Job Summary:

The Grants and Development Manager position combines strategic fundraising, grant management, and compliance oversight. The Manager will lead the full lifecycle of grant development—from research and proposal writing to post-award monitoring, reporting, and evaluation—with a focus on securing and managing government (especially HRSA), state, and private foundation support. This role requires exceptional grant writing and project management skills, as well as the ability to coordinate cross-functional teams, including finance, quality improvement, and program operations. The ideal candidate brings deep knowledge of healthcare grants, development best practices, and a demonstrated ability to build sustainable funding pipelines using data-driven storytelling, relationship cultivation, and compliance expertise.

Duties & Responsibilities:

Lead research, identification, and pursue new grant opportunities from federal, state, local, and private sources.

Create compelling and compliant letters of intent, grant proposals, supporting documentation, and budgets in alignment with CCHC’s mission, strategic plan, and funder priorities.

Maintain a comprehensive, forward-looking grant calendar, including deadlines for proposals, renewals, and required reports.

Serve as the primary grant writer and editor, ensuring high-quality narrative development and persuasive language tailored to funder requirements.

Develop and manage a standardized library of boilerplate content and data resources for reuse in proposals.

Proven success managing a portfolio of federal, state, and private grants; HRSA experience is desired.

Administer pre- and post-award grant management functions, including execution, monitoring, and close out of funded projects.

Ensure compliance with all federal (e.g., HRSA), state, and private grantor requirements, including performance reporting, financial documentation, and audit preparation.

Work collaboratively with Finance, Quality Improvement, and Program departments to align spending with grant budgets and ensure accurate tracking, invoicing, and reconciliation of funds.

Serve as the lead point of contact for funders regarding grant performance, deliverables, and site visits.

Maintains knowledge of best practices in grant fundraising and trends in the nonprofit and FQHC health care sectors.

Design and implement program evaluation frameworks, logic models, and measurable outcomes for grant-funded initiatives.

Analyze and synthesize data from cross-functional teams (including Quality Improvement, Program Managers, and Finance) for reporting and continuous improvement.

Use grant management platform to manage grant lifecycles, monitor key performance indicators, and produce accurate reports and dashboards.

Provide technical assistance and training to internal stakeholders on data collection, reporting, and compliance tracking.

Collaborate with the Development Director to diversify funding sources through donor cultivation, annual campaigns, corporate partnerships, and special events.

Support the development and execution of an annual development plan and fundraising calendar.

Assist with marketing, donor communications, and creation of development collateral as needed.

Manage and maintain donor and grant databases, tracking interactions, gifts, outcomes, and grant cycles.

Develop and implement grant management policies, procedures, data workflows, and resources.

Cross-train and support administrative staff, interns, or volunteers engaged in development functions.

Coordinate with program and administrative staff to identify funding priorities and ensure alignment between project goals and funding strategies.

Represent CCHC at community events, funder meetings, and public forums as needed to elevate the organization’s visibility and cultivate relationships.

Translate program and patient stories into compelling narratives that convey impact to funders and stakeholders.

Able to work independently and as a team member.

Education & Experience:

Bachelor’s degree required; preferred fields include Public Administration, English, Public Health, Nonprofit Management, or related areas.

Certified Grants Management Specialist (CGMS) certification is a plus.

5 years of comprehensive grants management, grant writing, development, and nonprofit fundraising required.

3 years of experience coordinating grant funded programs in an organization supporting public health, human services, or a Federally Qualified Health Center (FQHC) is highly desired.

Technical Proficiency:

High proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), M365, and Adobe Acrobat.

Familiarity with cloud-based CRM/grant platforms, donor management systems (e.g., Bloomerang, Raiser’s Edge), experience with AmpliFund is a strong plus.

Knowledge of grant management software; process automation, and best practices.

Strong data analysis, budgeting, and reporting capabilities.

Knowledge of federal grant regulations, Uniform Guidance (2 CFR Part 200), and audit preparation.

