Chief Financial Officer - Health Department

Description Under the general direction of the Health Officer, the Chief Financial Officer is responsible for all financial matters of the Health Department including the development and monitoring of all Health Department budgets for grants, contracts and managed care arrangements. The CFO oversees all financial reporting assuring the integrity and accuracy of financial data, as well as compliance with federal, state, local and internal laws, regulations, and policies. The CFO contributes to departmental strategic planning and program management by providing financial information and expertise. The Chief Financial Officer must thrive in an autonomous and deadline oriented workplace while managing a finance staff. Essential Functions Monitors financial performance and creates monthly financial package for the Health Center Finance Committee and Board to allow for proper operations and management of the organization. Develops and shares forecasts as needed. Oversees the development and monitoring of budgets for the Health Department, including the Community Health Centers. Develop and utilize forward-looking, predictive models and activity-based financial information to provide insight into the organization's operations and strategic direction. Coordinates capital-planning activities in conjunction with the budget. Oversee and provide strategic direction to Revenue Cycle and Reimbursement activities (Patient Billing), including claims submission, payer compliance, proper coding, sliding fee, and Accounts Receivable management. Collaborate with the Executive Management Team to provide strategic financial guidance aligned with departmental goals and program operations to drive short and long-term financial goals, policies, procedures, and work standards for the Health Department and Community Health Centers. Monitors changes in state and federal statutes, and financial reporting requirements. Implements changes in accounting processes to comply with said changes. Develops, recommends and implements short- and long-range departmental goals, objectives, policies, procedures and work standards for the budgetary and financial operation of the Health Department and Community Health Centers. Directs cost studies, cost accounting projects, and cost allocation systems. Develops and implements billing and auditing processes, revenue policies, procedures, and cost recovery strategies. Analyzes cash flow, cost controls, and expenses for expansion and improvements of current Health Centers. Serves as the liaison to other County departments regarding financial matters of ICHD. Works closely with Financial Services, Budgeting, Treasurer's Office, Purchasing, and IT to further the financial, personnel, and technology needs of the Health Department.

Other Functions:

Performs other duties as assigned. Must adhere to Departmental standards in regard to HIPAA and other privacy issues. During a public health emergency, the employee may be required to perform duties similar to, but not limited, to those in his/her job description. (An employee in this position may be called upon to do any or all of the above tasks. These examples do not include all of the tasks which the employee may be expected to perform.)

Public Health Core Competencies:

In the course of performing these essential functions, an employee in this position must demonstrate skill in the below public health core competencies. These examples do not include all of the competencies which the employee may be expected to demonstrate.

Analytical/Assessment Skills:

Uses information technology in accessing, collecting, analyzing, using, maintaining, and disseminating data and information

Policy Development/Program Planning Skills:

Integrates current and projected trends (e.g., health, fiscal, social, political, environmental) into organizational strategic planning

Communication Skills:

Conveys data and information to professionals and the public using a variety of approaches (e.g., reports, presentations, email, letters, testimony, press interviews)

Cultural Competency Skills:

Demonstrates the value of a diverse public health workforce

Financial Planning and Management Skills:

Leverages public health and health care funding mechanisms and procedures (e.g., categorical grants, fees, third-party reimbursement, tobacco taxes, value-based purchasing, budget approval process) for supporting population health services Develops organizational budgets Defends organizational budgets Ensures the use of financial analysis methods in making decisions about policies, programs, and services (e.g., cost-effectiveness, cost-benefit, cost utility analysis, return on investment)

Leadership and Systems Thinking Skills:

Incorporates ethical standards of practice (e.g., Public Health Code of Ethics) into all interactions with individuals, organizations, and communities

Employment Qualifications Education:

A minimum of a Bachelor's Degree in Accounting, Finance, Business Administration or a related discipline is required. Advanced degree in finance related degree or CPA or CFA certification preferred.

Experience:

A minimum of six (6) years of financial management experience is required including some experience with grants management and at least 3 year of supervisory experience. Governmental public health experience is desired, but not required.

Other Requirements:

None Demonstrates effective communication skills by engaging, interacting and working with all individuals to ensure clarity and understanding in all interactions. (The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.)

Requirements and Working Conditions Working Conditions:

This position works in an indoor environment. There is no planned exposure to prominent lights, noises, odors, temperatures or weather conditions.

Physical Requirements:

This position requires the ability to sit, stand, traverse, lift, carry, push, pull, reach, grasp, handle, pinch, type, endure repetitive movements of the wrists, hands or fingers. (This job requires the ability to perform the essential functions contained in this description. These include, but are not limited to, the requirements listed above. Reasonable accommodations will be made for otherwise qualified applicants unable to fulfill one or more of these requirements.) November 2025 MC - Market Exemption