Associate Chief Financial Officer

Join Lamoille County Mental Health Services For nearly 60 years, Lamoille County Mental Health Services (LCMHS) has provided compassionate, community-based mental health, developmental, behavioral, and family support services across Vermont. As a designated community mental health agency established in 1966, we support more than 1,000 individuals annually with a mission centered on wellness, dignity, and access to high-quality care.

We are seeking an experienced and collaborative Associate Chief Financial Officer (ACFO) to help lead the agency’s financial operations during a transformative period in healthcare funding and payment reform.

Position Overview The Associate Chief Financial Officer is a key member of the finance leadership team, partnering closely with the CFO to strengthen financial stability, improve operational performance, and support the agency’s long-term sustainability.

This is a hands-on leadership role ideal for a finance professional who combines strong technical accounting expertise with strategic thinking and a collaborative approach. The ACFO will oversee core accounting operations, financial reporting, billing and reimbursement processes, accounts receivable management, compliance, and audit readiness while helping drive continuous improvement across the organization.

Key Responsibilities Partner with the CFO on financial strategy, forecasting, and long-range sustainability planning amid evolving payment reform initiatives

Lead month-end and year-end close processes, ensuring accuracy, timeliness, and GAAP-compliant financial reporting

Oversee general ledger integrity, reconciliations, and core accounting functions

Direct agency contract invoicing and billing processes to ensure timely and accurate reimbursement from state and funding partners

Manage accounts receivable operations, including aging analysis, collections follow-up, and cash flow monitoring

Support development and monitoring of agency-wide and program-specific budgets; analyze financial trends and variances

Oversee grant and contract financial reporting, cost allocation methodologies, and compliance with state and federal requirements

Coordinate annual audits, state reviews, and implementation of corrective action plans as needed

Strengthen internal controls, financial policies, and operational procedures to enhance accountability and transparency

Serve as a trusted financial partner to program leaders and department managers, promoting shared ownership of fiscal performance

Identify opportunities for process improvement, operational efficiency, and stronger financial systems

What We Offer LCMHS offers a comprehensive benefits package designed to support your health, financial wellbeing, and professional growth:

Competitive compensation
401(k) with 3% employer match

Health, dental, and vision insurance

Health Savings Account (HSA)
Flexible Spending Account (FSA)
Life insurance

Generous paid time off Tuition reimbursement and professional development support

Why Join LCMHS?

At LCMHS, you’ll have the opportunity to make a meaningful impact in your community while helping shape the financial future of an organization dedicated to improving lives. We value collaboration, integrity, innovation, and a commitment to compassionate care.

Qualifications Required Master ’s degree in Accounting, Finance, or related field3–5 years of progressive accounting or financial management experience

Strong knowledge of GAAP and financial reporting standards

Experience with budgeting, forecasting, and financial analysis

Demonstrated ability to manage multiple priorities in a mission-driven environment

Preferred

Experience in nonprofit healthcare, behavioral health, or community mental health settings

Familiarity with government funding, grants management, and reimbursement systems

Experience supporting audits and regulatory compliance initiativesCPA or CPA-track candidate preferred
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