POSITION SUMMARY: The Chief Financial Officer (CFO) provides strategic financial leadership and oversight of all fiscal, accounting, and human resource functions for Mid-Delta Health Systems (MDHS), ensuring financial integrity, regulatory compliance, and sustainable growth of the organization. The CFO will manage general accounting, budgeting, financial reporting, audits, payroll, retirement plans, and human resources administration. The position also serves as a key member of the Executive Leadership Team, supporting the CEO and Board of Directors in long-range planning and decision-making.
Essential Duties and Responsibilities Financial Leadership and Strategy
Direct and oversee all financial activities, including budgeting, forecasting, accounting, financial reporting, and cash flow management. Provide strategic financial analysis and recommendations to the CEO and Board to support data-driven decision-making. Oversee the preparation of monthly, quarterly, and annual financial statements in compliance with GAAP and HRSA/FQHC regulations. Responsible for coordinating preparation and submission of all financial reporting requirements including Medicare/Medicaid Cost Reports, annual federal UDS reporting, annual independent audits, and internal reporting as requested. Lead annual external audits and coordinate with auditors, grantors, and funding agencies. Develop and maintain financial policies, internal controls, and procedures to ensure accountability and compliance. Monitor revenue cycle operations, 340B program compliance, and grant fund tracking in collaboration with program managers. Manage capital planning, cost reporting, and long-term financial projections.
Human Resources and Retirement Administration
Oversee Human Resources operations, including payroll, benefits administration, and personnel record management. Supervise HR staff to ensure consistent application of policies and procedures across all sites. Manage employee retirement and benefits plans, including 401(k) or equivalent, ensuring compliance with ERISA and other federal/state requirements. Support the CEO and leadership team in compensation analysis, workforce planning, and policy development. Promote a culture of accountability, equity, and engagement in line with MDHS Core Values.
Controller and Operational Oversight
Supervise general ledger accounting, accounts payable, accounts receivable, and reconciliations. Ensure timely and accurate preparation of monthly financial packets for Board and management review. Maintain the chart of accounts, grant allocations, and cost center reporting for clinical and administrative departments. Monitor cash balances, manage banking relationships, and ensure appropriate investment of reserve funds. Oversee procurement, fixed asset management, and internal cost allocation systems.
Leadership and Collaboration
Serve as a trusted advisor to the CEO and Board of Directors, preparing reports and presenting financial data clearly and accurately. Partner with department leaders to align operational goals with financial performance and sustainability. Ensure compliance with all HRSA, OMB Uniform Guidance (2 CFR 200), and FQHC financial reporting requirements. Provide coaching and professional development to financial and HR team members. Attends in house PCMH training.
QUALIFICATIONS:
Education: Bachelor's degree in accounting, Finance, or Business Administration required.
Preferred: CPA or MBA.
Experience: Minimum 5-7 years of progressive financial management experience, preferably within a healthcare or nonprofit setting. Strong understanding of GAAP, federal grants management, HRSA and FQHC financial compliance, and payroll/benefit systems. Demonstrated leadership in managing accounting, HR, and administrative functions. Excellent analytical, organizational, and communication skills. Proficiency with accounting software (e.g. MIP, or similar) and Microsoft Excel. Participate in on-going age-related in-service training for patients in various age groups.
STATUS: This is a FLSA Exempt position. This is an OSHA low risk position. This is an ADA negotiable position. This is a safety sensitive position. Mid-Delta follows state and federal vaccine recommendations.