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Lyon-Martin Health Services Inc

Chief Financial Officer (CFO)

Lyon-Martin Health Services Inc, San Francisco, CA, United States


Job Title: Chief Financial Officer (CFO)

Salary: Starting at $130,000depending on experience

FSLA Status: Exempt; full or part time; remote available; W2 or contractor

Primary Location: Lyon-Martin Community Health Services

Address: 1735 Mission Street

Reports To: Chief Executive Officer

Job Summary

The CFO acts as the financial lead of the organization and works closely with the CEO to oversee and coordinate accounting and administrative procedures, internal financial controls and statements, and quality control within the Finance Department of Lyon-Martin Community Health Services, a Federally Qualified Health Center Look Alike. Regular responsibilities include maintenance of the chart of accounts, staffing log, and charge master, grant contract compliance and invoice preparation, month-end bank reconciliations, receivable tracking and follow up, insurance payor contracts compliance and billing revenue analysis, organizational operation and capital budget development, monitoring, and revision, asset appraisal and depreciation, cash flow projections, FQHC financial compliance, annual audit coordination, internal/external reporting, and tax preparation.

Key Responsibilities

Budget Responsibilities:
Monitors and analyzes overall Agency budget and various contracts and grant budgets with CEO. Works closely with CEO in developing and analyzing cost associated with service delivery and related pricing. Documents requests for contract and agency budget revisions. Oversees the allocation of payroll, benefits and operating expenses. Reviews and assesses existing cost allocation methods used for allocating joint - direct and indirect expenses to ensure compliance with OMB Guidelines. Oversees cash flow planning and ensure availability of funds as needed. Oversees cash, investment, and asset management. Oversees financing strategies and activities, including public financing options, and capital improvement financing. Develops and utilize forward-looking, predictive models and activity-based financial analyses to provide insight into the organization's operations and business plans. Develops understanding of key business and revenue drivers; communicate broadly to management team and relevant stakeholders.

Accounting Responsibilities:
Coordinates annual financial, OMB-A133 (if applicable), and program specific compliance audits. Prepares or oversees preparation of related schedules for various audits. Coordinates annual tax returns (990), property taxes and the federal indirect cost proposal(if applicable). Compiles and/overseas contract compliance reports. Assists with cash flow projections including line of credit as necessary. Oversees all bank accounts and related reconciliations. Ensures the maintenance of accounting records and permanent files, including assets, operating and capital leases, taxes, audits and bank accounts in accordance with General Acceptable Principles. Maintains schedules of expenses and receivables for temporary restricted and unrestricted contributions and in-kind donations. Maintains facility codes, chart of accounts, cost center listing. Prepares, supervises, and overseas general ledger (GL) journal and closing entries including ensuring proper monthly closing and related analysis of accounting transactions and internal monthly financial statements and GL quality control. Compiles financial statements for Agency and external agencies. Ensure timeliness, accuracy, and usefulness of financial and management reporting for any federal and state funders, foundations, and Lyon-Martin's board of directors; oversee the preparation and communication of monthly and annual financial statements and tax preparations. Update accounting policies and procedures and ensure strong internal controls to protect the assets of the organization. Works closely with OCHIN Billing to maximize billing revenue.

Management Responsibilities:
As a key member of the executive leadership team, participate in organizational strategic analysis and planning. Remains up to date on FQHC OSV and nonprofit audit best practices and state and federal law regarding nonprofit operations. Oversees rate setting process and cost projections related to FQHC clinic site to ensure revenue maximization.

And, other duties as assigned.

Competencies: (To perform the job successfully, an individual should demonstrate the following competencies):

Communication, Written: Delivers written communications that have clarity and impact including emails.

Communication, Verbal: Effective listener; clearly and thoughtfully communicates with others in person and on the phone.

Reliability: Accountable; maintains focus; punctual; good attendance record; meets deadlines.

Time Management: Organizes and establishes priorities; gets the job done in a timely manner.

Customer Service: Persists in efforts to solve issues even when faced with internal barriers; takes personal responsibility for customer service outcomes; responds quickly and effectively to requests for assistance and support whether internal or external.

