Director, Fiscal​/CFO

Job Details

Job Location:

Administrative Office - Pocatello,

The Chief Financial Officer (CFO) is a vital member of the Executive Leadership Team, responsible for leading the financial strategy, oversight, and sustainability of Health West Inc., a mission-driven Community Health Center (CHC). Reporting directly to the CEO, the CFO works closely with management and departments to advance the organization’s mission and operational goals through strategic financial planning, budgeting, analysis, and compliance.

The CFO oversees accounting, audits, budgets, contracts, insurance, procurement, revenue cycle management, and the administration of the 403(b) retirement plan. This role ensures compliance with Generally Accepted Accounting Principles (GAAP), Health Resources and Services Administration (HRSA) regulations, federal and state grants, and nonprofit standards, including IRS requirements and grant funding oversight. The CFO also fosters a healthy workplace setting aligned with Health West’s mission, vision, and values, promoting collaboration, transparency, and accountability.

This position demands an open-minded, forward-thinking, adaptable, and team-oriented approach, with the ability to navigate challenges, lead difficult conversations, and provide data-driven insights to guide decision-making. The CFO ensures that strong key performance indicators (KPIs) are in place, consistently exceeding industry standards.

• Develop and implement financial strategies to support Health West’s growth and long-term success.
• Partner with the CEO and Executive Team to align financial goals with organizational priorities.
• Promote Health West’s mission, vision, values, and a healthy workplace setting across all levels of the organization.
• Present financial updates, trends, and projections to the Board of Directors to support strategic governance and decision-making.
• Drive financial performance improvement by identifying trends, opportunities, and risks, and proposing actionable recommendations.

• Lead the development of annual operating and capital budgets in alignment with strategic goals.
• Collaborate with department heads to prepare accurate and realistic budget proposals based on program needs and funding.
• Monitor budget performance, identify variances, and initiate corrective actions as necessary.
• Analyze costs across departments to identify inefficiencies and develop actionable plans for cost savings and resource optimization.
• Conduct cost-benefit analyses for key organizational decisions to ensure efficient allocation of resources.
• Develop multi-year financial plans and projections to support long-term organizational objectives.
• Facilitate budget review sessions with the CEO, Executive Team, and Board of Directors, providing actionable financial insights.
• Prepare and distribute detailed financial reports, including variance analyses, cost trends, and revenue forecasts, to guide decision-making.
• Implement and monitor budget controls to maintain financial accountability and prevent overspending.

• Oversee all accounting operations, including payroll, accounts payable/receivable, and general ledger maintenance, ensuring accuracy and efficiency.
• Manage and optimize revenue cycle operations, including billing, claims processing, collections, and cash flow.
• Review and administer contracts, leases, and agreements to align with organizational and financial objectives.
• Maintain robust internal controls to protect assets, mitigate risks, and ensure adherence to GAAP, HRSA regulations, and grant requirements.
• Develop and maintain comprehensive business insurance policies to ensure appropriate…