Director of Financial Operations

POSITION SUMMARY

The Director of Finance & Operations (DFO) provides regional leadership over all financial, administrative, and clinical support operations across a multi-site network. Reporting directly to the Controller and collaborating with the CEO and Board of Directors, as needed, this leader is responsible for safeguarding the organization's non-profit funding architecture while utilizing eClinicalWorks (eCW) to drive data transparency, medical billing efficiency, compliance, and optimized regional resource allocation.

Essential Position Duties

1. Multi-Site Revenue Cycle Optimization: Overhaul and direct the end-to-end medical revenue cycle management (RCM) within the eClinicalWorks platform across all regional clinics; supervise medical billing, insurance provider claims, Medicaid/Medicare reimbursements, and sliding-fee scale compliance. 
2. Fund Accounting & Grant Allocation: Manage complex matrixed tracking of restricted and unrestricted funds, HRSA/federal grants, and private philanthropic allocations across individual site budgets under Uniform Guidance rules. 
3. Consolidated Fiscal Integrity: Partner with the Controller in the preparation of unified, multi-site monthly, quarterly, and annual financial statements, providing regional performance analysis, variance tracking or other reports requested to executive leadership. 
4. Regulatory Non-Profit Audit & Tax: Serve as the primary liaison for independent annual financial audits, corporate filings, and the accurate preparation of IRS Form 990 for multi-facility operations
5. Use standard GAAP practices to ensure appropriate and accurate record keeping
6. Reconcile, control and store payroll Register, 1099 Misc., W-2 statements and fixed assets Register. 
7. Ensures general ledger accounts are reconciled to their related payroll, accounts receivable, accounts payable and fixed assets subsidiary ledgers and adjustments to the general ledger or subsidiary ledgers are made accordingly. 
8. Responsible for the system of internal controls over procedures and systems to ensure accuracy and security of financial records and source documents in addition, responsible for running reports and any enhancements to the Accounting system.  
9. Responsible for State and Federal budget and financial reporting as well as cash drawdown.  
10. Supervision and professional development of a 5–7-person team
11. Responsible to monitor and reconcile cash account balances monthly and ensure the proper controls over all cash accounts.
12. Responsible to review and authorization for the addition of new vendors, rendering inactive certain older vendors and ensuring that the A/P subsidiary ledger is reconciled with the general ledger, including significant vendors.  
13. Provide financial support and guidance for retirement/403(b) plan and flexible accounts program. 
14. Oversees the processing of payroll.
15. Assists with providing support to other departments and external agencies for any documentation required in support of independent audits, state audits, EEO Program audit, etc. 
16. Must maintain appropriate attendance.
17. Performs miscellaneous duties as required by management.

Compliance Responsibilities

1. Multi-Facility Logistical Management: Oversee day-to-day administrative infrastructure, clinic logistics, emergency planning, and workflow efficiency for all regional health network sites.
2. eClinicalWorks Enterprise Control: Direct the technical deployment, reporting structures, and optimizations of the eCW Electronic Health Record (EHR) platform to guarantee cross-clinic data consistency and clean fiscal reporting. 
3. Regional Resource & Procurement Logistics: Negotiate high-volume regional vendor agreements, supervise asset scaling, and manage the technical evaluation, leasing, and maintenance of high-value clinical medical hardware.

POSITION QUALIFICATIONS

Core Competencies/Skill Sets

• Strong leadership skills
• Excellent analytical and problem-solving abilities
• Demonstrated ability to work and interact with departments throughout the organization
• Exceptional written and verbal communication skills
• Knowledge of GAAP and internal controls
• Proficiency with Microsoft Office and accounting software
• Strong organizational and time management skills 
• Thorough knowledge and understanding of accounting, balancing and reconciliations

Professional Experience/Educational Requirements

• BA in Accounting, Finance, Business Administration or related field
• MBA is preferred
• 5-8+ years experience deep technical accounting experience
• 3-5+ years of financial leadership experience preferably in healthcare and/or non-profit sectors
• Knowledge of accounting systems like FundEZ, Sage, Great Plains, Oracle Netsuite, etc. as well as HRIS systems like Paycom, Paylocity, BambooHR, or UKG

Certification/Licensure

• CPA designation is preferred