Chief Financial Officer

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Time Type:

Full time

Department:

Finance

All Locations:

300 Ocean Avenue – Revere

Position Summary:

The Chief Financial Officer (CFO) is a key strategic partner to the President & CEO and a critical member of NeighborHealth’s Executive Leadership Team. The CFO provides vision, oversight, and accountability for all financial operations across the organization—including primary care, behavioral health, specialties, PACE, pharmacy/340B, grants management, and administrative functions.
The CFO is responsible for the organization’s long-term financial sustainability, the integrity of all financial reporting, and execution of systems, controls, and processes that meet Federal, State, HRSA, CMS, and hospital-licensed health center (HLHC) requirements. This role oversees Accounting, Financial Planning & Analysis (FP&A), Revenue Cycle, Billing/Coding, Payroll, Payables, Procurement, and Grants Management functions. The CFO ensures accurate, timely, and transparent financial information to leadership and the Board, while positioning NeighborHealth to thrive in an increasingly complex and value-based healthcare environment.

Essential Duties & Responsibilities

Strategic Financial Leadership

• Serve as the organization’s chief financial strategist, developing long-range financial models, forecasts, and strategies aligned with NeighborHealth’s mission and strategic plan.
• Advise the CEO, Board of Directors, and Executive Leadership Team on the financial implications of strategic initiatives, new programs, partnerships, and market trends.
• Lead short- and long-term capital planning, debt management, investment strategies, and liquidity management.
• Present financial performance, risks, and opportunities to the Finance Committee and Board of Directors.

Financial Operations & Compliance

• Oversee all financial accounting, reporting, and internal control functions to ensure accuracy, transparency, and compliance with GAAP, OMB Uniform Guidance, HRSA, CMS, 340B, and federal/state regulatory requirements.
• Direct preparation of all regulatory filings, including UDS, FSR, Medicaid cost reports, PACE financial reporting, IRS Form 990, and grant financial reports.
• Serve as primary liaison to external auditors, financial institutions, and regulatory agencies.
• Ensure appropriate organizational insurance coverage, including property, liability, malpractice, directors & officers, workers’ compensation, and stop-loss coverage.

Oversee Finance, Revenue Cycle, and Billing Operations

• Provide leadership to Accounting, Financial Planning & Analysis (FP&A), Revenue Cycle, Billing/Coding, Payroll, Payables, Procurement, and Grants Management teams.
• Ensure efficient, compliant billing and collections processes across primary care, behavioral health, dental, pharmacy, PACE, and specialty programs.
• Oversee optimization of E&M, HCC, and risk-based payment accuracy; drive strategies to maximize reimbursement and reduce avoidable denials.
• Maintain strong internal controls around cash, purchasing, procurement, and treasury functions.

PACE & Pharmacy/340B Financial Oversight

• Ensure compliance with federal and state PACE financial requirements, including budgeting, encounter reporting, capitation reconciliation, risk adjustment, and cost allocation.
• Serve as internal advisor on 340B/retail pharmacy strategy; oversee financial modeling, contracting, and compliance with HRSA, state, and payer requirements.
• Review and negotiate key financial contracts for PACE, pharmacy vendors, payer agreements, value-based arrangements, and managed care contracts.

Budgeting, Forecasting & Analytics

• Lead development of the annual operating and capital budgets in collaboration with all departments; ensure budget accountability throughout the year.
• Create and maintain dashboards, KPIs, and data analytics to support decision-making across clinical, operational, and financial domains.
• Analyze financial performance trends, risks, and opportunities; implement cost management and revenue enhancement strategies.

Systems & Process Modernization

• Lead modernization of financial systems, decision-support tools, and revenue cycle infrastructure to increase efficiency, accuracy, and scalability.
• Ensure the Finance and Revenue Cycle teams have robust technology, business intelligence tools, and workflows to support a rapidly growing, multi-site organization.

Leadership & Culture

• Recruit, develop, mentor, and evaluate a high-performing Finance and Revenue Cycle team; foster a culture of accountability, continuous improvement, and service excellence.
• Promote collaborative partnerships across clinical, operational, IT, and administrative teams.
• Uphold NeighborHealth values of respect, compassion, teamwork, and innovation in all interactions.

Required Qualifications

Education

• Bachelor’s degree in Accounting, Finance, Business Administration, or related field required.
• Master’s degree (MBA, MHA, MPH) and/or CPA strongly preferred.

Experience

• Minimum of 7–10 years of progressive leadership experience in healthcare finance, with at least 5 years as a senior leader (Controller, VP Finance, CFO).
• Direct experience in:
  • Federally Qualified Health Centers (FQHCs) or community health systems
  • PACE program financial management and regulatory compliance
  • Pharmacy/340B program finance
  • Hospital-based or HLHC billing and reimbursement preferred
• Demonstrated experience with multi-payer environments—including capitation, risk-based contracts, ACO models, commercial plans, Medicare/Medicaid, and value-based arrangements.
• Proven leadership in systems modernization, process improvement, and financial transformation.

Knowledge, Skills & Abilities

• Deep knowledge of:
  • FQHC and PACE regulations, 340B program, and Medicaid/Medicare reimbursement
  • Third-party billing, risk adjustment, and alternative payment methodologies
  • Grants management (federal, state, private) and uniform guidance
  • Healthcare operations, capital planning, and cost accounting
• Strong analytical skills; ability to model scenarios, analyze financial performance, and communicate complex concepts clearly.
• Exceptional communication and presentation skills; comfortable engaging with Board members, community partners, auditors, and regulators.
• Strong relationship-builder with the ability to work across functions and foster organizational trust.
• Strategic, innovative, and mission-driven, with the willingness to “roll up sleeves” in a dynamic environment.

Other

• This is a five day per week role, 8A to 5P, and generally follows a hybrid schedule with three to four on site days per week, subject to business needs.

Salary

• Starting at $240,000 and up to $450,000 per year based on experience.

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request

Federal Trade Commission Statement:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement:

NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.