Finance​/Revenue Cycle Director

Here at Community Health Service, Inc (CHSI), our mission is to provide high-quality health care to those who are often overlooked and underserved. Sound rewarding? You bet it is! If you are looking for more than just a "job" and want to invest your time making an impact on the lives of others, this is your chance to join our CHSI team!

CHSI is a private, non-profit organization established in 1973 to serve the health needs of migrant & seasonal farm workers and their family members. Today, CHSI has expanded services and provides mental & physical healthcare to all individuals in our communities. Our services are provided on a more affordable sliding fee scale to those who are under-insured or un-insured. We also accept ND and MN Medicaid, Medicare, and most private insurance plans.

We currently operate four nurse-managed clinics, two mobile medical units, and two victim advocacy program centers in Minnesota & North Dakota.

We are on the search for a full-time Finance/Revenue Cycle Director to join our Moorhead, MN team.

• Lead, supervise, and mentor the finance team, including billing, collections, revenue cycle, and accounting staff.
• CHSI liaison to the Outsource Revenue team to ensure: billing, coding, claims processing, collections, and denial management.
• Implement strategies to maximize collections, reduce accounts receivable days, and improve cash flow.
• Maintain knowledge of FQHC-specific billing practices, Medicaid/Medicare reimbursement, wrap payments, sliding fee scales, and UDS reporting.
• Collaborate with clinical and operational leaders to optimize charge capture and documentation.
• Assist in annual budget development, financial forecasting, and financial reporting.
• Support compliance with federal and state financial regulations (e.g., HRSA, UDS, Medicaid cost reporting).

• Manage cross-departmental projects from initiation through completion, ensuring projects meet scope, timeline, and budget targets.
• Lead efforts to improve internal processes across clinical, operational, and administrative areas.
• Develop and maintain project plans, timelines, resource allocations, and risk management plans.
• Facilitate project team meetings, stakeholder communications, and progress reporting.
• Introduce project management best practices and tools across the organization to build a culture of accountability and innovation.
• Support grant-funded projects and ensure deliverables align with funder expectations and organizational goals.

• Bachelor's degree in business administration, Finance, Healthcare Administration, or a related field (master's preferred).
• 5+ years of experience in healthcare financial management and project management, with at least 2 years in a supervisory or leadership role.
• Expertise in FQHC revenue cycle management and healthcare financial operations.
• Strong project management experience: PMP (Project Management Professional) certification preferred or willingness to obtain within one year.
• Familiarity with EHR and billing systems (e.g., Next Gen, eClinical
  
  Works, Epic) and project management tools (e.g., Asana, Smartsheet, MS Project).
• Knowledge of HRSA, Medicaid, Medicare, and healthcare finance regulations.
• Excellent communication, leadership, organizational, and analytical skills.

• Financial Operations and Revenue Cycle Optimization
• Project Management and Process Improvement
• Strategic Planning and Execution
• Cross-functional Team Leadership
• Regulatory and Grant Compliance
• Innovation and Change Management

• Full-time position, hybrid work available (on-site presence required for key meetings).
• Occasional travel to satellite clinics or project partner sites.

• 4 years of leadership experience, preferably in healthcare, preferably in FQHC or non