreadsheets.
  • Experience and understanding of computerized accounting systems, budgets, and financial data operations, third party billing, contracting, collections, and cost-reporting (Medicaid & Medicare).
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Tasks, duties, and responsibilities, as listed in this position description, are not exhaustive. The Organization, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills and/or education will also be considered, so qualifications of incumbents may differ from those listed in the Position Description. The Organization, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms.

Posted 2026-01-06

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