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Director of Finance




North Carolina Community Health Center Association


Raleigh, North Carolina • All Counties

Date Needed:

May 02, 2024

Organization Website:

Type Of Position:

Full Time

Education Required:


Experience Required:

5-10 year(s)

Date Of Job Posting:

April 02, 2024

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

  • Yes

Essential Functions

  • 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

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of the position.  All employees may have other duties assigned at any time.











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