Chief Financial Officer

Why Crescent Community Health Center? Crescent is a mission driven, patient centered organization. Crescent provides medical, dental and brain health services to the Greater Dubuque area including our most vulnerable populations. Crescent works hard to bring high quality affordable health care to all in our community. Crescent provides a diverse, fun, and inclusive workforce with competitive wages and benefits. If you are looking for a rewarding career that makes a difference in the community, this is your chance.

Summary: To act as Chief Financial Officer, and as part of the Crescent Community Health Center (CCHC) Leadership Team, lead CCHC to meet the organizational goals as approved by the Board of Directors. Coordinates the internal and external financial affairs including oversight of the Revenue Cycle, Expenditure Cycle, Financial Reporting, Budgeting and Forecasting. Guides the development of long and short-term financial objectives and, upon approval of the CEO, executes the strategies and plans designed to achieve these objectives. Based upon strategic directions, is responsible for the evaluation and related recommendations for business development, and business acquisitions as well as participating in the directing of the contractual relationships with health providers, businesses, and third-party payors.

Also included under the oversight of the CFO is Revenue Cycle Management, Patient Experience, Accounts Payable management, Budget & Forecasting, Payroll, Cash Management, General Ledger, Account Reconciliation, Population Health and Grants Management, Health Resource and Services Administration (HRSA) grant reporting as related to the Electronic Handbook (EHB) and Uniform Data Systems (UDS), Medicare and Medicaid Cost Report activities.

The ideal candidate will have demonstrated leadership within a health care finance department leading and inspiring innovative teams.

The incumbent must understand and exemplify the organization's mission, vision, and core values.

The CFO will develop and direct a finance department consistent with the size of the organization and define, orient, train and supervise all qualified individuals to lead fiscal functions. Represents CCHC to professional peers and the Iowa Primary Care Association (IPCA) and engages in a wide variety of activities designed to improve the health of the patient's service by CCHC in an effective and efficient manner.

Provides financial oversight to the organization; administer, direct, and monitor all Clinic financial activities related to budget management, cost benefit analysis, forecasting needs, cash flow forecasting, in house and external pharmacy financial management and securing of new funding.

Essential Functions

• Participate in the development and implementation of the mission, the vision, and values of CCHC, including the deliverance of high quality, focused care.
• Responsible for the financial management of CCHC including responsibility for budgeting, accounting, financial statements, fee structures, managing A/R, monitoring the financial status of the Clinic, ensuring appropriate reimbursement, maintaining internal controls, ensuring a successful annual audit, financial management of grants, performing financial/program analyses and updating policies and procedures.
• Maintain effective revenue cycle processes to keep patient accounts receivable at an acceptable level, increase cash flow and apprising CEO, Finance Committee and Board of Cash Flow forecasts.
• Maintain a thorough working knowledge of federal, state, and managed care reimbursement payment methodologies and understanding new payment methodologies and alternate payment methodologies.
• Keep up to date with federal statutes surrounding participation in Medicare and Medicaid programs including but not limited to EMTALA, Medicare fraud and abuse issues, Star legislation, and IRS guidelines pertaining to the operation of not-for-profit entities.
• Prepare financial and statistical reports as required by CEO, Finance Committee, Board of Directors, and State/Federal regulations and program requirements. Prepare annual and special financial reports, project studies and analyses. Coordinate the filing of tax cost reports, wrap reports, 1099's, 990's, HRSA grant Federal Financial Reports (FFR's).
• Analyze and recommend changes in financial systems, policies and procedures and ensure their implementation.
• Ensure that all accounting activities and operations are performed in compliance with local, state, and federal regulations and laws governing business operations.
• Monitor capital asset expenditures and depreciation; prepare annual operating budget with input and involvement at the departmental level as well as capital budgets and cash flow projections; arrange lines of credit and maintain proper banking relationships; and adhere to CCHC corporate compliance standards and procedures.
• Provide proactive, sounds guidance regarding management of assets and investments, and financial trends within the organization.
• Provide a strong day-to-day leadership presence for all finance department staff, supporting an open-door policy; and coordinate all performance management for direct reports.
• Act as management liaison to the Finance Committee and engage the Committee in budget development and short- and long-term financial plans and projections.
• Represent the Finance Department at Board of Director and Committee meetings to discuss the financial health of the organization.
• Additional duties and projects as directed by CEO.

Qualifications: To perform this job successfully, the individual in this position must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the minimum knowledge, skills and ability required.

• Master's degree in business administration, finance or accounting preferred, Bachelor's degree in accounting from an accredited college or university required
• A minimum of five years of executive level management and accounting experience in the health care field with increased levels of responsibility (including familiarity with A-133 non-profit federal account procedures) required
• Preference for individuals with 5-7 years of senior financial leadership experience in an FQHC setting
• Thorough knowledge of accounting processes and procedures including experience with computerized accounting systems
• A minimum of five years proven supervisory experience including all aspects of performance management
• Proficiency with Microsoft Outlook, Word & Excel; basic knowledge of PowerPoint
• Familiarity with SAGE and MIP Accounting software is preferred
• Familiarity with HRSA EHB, HRSA UDS and HRSA FFR is preferred. EPIC Revenue Cycle and Dashboards is also preferred.
• Strong organizational skills and the ability to manage multiple priorities in a high-volume environment
• Proven interpersonal and communication skills, including the ability to form constructive and effective relationships with colleagues and partners.
• Demonstrated ability to establish and maintain communication and strong working relationships with the Board of Directors at Board and Committee meetings, IPCA staff, community partners like the Community Foundation of Greater Dubuque (CFGD) , the leadership team, employees, patients, providers, and other organizations.
• Knowledge of accreditation standards for managed care organizations, e.g., NCQA, and Federal, State, and local requirements for FQHC and managed care organizations preferred
• Familiarity with Insurance, Insurance policies, management of Insurance portfolio including liability, officers, property, cyber, workers' comp.

Pre-employment drug testing and background check required.

EOE