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Director of Finance

Job Description


Full job description


  • Ensures the provision of financial services and management that will enable NCCHCA to achieve its operational and strategic goals and initiatives in compliance with legal and regulatory requirements.
  • Ensures financial statements and records are kept in accordance to GAAP and applicable regulations of other outside agencies through review, analysis, and audit.
  • Responsible for developing and maintaining the organization’s financial policies and procedures.
  • Monitors internal controls and ensures compliance with established financial policies and procedures. Responsible for supervision of other financial support staff as needed.
  • This position has the primary role in the organizational financial reporting and analysis, budgeting, forecasting and projections.
  • Oversees all policies and procedures for the financial and data operations of managed care contracts
  • Manages contracts, negotiates, and set rates, and reviews reimbursement levels and managed care agreements to ensure that proper payment practices are utilized
  • Work with the Risk Management Department to review and update as needed all contracts
  • Oversee the Care Management data process feed from the Managed Care Organization and the timely disbursement of funds to our members
  • Oversight of the Finance Committee meetings, agendas, and minutes in accordance with the Finance Committee Charter and NCCHCA Bylaws.

Qualification Requirements

  • Ability to oversee all aspects of a Finance/Accounting department – managing multiple grants and departments budgets
  • Ability to identify, recommend and implement process improvements through knowledge of accounting practices and the ability to produce necessary reports.
  • Ability to implement processes that encourages and inform the CEO how to increase levels of reimbursement
  • Experienced in developing budgets/polices/procedures/to support the organization functional infrastructure
  • Knowledge of, or ability to quickly learn, financial practices within a not-for-profit Primary Care Association setting including federal, state, and foundation grant reporting as well as for-profit Clinical Integrated Network
  • Accustomed to paying various taxes including state, federal, unemployment, etc
  • Excellent organizational skills with the ability to orchestrate multiple, on-going and unrelated time critical tasks to accomplish identified goals quickly and accurately - Develop recommendations for solving problems
  • Superior analytical, verbal, and written communication skills including presentation skills at leadership meetings as needed
  • Strong supervisory and staff development skills
  • Expert computer skills and ability to learn newly developing computer systems are critical
  • Ability to extract data to conduct analysis and forecast trends is essential
  • Department with experience in financial reporting, financial trend analysis, preferably in a not-for-profit Primary Care Association and for-profit Clinical Integrated Network setting. Must be current with GAAP regulations and compliance issues.


Skills and Abilities:

  • Analytical, problem solving and management skills
  • MIP/Abila Accounting System preferred
  • Microsoft Excel, Word, PowerPoint


Minimum Qualifications

  • A bachelor’s degree in finance, Business, Accounting or a related field required, with an MBA degree preferred
  • A minimum of seven years of relevant financial modeling, analysis, and reporting in not-for- profit. Prior Managed Care experience as analysis support specifically in the healthcare industry.
  • A minimum of five years prior service as a supervisor or controller in an Accounting/Finance

Supervisory Responsibilities



  • Overseeing and directing the operations and staff of the finance department
  • Oversight of Finance Committee
  • Collaborates with CMHN SVP of Value-based Services and the Population Health Management and Quality Care staff to maximize performance on risk contracts and provide analysis of managed care and FQHC related revenues
  • Perform revenue analysis for potential new business
  • Perform analysis of existing business lines/activities to support the organization in evaluating the mission impact and profitability of existing business lines/activities
  • Assist with financial modeling as needed
  • Produce monthly and quarterly financial reporting and analysis for Managed Care
  • Conduct monthly variance analyses
  • Supervising the general ledger, payroll, accounts payable, grants accounting, project accounting (CIP) and financial services operations and staff
  • Ensuring compliance with financial policies and procedures, recommending changes in policies and procedures as necessary
  • Reconciling general ledger to expenditure ledger, reconciling due to/from accounts, responsible for bank reconciliations, closes all funds monthly
  • Coordinating cross-training of staff, ensuring established schedules are met as needed
  • Reviewing reimbursement requests under grant programs
  • Oversight and management of the distributions of managed care funds to the members of CMHN CIN- IPA
  • Coordinating banking activities
  • Coordinating financial data input and report generation
  • Overseeing compliance and implementation of GAAP; maintenance & updates to chart of accounts and preparation of standard journal entries for monthly and yearly closings, ensuring a clearly identified audit trail.
  • Maintaining a continuous internal auditing program for all funds and developing/maintaining a system of internal controls
  • Preparing revenues, expenditures and cash flow projections as requested
  • Assisting auditors in analysis work complete through consolidation of financial statements
  • Manage all financial aspect of the Association’s grants and contracts
  • Prepare, review, distribute and presents and interprets financial information to senior management and/or Board of Directors
  • Assisting other employees and departments with fiscal matters
  • Maintaining a willingness to learn and offering recommendations to improve the job functions and financial processes
  • Assist the CEO and the Senior Leadership Team in developing revenue generation and business development strategies. Performs related tasks as required.


Physical Demands


  • Carrying equipment/boxes and training materials up 20-pound boxes or less.
  • Constant sitting, standing, walking.
  • Ability to travel out-of-town, by air, and overnight.
  • Evenings and weekend work.


Work Environment

  • NCCHCA is a busy, team-oriented, non-profit organization with expected event-related travel to various locations including in and out-of-state.

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