Chief Financial Officer

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Path Ways of Southwestern Pennsylvania is a human services organization with over $65 million in funding, serving individuals with intellectual and developmental disabilities (IDD), autism spectrum disorders, and children across southwestern Pennsylvania. With about 1,900 staff members, Path Ways is one of the largest and most complex nonprofit providers in the region, operating in a sector experiencing significant structural changes.

This transformation is driven by Pennsylvania’s transition to Performance-Based Contracting, increased competition from well-capitalized for-profit and private equity-backed providers, changing Medicaid reimbursement models, and mounting pressure on workforce costs and supply. Path Ways must now compete—and succeed—on the basis of quality outcomes, operational efficiency, and financial discipline.

We are seeking a Chief Financial Officer who demonstrates analytical expertise, strategic insight, and leadership presence, serving as a genuine partner to the CEO and executive team. This is not a typical nonprofit CFO role. The ideal candidate will combine extensive financial knowledge with a business strategy mindset — able to drive financial performance, develop forward-looking analytical skills, and help the organization make bold, well-informed decisions about its future.

• Collaborate with executive leadership and the Board to develop and implement a long-term financial strategy aligned with Path Ways’ mission, competitive position, and regulatory environment.
• Lead the annual budgeting and multi-year financial planning processes, integrating strategic plan assumptions, workforce cost trends, and reimbursement rate scenarios.
• Manage the creation and upkeep of financial models and scenario analyses that assist executive and Board decision-making.
• Offer a clear, honest financial view of opportunities and risks — helping leadership grasp not only the numbers but also their strategic significance.

• Establish and manage an financial planning & analysis function capable of delivering program-level profitability analysis, variance explanations, and forward-looking projections.
• Ensure the establishment of financial dashboards and reporting tools that integrate financial, operational, and workforce data into actionable information for program and service leaders.
• Track and analyze reimbursement rate changes, Medicaid policy shifts, and legislative developments (including Medicaid waiver structures and potential federal policy changes) and translate their financial impact for leadership.

• Oversee all financial operations, including accounting, payroll, accounts payable/receivable, cash flow management, and financial reporting.
• Ensure the accuracy, timeliness, and integrity of financial reporting to internal stakeholders, the Board, government funders, and regulatory bodies.
• Maintain robust internal controls and ensure compliance with GAAP, grant requirements, and all applicable federal and state financial regulations.
• Lead the annual audit process and liaise with external auditors; ensure audit readiness and timely resolution of findings.

• In collaboration with operations and billing leadership, provide strategic financial oversight of Path Ways’ revenue cycle across multiple Medicaid waiver programs (e.g., P/FDS, Community Living, Adult Autism Waiver).
• Monitor billing, claims, and collections performance; identify and address systemic risks to revenue integrity.
• Evaluate the financial implications of ODP and OCDEL rate-setting decisions and advise on organizational response strategies.

• Identify, assess, and mitigate financial, operational, and regulatory risks across the organization.
• Oversee insurance programs, manage banking relationships, and ensure appropriate debt financing and investment strategies are in place.

• Provide financial leadership for new program development, geographic…