Core Competencies:

Outstanding writing, editing, formatting, PDF, storytelling, and research skills.

Strong interpersonal skills and ability to collaborate effectively with diverse internal and external stakeholders.

Strategic thinker with attention to detail and capacity to manage multiple deadlines.

Demonstrated ability to lead cross-functional projects and manage ambiguity in a fast-paced nonprofit setting.

Well-developed critical thinking, problem solving, literacy, and writing skills at an advanced degree level.

Deep commitment to equity, inclusion, and culturally responsive engagement.

Embody CCHC’s core values: Compassion; Diversity; Fiscal Responsibility; Integrity & Dignity; and Teamwork

Work Environment & Conditions:

Based on site at CCHC’s administrative offices with flexibility for limited remote work depending on deadlines and responsibilities.

Regular schedule is Monday through Friday; occasional evenings and/or weekends may be required for events or submission deadlines.

Travel for funder meetings and community engagements required.

Evaluation Responsibilities:

Serve as Program Evaluator for all grant-funded projects and programs.

Ensure that grants comply with all regulatory and foundation guidelines, maintaining accurate documentation for auditing purposes.

Design and implement robust evaluation tools, metrics, and dashboards to track program outcomes.

Analyze data to inform strategic planning and quality improvement across departments.

Create and submit performance reports to HRSA and other agencies, including but not limited to Annual Performance Reports (APR), training participation data, and demographic reports.

Provide leadership and training in evaluation methods and tools for CCHC staff across departments

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.

Charlotte Community Health Clinic, Inc. is an Equal Opportunity Employer.  We do not discriminate in any aspect of employment with regard to age, race, sex, national origin, disability, color, marital status, veteran’s status, or religion.

Contentnea Health is a Community Health Center providing comprehensive medical, dental and behavioral health services for members of our communities in Greene, Pitt and Pamlico counties in eastern North Carolina.

Job Summary

Submits healthcare claims accurately and efficiently, including researching and correcting denials and errors, applying discounts and adjustments, and resubmitting claims as needed to ensure timely payment.

Responsibilities and Duties

Performs billing and collection activities for medical, behavioral health and dental services.
* Creates claims submissions for assigned payers and/or patient accounts.
* Corrects and resubmits rejected claims for assigned payers and/or patient accounts. .
* Researches, corrects and resubmits denied claims for assigned payers and/or patient accounts.
* Follows-up with payers via the most effective channel (payer portals, email, phone) to resolve outstanding claims including filing appeals and reconsideration requests.
* Identifies credit balances for assigned payers and/or patient accounts, researches and verifies accuracy of credit balance and submits refund requests as appropriate.
* Identifies account balances meeting the criteria for bad debt write-off, researches and verifies accuracy of balance and flags balances as appropriate to be written off as bad debt.
* Posts third party payments for assigned payers and/or patient accounts accurately to charges.
* Reviews account balances for patients qualified for the Sliding Fee Discount Program and applies discounts to eligible patient charges.
* Performs work in accordance with departmental timelines for claims creation, submission, resolution of claim rejections and denials and open/unpaid claims.
* Assists with reconciliation of patient and payer payments as requested.
* Communicates with credentialing staff and/or external credentialing vendor as needed to ensure necessary enrollments and/or updates are performed to mitigate claims denials.
* Maintains all documents relevant to daily billing functions in internal data repository, e.g. remittance advices, payer correspondence, fee schedule, billing/coding rules, W9 forms, memos, charge slips, training documents etc.
* Provides customer service to internal and external customers.
* Acknowledges, researches, and resolves patient inquiries related to billing and financial counseling functions.
* Provides written notification to supervisor of all patient complaints regarding billing and collections.
* Responds to staff inquiries regarding patient billing and collections.

