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The Director of Finance & Accounting is a senior financial leader responsible for overseeing the accounting and financial operations of the FQHC. This role ensures strong fiscal stewardship, regulatory compliance, and accurate financial reporting in alignment with nonprofit and FQHC requirements. The Director will lead grant accounting, month-end close, budgeting, forecasting, and financial analysis while managing and developing a high-performing finance team.
Job Responsibility:
Provide strategic leadership for the accounting and finance functions, ensuring alignment with the organization’s mission and goals
Manage, mentor, and develop finance and accounting staff
foster a culture of accountability, collaboration, and continuous improvement
Partner with executive leadership and department heads to support operational and strategic decision-making
Oversee all accounting operations, including general ledger, accounts payable, accounts receivable, payroll, and fixed assets
Lead and manage the monthly, quarterly, and year-end close processes, ensuring timely and accurate financial statements
Ensure compliance with GAAP, nonprofit accounting standards, and FQHC-specific reporting requirements
Prepare financial reports for internal leadership, Board of Directors, and external stakeholders
Oversee grant accounting for federal, state, local, and private grants, including HRSA and other FQHC-related funding
Ensure accurate tracking, reporting, and compliance with grant budgets, allowable costs, and reporting deadlines
Coordinate with program leaders to support grant budgeting, monitoring, and audits
Lead the annual budgeting process in collaboration with leadership and department managers
Develop multi-year financial forecasts and cash flow projections
Monitor budget-to-actual performance, analyze variances, and provide actionable insights and recommendations
Maintain strong internal controls to safeguard organizational assets
Coordinate and lead annual financial audits, Uniform Guidance (Single Audit), and other external reviews
Ensure compliance with federal, state, and local regulations, including FQHC and nonprofit requirements
Oversee financial systems and accounting software
identify opportunities for automation and process efficiencies
Support data integrity and accurate financial reporting across systems
Requirements:
Bachelor’s degree in Accounting, Finance, or a related field
Minimum of 7–10 years of progressive accounting and finance experience, including leadership/management responsibility
Demonstrated experience in nonprofit accounting, preferably within an FQHC or healthcare environment
Strong experience with grant accounting and compliance
Proven expertise in month-end close, budgeting, forecasting, and financial analysis
Strong leadership, communication, and team management skills
Advanced knowledge of GAAP and nonprofit financial reporting
High level of integrity, attention to detail, and analytical ability
Nice to have:
CPA, CMA, or similar professional certification
Master’s degree in Accounting, Finance, Business Administration, or related field