Director of Finance - Healthcare

Haldren is recruiting a Finance Director on behalf of our client, an established nonprofit healthcare organization committed to providing accessible healthcare services. Operating as a Federally Qualified Health Center (FQHC), the organization manages a complex financial environment shaped by healthcare reimbursement structures, diverse funding sources, and regulatory obligations.

The Finance Director will lead the organization's financial function, overseeing accounting, financial reporting, budgeting, forecasting, reimbursement, audits, cash management, internal controls, and regulatory compliance. This position calls for extensive practical experience in FQHC financial management, including UDS reporting, PPS reimbursement, Medicare and Medi-Cal cost reporting, HRSA regulations, and administration of the Sliding Fee Discount Program.

As a key partner to executive leadership and the Board, the Finance Director will help guide financial decisions, improve financial processes, develop the finance team, and maintain the organization's financial stability and long-term sustainability.

Key Responsibilities

• Manage the general ledger, accounts receivable, accounts payable, payroll coordination, and organizational cash management.
• Direct operating and capital budget development, financial forecasts, cash-flow projections, and ongoing financial analysis.
• Lead the finance function, ensuring financial activities remain accurate, efficient, timely, and compliant with applicable requirements.
• Manage Medicare and Medi-Cal cost reports, including reconciliations, settlement assessments, and relevant HCAI reporting obligations.
• Evaluate reimbursement performance, payer mix, patient visit patterns, revenue-cycle results, operating expenses, and potential financial exposure.
• Oversee monthly, quarterly, and year-end accounting close processes, financial statement preparation, management reports, and variance reviews.
• Provide financial insight and recommendations to executive management, operational leadership, and the Board to support informed decision-making.
• Direct UDS financial and statistical submissions, ensuring consistency between reported figures, accounting records, and patient encounter information.
• Establish and improve accounting practices, financial controls, reporting procedures, and supporting financial systems.
• Supervise financial administration of the Sliding Fee Discount Program, maintaining alignment with HRSA compliance standards.
• Manage audit readiness and act as the principal financial contact for auditors, funding organizations, payers, and regulatory authorities.
• Assess PPS reimbursement rates through encounter information, allowable expenses, payer patterns, and potential change-in-scope adjustments.
• Support the professional development of finance personnel through coaching, process documentation, and cross-training to maintain operational continuity.

Requirements

• A minimum of 3 years in a management or leadership capacity within healthcare finance.
• Practical FQHC financial experience covering UDS reporting, PPS reimbursement, Medicare cost reporting, HRSA regulations, and Sliding Fee Discount Program administration.
• A bachelor's degree in Finance, Accounting, Business Administration, or a closely related discipline.
• Ability to work on site full-time in Chula Vista, California.
• Comprehensive understanding of GAAP, healthcare payment structures, financial regulatory requirements, and grant-funded operations.
• At least 7 years of progressively responsible experience in accounting or finance.
• Strong capabilities in financial analysis, organization, team leadership, and communication with senior executives.
• Current legal authorization to work in the United States without the need for employer sponsorship.
• Proven experience independently managing healthcare financial operations, including accounting close, reporting, budgets, liquidity management, audits, and internal controls.

Preferred

• Experience overseeing financial operations for healthcare organizations with multiple locations or distinct service lines.
• An MBA, MHA, CPA designation, or another relevant advanced qualification.
• Background in PPS reimbursement rate development and evaluating change-in-scope adjustments.
• At least 3 years of experience working within an FQHC, community health center, or similar safety-net healthcare setting.
• Proficiency in advanced Microsoft Excel functions and accounting or financial reporting software.
• Familiarity with HRSA Section 330 grant administration, Uniform Guidance requirements, single audits, or operational site visits.
• Prior experience directly managing accounting or finance team members.
• Knowledge of HCAI reporting, Medi-Cal cost reports, account reconciliations, and settlement evaluation.

Benefits

Paid time off

Life and disability insurance

Salary: $160,000 – $200,000

Relocation assistance

Health, dental, and vision insurance

401(k) or retirement plan match

Agency statement

Haldren is a recruitment agency that provides services to clients ranging from startups and non profits to multinational corporations. Haldren emphasizes ethical search processes, attentive candidate care, and leadership placements that support long-term client outcomes.

To learn more about the firm and about our candidate services - please visit

US Recruitment Agency, Executive Search & Talent Solutions

Equal Opportunity policy

The statements below apply to both Haldren and our clients.

Equal Employment Opportunity:We are Equal Opportunity Employers. Qualified applicants receive consideration without regard to race, skin color, religion, sex, sexual orientation, gender identity or expression, national origin, age, protected veteran status, disability, genetic information, or any other legally protected status.

Diversity:We are committed to a diverse, inclusive environment where all individuals are valued and respected.

Reasonable Accommodations:We provide reasonable accommodations to individuals with disabilities and pregnant individuals, determined through an interactive process.

Compensation:For client positions, compensation appears in the job post or will be shared during interviews per applicable law. Salary ranges are included when legally required and may vary by role and location. Actual salary may depend on skills, experience, and comparison to current employees in similar roles.

Compliance with Laws:We comply with federal, state, and local nondiscrimination laws across all employment terms, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Workplace Harassment:Harassment based on race, skin color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status is prohibited.

E-Verify:We may participate in E-Verify. Details will be provided during the application process where applicable.

Privacy and Pay Equity

• California residents: See our Privacy Policy at for the categories of personal information collected for recruiting and employment.
• Colorado, Nevada, New York City, California, and Washington residents: Compensation is in the job post or will be provided during interviews.
• We are committed to pay equity and conduct periodic pay equity analyses per applicable law.

State-Specific Information

Rhode Island: We do not request or require salary history.

Connecticut: We provide wage ranges upon request or before discussing compensation.

New Jersey: We do not inquire about salary history unless voluntarily disclosed.

Veteran Status:We provide equal opportunities to veterans and comply with applicable state veteran preference laws. Veterans, please inform us during the application process.

Use of Artificial Intelligence in Recruitment

We may use AI tools solely to support human review of candidate qualifications and materials. AI never automatically rejects, disqualifies, or makes final hiring decisions. Experienced recruiters review all AI-assisted evaluations, and qualified human recruiters make all hiring decisions. Our AI use aims to enhance fairness, consistency, and efficiency in line with our equal opportunity and non-discrimination principles.

Genetic Information:Per federal and state law, we do not discriminate based on genetic information or request it from applicants or employees, except as permitted by law.

Local Laws:We comply with all applicable local employment laws and ordinances where we operate.

Note:This posting may be for a position with Haldren or a client. The employer will be identified during the application and interview process. Employment laws and requirements may vary by employer and location.