Qualifications and Skills

Possesses specific knowledge and training in billing processes and practices, typically acquired during completion of a certificate program in billing practices with a duration of up to a year.  Possesses a basic knowledge of medical terminology, procedural and diagnostic coding, medical-dental cross-coding, electronic claims processing and of insurance policies and contracts for multiple insurance vendors.  Current certification as a Community Health Coding and Billing Specialist (CH-CBS).

TITLE: Chief Financial Officer
DEPARTMENT: Finance
CLASSIFICATION: Salaried/Exempt
SALARY: Depends on skills and experience
REPORTS TO: Chief Executive Officer
DIRECT REPORTS: Controller, Revenue Cycle Supervisor, Senior Accountant, Staff Accountant, Accounts Payable Specialist

POSITION SUMMARY
The Chief Financial Officer (CFO) is responsible for providing strategic financial leadership for Charlotte Community Health Clinic (CCHC) to ensure fiscal stability and compliance. As a member of the Leadership Team, the CFO provides oversight of all aspects of finance, accounting, and billing, which includes reporting, budgeting, forecasting, analysis, system implementation, policy and procedure development, accounts payable and receivable, purchases and expenditures, tax reporting, revenue cycle management, and regulatory compliance. The CFO will also participate in QI activities as needed.

CCHC CORE REQUIREMENTS
1. Patient Centered Customer Service – Whether directly or indirectly, we work to support the delivery of an excellent patient experience to everyone served by the organization.
2. Caring and Compassion – We provide empathic comfort to those in distress and share kindness in all interpersonal interactions.
3. Respectful Communication – We communicate openly, honestly and without judgment while honoring each individual’s uniqueness and assuming the best of those with whom we interact.
4. Teamwork – We are members of a diverse interdisciplinary team working together to meet a common goal.
5. Accountability – We accept our individual and team responsibilities, and we meet our commitments. We take responsibility for our performance and actions.
6. Customer Safety – We recognize and correct potential hazards to protect our customers and ourselves.

KEY RESPONSIBILITIES
• Provide leadership, direction, and management of the financial decision-making for the organization, ensuring alignment with CCHC’s mission and strategic plan.
• Oversee the organization’s fiscal activity, including budgeting, reporting, auditing, accounts payable, accounts receivable, payroll, contract reporting, invoicing, bank statements, general ledger reconciliation, cash flow planning and monitoring, etc.
• Direct sliding fee scale program development and implementation.
• Develop and implement sound financial controls, policies, and procedures.
• Work collaboratively with the Leadership Team and other key management staff to identify financial needs and seek a full range of business solutions.
• Evaluate and advise the Leadership Team on the financial impact of current business activities as well as new programs and initiatives.
• Identify financial opportunities for the organization, such as additional funding streams, greater operational efficiency, payer mix optimization, etc.
• Maintain awareness of legislation and regulations as well as other external/internal financial risks affecting CCHC’s business environment, providing strategies to mitigate any negative impacts.
• Work collaboratively with the Leadership Team and department managers to prepare the comprehensive operating budget annually, monitoring budget progress throughout the year.
• Ensure timely submission of the annual audit, working transparently and collaboratively with external auditors.
• Report monthly to the CCHC Finance Committee and Board of Directors, ensuring full transparency of the financial performance of the organization.
• Manage and direct the preparation and issuance of all regulatory reports (i.e. FFR, FCTR, UDS, Medicare Cost report, Medicaid Cost report, IRS Form 990, Form 5500, etc.).
• Ensure compliance with all governmental regulations related to financial operations, including US GAAP, federal, state, local regulations, Single Audit Act, and 45 CFR 75 for grant-related funds.
• Build and maintain relationships with contract authorities, funding agencies, and other external stakeholders.
• Evaluate and oversee organizational insurance policies, ensuring comprehensive coverage for liability, property, malpractice, and other risks.
• Ensure accurate financial reports and dashboards are provided to the Board of Directors, Leadership Team, and other managers as requested.
• Implement non-profit/FQHC best practices, ensuring compliance with applicable state and federal laws as well as HRSA and other grant requirements.
• Collaborate with the Development Team to record and track financial and in-kind donations along with local and state grant funds awarded to the organization.
• Prepare budgets and ongoing financial reports required by federal grantors.
• Serve as a key negotiator for all organizational contracts.
• Manage department staff, which includes recruitment, onboarding, mentorship, performance management, disciplinary actions, training and development, goal setting, team building, etc.
• Attend and participate in internal and external meetings, conferences, and/or seminars as requested by the CEO.
• Performs other related duties as assigned.

