Finance Director

Description Finance Director

Full-Time (37.5 hours per week)

Established in 1971, Health

Q has been a trailblazing and trusted non-profit organization providing sexual and reproductive healthcare in Massachusetts’ North Shore and Merrimack Valley for over 50 years. At Health

Q, we are committed to providing exceptional reproductive and sexual health care to all who need it without judgment and without barriers. Our services include birth control, abortion, gender-affirming care, STI testing and treatment, vasectomies, HIV testing and referral, and other preventive health services.

The Finance Director is responsible for the oversight and day-to-day management of financial operations, revenue cycle management, and financial compliance for Health

Q, an organization with an annual budget of approximately $5 million and a staff of 30. This role ensures the integrity, accuracy, and timeliness of financial reporting, and provides effective management across key functional areas including billing, accounts receivable, grant management, payer contracting, and adherence with federal, state, and organizational requirements.

The Finance Director directly supervises a part-time Finance Assistant and provides oversight of key outsourced partners, including third-party accounting / bookkeeping and medical billing vendors. Working in close collaboration with clinical and administrative leadership, this position plays a key role in advancing organizational sustainability and effectiveness by delivering sound financial stewardship, operational insight, and strategic guidance.

• Supervise financial processes, including budgeting, forecasting, cash flow management, and financial analysis, to support decision-making.
• Oversee general ledger activity, monthly reconciliations, accounts payable, and payroll coordination to ensure timely, accurate financial records.
• Prepare monthly, quarterly, and annual financial reports, ensuring accuracy and compliance with GAAP and non-profit accounting standards. Present reports to the Board Finance Committee.
• Monitor financial performance and trends, recommend strategies to optimize revenue and sustainability.
• Support leadership with short- and long-term cash flow forecasts and financial planning.

• Oversee the full revenue cycle, including patient billing, claims submission, payment processing, and collections.
• Ensure timely reimbursement, denial management, and optimization of accounts receivable performance.
• Supervise payer contracting (including negotiations) and relationships to optimize reimbursement rates.
• Develop, implement and maintain compliance policies and procedures in alignment with Medicaid, Medicare, commercial insurance, and other third-party payer requirements.

• Directly supervise and coach a part-time Finance Assistant, including performance management, goal setting, and professional development.
• Provide oversight and performance management of a third-party accounting and bookkeeping vendor, ensuring accuracy, timeliness, and adherence to GAAP and non-profit accounting standards.
• Provide oversight and performance management of a third-party medical billing vendor; establishing KPIs, monitoring accounts receivable, denial rates, and reimbursement timeliness.

• Ensure compliance with federal, state, and payer regulations, including HIPAA, billing guidelines, 340B, and non-profit financial requirements.
• Lead coordination of financial audits and tax filings, in collaboration with the Administrative Operations Director and external auditors.
• Coordinate presentation of financial audit reports to the board and address adverse outcomes, if any.
• Maintain and strengthen internal financial control and safeguard systems, to mitigate risks and optimize revenue integrity.

• Oversee financial management and reporting for grants and restricted funding, ensuring expenditures are aligned with approved budgets and funder requirements.
• Prepare, review and submit…