Chief Financial Officer

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Management Chicago, IL, US

5 days ago Requisition

Salary Range: $ To $ Annually

Tapestry 360 Health is a mission-driven, patient-centered Federally Qualified Health Center (FQHC) delivering comprehensive primary care, behavioral health, and enabling services to a diverse and underserved population. As a Health Resources and Services Administration-designated health center operating under Section 330 of the Public Health Service Act, Tapestry serves as a critical safety-net provider, ensuring access to high-quality, equitable care regardless of a patient’s ability to pay.

With a workforce of approximately 250 employees and an annual operating budget of $44 million, the organization is advancing a deliberate strategy focused on financial sustainability, operational rigor, and long-term community impact. Key priorities include strengthening core infrastructure, expanding value-based care arrangements to align reimbursement with outcomes, and optimizing participation in the 340B Drug Pricing Program to reinvest resources into patient care.

Through this integrated approach, Tapestry 360 Health is positioned to sustain and scale mission-critical services for the communities it serves well into the future.

Chief Financial Officer (CFO) is a strategic executive leader responsible for the full financial health, sustainability, and compliance of the organization. Reporting directly to the CEO and serving as a key member of the Executive Leadership Team, the CFO provides visionary financial stewardship while ensuring operational excellence across all finance functions — including revenue cycle management, budgeting and forecasting, grant accounting, 340B program oversight, and value-based care financial modeling.

• Serve as a trusted strategic advisor to the CEO, Board of Directors, and Executive Leadership Team on all financial matters, modeling and articulating the financial implications of organizational decisions.
• Lead the development and execution of a multi-year financial strategy aligned with the organization's mission, growth priorities, and community health goals.
• Ensure financial sustainability and resilience, including maintaining adequate reserves, managing cash flow, and positioning the organization for capital investment.
• Present comprehensive financial reports and analyses to the Board Finance Committee and full Board, translating complex financial data into clear, actionable insights.

• Provide executive oversight of the entire revenue cycle — from patient registration and eligibility verification through charge capture, coding, billing, claims submission, and collections.
• In partnership with outsourced billing provider, establish and monitor key performance indicators (KPIs) for revenue cycle performance, including days in A/R, denial rates, clean claim rates, and net collection ratios.
• Drive continuous improvement initiatives to optimize billing processes, reduce denials, and accelerate cash collections across all payer mixes — including Medicaid, Medicare, commercial insurance, sliding fee scale, and grant‑funded services.
• Ensure compliance with FQHC prospective payment system (PPS) billing requirements and HRSA reporting standards.
• Oversee coding accuracy and compliance, collaborating with clinical leadership to ensure documentation supports appropriate reimbursement.

• Lead the organization‑wide annual budget development process in close partnership with department directors, the CEO, and the Board, ensuring alignment of resources with strategic priorities.
• Deliver timely and accurate monthly, quarterly, and annual financial statements, budget variance analyses, and rolling forecasts.
• Develop sophisticated financial models to evaluate new programs, service lines, facility expansions, and strategic partnerships.
• Develop and maintain value‑based care financial models and contract analyses, including projections for…