MINIMUM QUALIFICATIONS
Bachelor’s degree in Business Administration, Accounting, or Finance. MBA or CPA is preferred. Minimum of 5-7 years’ executive-level, financial management experience in a non-profit, healthcare practice. Experience within a community health/FQHC environment strongly desired. Thorough knowledge of and experience with financial accounting, management, and analysis, as well as revenue cycle management, and regulations governing health centers. Experience with the financial management of federal, state, and foundation grants, development and management of operational budgets, and working with non-profit Board of Directors. Experience with Financial Edge and Blackbaud software is a plus.

OTHER SKILLS, KNOWLEDGE, AND ABILITIES
• Strong communication and interpersonal skills, with ability to communicate financial information clearly and effectively to both financial and non-financial stakeholders.
• Strong leadership and management skills, with experience building, leading, and motivating high-performing teams.
• Experience identifying risks and vulnerabilities to an organization and implementing strategies to mitigate these risks.
• Experience collaborating interdepartmentally to achieve strategic financial and organizational goals.
• Experience working under pressure and balancing multiple competing priorities in a fast-paced, continuously evolving environment.
• Proficiency with Microsoft Office programs such as Word, PowerPoint, and Excel.

PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. All duties and responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.

The physical demands associated with this position include but are not limited to: frequent lifting, bending, climbing, stooping, and pulling; frequent repetitive motions; continuous standing and walking; repetitive movement of hands and fingers (typing and/or writing); lifting of greater than 50 pounds.

The noise level in the work environment is low, consistent with that of a typical office.

ABOUT CCHC
Started in 2000 by a group of committed volunteers, Charlotte Community Health Clinic is a Federally Qualified Health Center (FQHC) that offers high-quality medical, dental, and behavioral health services for children and adults.
Although we serve all populations, as a FQHC, we have a special purpose of serving the underserved. We work towards a healthy community where all individuals, regardless of ability to pay, have access to affordable, quality, and comprehensive health care. We accept most major health insurance plans, as well as Medicaid and Medicare. For patients without health insurance, we offer a discount program based on income and family size.

Our organization is growing! We are thrilled about the expansion of care that our growth allows us to provide. Our goal is to recruit, develop, and retain a team that not only meets the minimum job qualifications, but shares our passion for serving those who need it most.

For more information about us, use the link below:
https://charlottecommunityhealth.org/en/

BENEFITS
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short Term & Long Term Disability
• Life Insurance
• 401K Retirement Plan w/ discretionary match
• Paid Time Off (PTO)
• Holiday Pay
• Employee Assistance Program (EAP)

Kinston Community Health Center, Inc is seeking an experienced Chief Financial Officer (CFO) to lead our financial planning and analysis, risk management, and financial reporting. The CFO will play a crucial role in shaping the financial strategy and ensuring the company’s financial health as we continue to grow.

Key Responsibilities:
Develop and execute financial strategies to support the company’s business objectives.
Oversee all financial operations, including budgeting, forecasting, and reporting.
Provide strategic guidance to the Executive Team and Board of Directors.
Ensure compliance with financial regulations and standards.
Analyze and manage financial risks, ensuring adequate controls are in place.
Lead the financial team–fostering a culture of collaboration and continuous improvement.
Drive financial performance through data driven decision making.

