Chief Financial Officer

Job Details

• Level: Senior
• Job Location:
  
  ETCC ADMIN - Athens, TX 75751
• Position Type:
  Full Time
• Education Level: 4 Year Degree
• Travel Percentage:
  Negligible
• Job Category:
  Health Care
• Chief Financial Officer (CFO)

Reporting to the Chief Executive Officer, the Chief Financial Officer provides strategic and operational leadership for the health center’s financial functions. The CFO ensures sound financial operations, effective forecasting and budgeting, disciplined cash and accounts payable management, strengthened revenue-cycle performance, and responsible stewardship of federal, state, foundation, corporate, and philanthropic resources.

The CFO advises executive leadership and the Board of Directors on financial strategy, sustainability, compliance, risk, and resource allocation. This role helps advance equitable access to high-quality, community-based healthcare while maintaining compliance with HRSA award terms, grant agreements, reimbursement requirements, applicable laws, and organizational policies.

• Develop and maintain short- and long-term financial forecasts covering revenue, expenses, cash flow, staffing, capital needs, and operational scenarios.
• Evaluate financial performance, trends, risks, and opportunities and provide recommendations to the CEO, executive team, and Board.
• Prepare accurate financial statements, dashboards, variance analyses, and decision-support reports.
• Ensure timely and accurate general-ledger maintenance, reconciliations, month-end close, and financial reporting.
• Establish and maintain effective financial policies, procedures, approval processes, and internal controls.

• Lead the annual operating and capital budget process in collaboration with the CEO and department leaders.
• Monitor budget-to-actual results, investigate significant variances, and support corrective action plans.
• Manage budget revisions, forecasts, and financial projections throughout the fiscal year.
• Ensure budgets align with strategic priorities, patient-care objectives, grant conditions, and reimbursement expectations.

• Provide executive oversight of registration, credentialing, coding, billing, payment posting, denials, accounts receivable, payer performance, and collections.
• Monitor key indicators including charges, collections, days in accounts receivable, denial rates, clean-claim rates, and self-pay activity.
• Implement strategies to improve reimbursement, reduce preventable denials, strengthen documentation, and enhance point-of-service collections.
• Partner with clinical, operational, and information-technology leaders to resolve revenue-cycle barriers and ensure payer compliance.

• Oversee accurate, timely, authorized, and appropriately documented vendor payments.
• Maintain procurement, payment, vendor-review, and segregation-of-duties controls.
• Monitor daily cash position, liquidity, banking activity, and short-term funding needs.
• Review significant expenditures and identify sustainable opportunities for cost control.
• Maintain productive banking and vendor relationships.

• Provide executive oversight of HRSA, state, private foundation, corporate, and other grant-funded programs, together with philanthropic and individual donations.
• Ensure grant and donation budgets, expenditures, revenue recognition, cost allocation, financial reports, drawdowns, reimbursements, and supporting records comply with award terms and organizational policies.
• Partner with program, clinical, operational, and development leaders on applications, budgets, reporting schedules, funding restrictions, sustainability plans, and closeout activities.
• Monitor restricted and unrestricted contributions, donor-imposed restrictions, pledge receivables, gift agreements, acknowledgments, and appropriate use of donated funds.
• Establish procedures for allowable-cost review, matching requirements, effort documentation, indirect-cost treatment, records retention, and financial reconciliation.
• Maintain a comprehensive funding calendar for applications, renewals, reporting deadlines, stewardship commitments, monitoring visits, and audits.
• Evaluate the financial impact and long-term sustainability of proposed grants, contracts, gifts, sponsor ships, and other commitments before acceptance.

• Partner with the CEO, development staff, and program leaders to implement a donor stewardship strategy aligned with organizational priorities and funding commitments.
• Provide timely, accurate, and meaningful financial information for donor updates, stewardship reports, recognition activities, and renewal discussions.
• Ensure restricted gifts are used in accordance with donor intent, gift agreements, applicable accounting requirements, and approved budgets.
• Maintain reliable records of pledges, gifts, restrictions, capital campaigns, and other…