Computer Literacy: Skilled computer-based work tasks; uses technology to enhance job performance.

Teamwork: Accountable to team; participates effectively in group- and teamwork; collaborates positively with other team members; giving and accepting constructive criticism.

Tolerance for Stress, Ambiguity, and Change: Maintains composure even while under great pressure; handles complex problems and change with minimal supervision; demonstrates flexibility and versatility in achieving key goals and priorities.

Attention to Detail: Strives to eliminate errors; makes accurate work a priority; seeks opportunities to improve performance.

Decision Making: Collects, organizes, and analyzes information before making decisions. Takes a thoughtful approach when considering options; may seek supervision and/or input from others.

Integrity and Ethics: Actively models the highest ethical standards; is honest and accountable; maintains confidentiality and appropriate boundaries at all times; handles sensitive information and issues with discretion and tact.

Additional Competencies:

Relationship Orientation: Establishes rapport easily with others; listens attentively to others' perspectives; uses good judgment when sharing information and maintaining confidentiality; appropriately expresses empathy.

Presentation Skills: Adapts presentation techniques to fit audience level and technical needs; develops and delivers communications that have clarity and impact; conveys confidence, presence, and professionalism; uses appropriate visual aids to illustrate key points and enhance learning.

Interpersonal Skills: Uses active listening and discussion skills to identify issues, ensure understanding, and facilitate problem solving; works cooperatively with diverse groups; deals with others in a pleasant and professional manner; accurately assesses verbal and non-verbal cues.

Accountability: Makes and meets commitments; accepts responsibility for behavior and outcomes.

Follow Through: Monitors status of projects and tasks; thoroughly deals with project details; delivers clear, accurate depiction of status.

Cultural Sensitivity: Ability to work with a diverse population while withholding judgment. Willingly open to learn and understand different perspectives.

Education, Knowledge, Skills:

The CFO will be a seasoned and mature leader with at least 5 years of broad finance experience, ideally beginning in audit, followed by experience gathering and evaluating financial information and making actionable recommendations to senior leadership. They will ideally have experience managing finance (accounting, budgeting, control, and reporting) for a FQHC Look Alike nonprofit with multiple funding sources including government (federal, state and city) contracts.

The CFO will have the following experience and attributes:
  • A minimum of a BS or a B.A. in Accounting; CPA and/or MBA preferred
  • At least 2 years experience as CFO or equivalent in a nonprofit healthcare organization.
  • At least 1 year experience in finance at Federally Qualified Health Centers or Look Alikes in California.
  • Experience in a senior financial-management role, partnering with executive staff, resulting in the development and implementation of creative financial management strategies.
  • Significant experience in or knowledge of nonprofit accounting, including sophisticated fund and grant accounting, compliance, and reporting.
  • Deep knowledge and understanding of the Office of Management and Budget Circular A133 audit.
  • Knowledge of clinical documentation and billing procedures.
  • Experience managing a capital construction and acquisition project.
  • Experience working with lesbian, bisexual, transgender, gender non-conforming, non-binary, and intersex people, populations with disabilities, people of racial, ethnic and cultural backgrounds and economic statuses that differ from one's own.
  • Excellent attention to detail.
  • Excellent written and verbal communication skills.
  • Demonstrated leadership ability, team management, and interpersonal skills.
  • Excellent analytical and abstract reasoning skills, plus excellent organization skills.
  • Ability to work in a 'change' environment.
  • Strong proficiency with Quickbooks Online, Excel, Outlook, and other Microsoft Office applications.
  • Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data.
  • Professionalism, punctuality, flexibility and reliability.
  • Integrity to handle sensitive information in a confidential manner.
  • Action oriented with strong problem-solving skills
  • Excellent organization skills and ability to multitask and juggle multiple priorities.
  • Outstanding ability to follow-through with tasks.
  • Ability to work cooperatively and effectively as part of interdisciplinary team and independently assume responsibility.

Fair Chance Ordinance:Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.