Qualifications:
Bachelor’s degree in finance, Accounting or a related field; MBA or CPA preferred.
Proven experience as a CFO or in a senior financial leadership role.
Strong knowledge of corporate finance, financial reporting, and compliance.
Exceptional analytical and problem-solving skills.
Excellent leadership and communication abilities.
Experience in Federally Qualified Health Center finance is a plus.

What KCHC offers:
Competitive salary
Comprehensive benefits package, including health insurance and retirement plans.

APPLY at: https://tinyurl.com/kinstoncfo

Utilizes the nursing process including: assessment, planning, implementation evaluation and recording of patient care and patient education. Provides support to providers by anticipating needs and providing assistance in the provision of care. Coordinates services with other members of the health-care team, internal and external, to provide complex patient care. Answers or returns phone calls. Provides onsite and telephone triage. Assist with the check in process when needed. Practices within the scope of the North Carolina Nurse Practice Act and Piedmont Health Services’ policies, procedures, and standards. Hires, supervises and coordinates the orientation of new staff. Performs staff evaluations and develops Performance Improvement Plans as needed. Evaluates and coordinates ongoing training. Participates in conflict resolution. Works with management team to address center flow and operations. Maintains inventory of supplies and medications and orders as needed. Ensures all quality assurance measures are achieved. Assure adequate clinical support staffing. Provides leadership and models professional behavior to the staff.

Are you a visionary leader with a passion for making a difference in rural healthcare? Ocracoke Health Center, Inc., a Federally Qualified Health Center (FQHC) located in the beautiful and vibrant Eastern North Carolina, is on the hunt for a dynamic, energetic, and forward-thinking Chief Executive Officer (CEO) to take the helm of our growing organization! If you’re ready to lead a team of dedicated professionals, shape the future of community health, and have some fun along the way, this is the role for you!

About Us: Ocracoke Health Center, Inc. is a tight-knit organization with a big heart, serving three health centers: Ocracoke Health Center, Engelhard Medical Center, and Manteo Community Health Center. We’ve been committed to providing quality healthcare to our community since the 80s and earned our FQHC status in 2013. With 46 talented employees and an exciting future ahead, we’re ready for a CEO who shares our passion for patient-centered care and community wellness.

What You’ll Do:
As our CEO, you’ll be the driving force behind the health center’s operations and strategic vision. You’ll have the unique opportunity to work closely with our dedicated team, the Board of Directors, and community partners to ensure we continue to provide top-notch care to the communities we serve.

Lead the day-to-day operations of the community health center, ensuring efficient and effective delivery of healthcare services.
Develop and implement strategic initiatives to improve patient care, organizational growth, and operational efficiency.
Work closely with the Board of Directors and other Key Leaders to establish long-term goals and business plans.
Foster a positive organizational culture that emphasizes teamwork, excellence, and patient-centered care.
Oversee financial management, ensuring the center operates within budget and achieves financial sustainability.
Build strong relationships with community stakeholders, including healthcare providers, government agencies, and local organizations.
Ensure compliance with all federal, state, and local regulations, including healthcare laws, accreditation standards, and grant requirements.
Serve as the primary spokesperson for the center, representing its mission and values to the community and external partners.

What We’re Looking For:
A CEO who is a true leader – someone who can inspire, innovate, and uphold high standards of excellence. Here’s what we’re after:
Graduate degree in health care administration or business administration, or combination of experience/education/certification.
Five years of experience in healthcare administration
Proven experience in a senior leadership role
Comprehensive knowledge of healthcare regulations, including HIPAA, Medicare, and Medicaid.

A Few More Things… You’ll be based primarily out of our Engelhard Medical Center in Engelhard, NC, and will need to be within a reasonable commuting distance (don’t worry, we’ll help with relocation!). You’ll also be traveling to our other centers in Manteo and Ocracoke, so get ready for some beautiful coastal adventures along the way!

Perks of the Job:
Medical, Dental, Vision insurance
Short & Term Disability, Life Insurance, Employee Assistance Program
403b retirement plan, with a 2% match
Relocation Assistance for the right candidate