FQHC Chief Financial Officer - LD

Current employees: Please apply through the employee portal to be considered for this opportunity.

Pay Range:

$118,948.83 - $190,317.60 Annual

Department:

Health Department

Job Type:

Limited Duration

Exemption Status:

United States of America (Exempt)

Closing Date (Open Until Filled if No Date Specified):

October 29, 2025

The Opportunity:

This Work Matters!

We seek leaders, achievers and doers who bring skill and passion to a challenging and evolving environment.  At the Multnomah County Community Health Center we are all inspired by the mission: We work with communities to advance health equity, protect the most vulnerable, and promote health and wellness for everyone and we uphold the values: Compassion and Care, Empowerment, Racial Equity, Creativity and Integrity. We create a culture of respect, trust and understanding for the highly diverse population we serve in our communities. 

As the Chief Financial Officer for the Community Health Center, you will report to the Community Health Center Executive Director, providing expert financial guidance and managing daily financial operations. This role is crucial for Oregon's largest Federally Qualified Health Center (FQHC), a $217 million entity with over 900 FTEs across multiple sites, offering primary care, dental, pharmacy, and integrated behavioral health services. You will be responsible for planning, directing, and managing all financial services, optimizing financial systems within a large, complex governmental agency. Your leadership will extend to the Revenue Cycle, Accounts Receivable, Eligibility, and Financial Budget Management teams. Additionally, you will work in partnership with the Business and Financial Management team and guide the Decision Support team that supports the FQHC.

This is a Limited Duration Assignment (LDA). Limited Duration Assignments are expected to last up to two (2) years, but may end sooner.

As the FQHC Chief Financial Officer, you will: 

• Plan, organize, manage, and administer multiple finance-related work units, sections, and functions; develop and implement program and strategic planning.

• Develop, implement and assist in the development of financial and budget policies for the FQHC, procedures, and business practices.

• Evaluate goals, objectives, priorities, and activities to improve performance and outcomes. 

• Recommend and establish administrative controls and improvements; develop procedures to implement new and/or changing regulatory requirements. 

• Serve as a member of the Health Center and Business and Financial Management management teams.

• Recommend financial strategy; participate in funding negotiations with stakeholders; act as key financial advisor to the FQHC.

• Conduct or coordinate audits of division accounts and financial transactions; develop and conceptualize new enterprise or joint ventures; set strategy and direction for procurement and contract activities. 

• Attend CHCB governing board and CHCB Finance Committee meetings.

• Oversee the development of the annual FQHC Budget, including annual County submission, Board presentations, and HRSA budget submissions. 

• Administer and monitor budgets; develop justifications for budgetary recommendations and/or adjustments.

• Develop long-term sustainable financial and operating plans; assure financial sustainability, highlighting risks and opportunities.

• Provide strategic financial forecasts, analysis, and leadership on business models; oversee efforts to maximize third-party reimbursement; manage third party insurance payer contracts.

• Collaborate and communicate with financial functions in the Financial and Business Management division of the Health Department.

• Provide direction, guidance, and leadership to staff; advise on complex and sensitive concerns and issues.

• Serve as an advisor to the Health Center Executive Director in the areas of healthcare and financial management, and budgetary regulatory compliance and requirements related to Human Resources and Services Administration (HRSA).

• Develop and maintain collaborative relationships with other financial professionals within the Department and the County for best practices and quality improvement.<