Chief Financial Officer

LHH; New York (NY); On-site; USD 250,000 - 350,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401K Plan

Paid Time Off (PTO)

Job summary

LHH Recruitment Solutions partners with a well-established nonprofit organization in Rockland County, NY seeking a Chief Financial Officer (CFO). This senior role leads financial strategy, accounting operations, budgeting, revenue cycle and grants management, ensuring robust governance and compliance in a regulated environment.

The ideal candidate brings 10+ years of nonprofit finance leadership, CPA preferred, and deep expertise in Medicaid/Medicare reimbursement and government funding models.

Qualifications

• 10+ years of progressive finance and accounting leadership experience.
• Master's degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field.
• CPA strongly preferred.
• Experience in nonprofit, healthcare, or regulated government-funded environments.
• Strong understanding of Medicaid/Medicare reimbursement, grants and contracts.

Responsibilities

• Provide strategic financial leadership to CEO, Board and senior leaders.
• Oversee accounting operations, budgeting, forecasting, and GAAP reporting.
• Direct revenue cycle, reimbursement activities and cost/contract management.
• Ensure compliance with Medicaid/Medicare, grants, and government funding.
• Lead annual budget, multi-year planning, audits and internal controls.
• Develop financial dashboards and management reporting for leadership.
• Oversee external audits, CFR reporting, and regulatory filings.
• Manage banking, liquidity, debt, and investment relationships.

Skills

Leadership experience

Nonprofit financial leadership

Medicaid/Medicare knowledge

GAAP financial reporting

Strategic partnering with CEO & Board

Regulatory reporting

Education

Master's degree in Finance/Accounting/Healthcare Admin

CPA preferred

Tools

Financial systems

Microsoft Excel

Job description

LHH Recruitment Solutions is partnering with a well-established nonprofit organization in Rockland County, New York, looking to bring on a Chief Financial Officer (CFO).

This is an excellent opportunity for an accomplished financial executive to join a respected, mission-driven organization and serve as a key strategic partner to the CEO, Board of Directors, and senior leadership team.

The CFO will provide leadership across the organization's financial strategy, accounting operations, budgeting and forecasting, revenue cycle, reimbursement, grants and contracts, regulatory reporting, and financial compliance. The ideal candidate will bring significant financial leadership experience within a nonprofit, healthcare, behavioral health, or similarly regulated environment, with strong knowledge of government-funded programs and reimbursement models.

Key Responsibilities

• Serve as a strategic financial advisor to the CEO, Board, and executive leadership team, providing insight into financial performance, organizational sustainability, risk, growth opportunities, and long-term planning.
• Lead the organization's accounting and financial operations, including general ledger, AP/AR, payroll, cash management, financial reporting, and month- and year-end close activities, ensuring adherence to GAAP.
• Oversee the annual operating budget and multi-year financial planning process, partnering with program and department leaders to develop forecasts, analyze variances, and identify opportunities to improve financial and operational performance.
• Direct revenue cycle and reimbursement activities, including billing, collections, payer performance, receivables, reimbursement optimization, and financial oversight of managed care arrangements.
• Ensure compliance with applicable Medicaid, Medicare, managed care, commercial insurance, grant, contract, and other government funding requirements.
• Lead the financial administration of government grants and contracts, including budgeting, cash flow planning, drawdowns, compliance, reporting, and closeout.
• Maintain responsibility for required New York State financial and cost reporting, including CFR-related reporting and other reporting associated with state agencies, funders, and regulatory bodies.
• Develop meaningful financial dashboards, KPIs, and management reporting to provide leadership with timely visibility into operating results, cash flow, payer trends, collections, and organizational performance.
• Coordinate the organization's annual financial statement audit, Single Audit, tax filings, and other external financial reviews, working closely with auditors and outside advisors.
• Maintain a strong internal control environment and ensure appropriate financial policies, processes, data safeguards, and compliance standards are in place.
• Manage banking, lending, financing, investment, and other external financial relationships, including oversight of liquidity, credit facilities, debt obligations, and capital needs.
• Partner across clinical/program, operations, compliance, development, and administrative functions to strengthen financial accountability and improve organizational decision‑making.
• Oversee accounting and reporting related to restricted funding, charitable contributions, pledges, investments, and other designated funds.
• Present financial results, forecasts, budgets, and other key financial information to the Board and appropriate committees in a clear and actionable manner.
• Lead, mentor, and develop the finance team while promoting strong financial acumen and accountability throughout the broader organization.

Qualifications

• 10+ years of progressive finance and accounting leadership experience, including experience operating at a senior or executive level.
• Master's degree in Finance, Accounting, Business Administration, Healthcare Administration, or a related discipline preferred.
• CPA strongly preferred.
• Prior experience within nonprofit, healthcare, behavioral health, human services, or another highly regulated and government-funded environment strongly preferred.
• Strong understanding of Medicaid/Medicare reimbursement, managed care, revenue cycle management, grants and contracts, and government funding models.
• Experience with New York State regulatory and financial reporting requirements, including CFR reporting, is highly desirable.
• Demonstrated expertise in budgeting, forecasting, cash flow management, financial reporting, audit oversight, internal controls, and financial analysis.
• Strong executive presence with the ability to communicate complex financial information effectively to a CEO, Board of Directors, finance committees, operational leaders, and non-financial stakeholders.
• Proven ability to build and develop strong teams and collaborate effectively across multiple departments.
• Strong proficiency with financial systems and Microsoft Office, particularly Excel.
• High degree of integrity, discretion, sound judgment, and commitment to confidentiality.

Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. 3 weeks PTO

Equal Opportunity Employer/Veterans/Disabled

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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers