Chief Financial Officer

Galveston County Human Resources; Texas City (TX); On-site; USD 180,000 - 260,000; Full time

Benefits offered by this job

Retirement plan

Health Insurance

Paid time off

Life Insurance

Parking

Job summary

Coastal Health & Wellness is seeking a Chief Financial Officer to lead financial operations, strengthen accountability, and support sustainable growth across Galveston County. The role drives budgeting, forecasting, audits, and grant management while guiding strategic financial decisions.

The CFO will oversee revenue cycle, 340B, and procurement, partnering with executives to ensure high-quality care and fiscal stewardship for the community. A senior finance background in healthcare is essential.

Qualifications

• Bachelor's degree or higher in accounting/finance/healthcare administration.
• Progressively responsible financial management experience.
• Experience with budgeting, reporting, internal controls, audits, cash management, and accounting operations.
• Advanced knowledge of accounting principles, financial planning, forecasting, and analysis.
• Understanding of healthcare finance and FQHC operations.

Responsibilities

• Provide executive leadership and oversight of financial operations and fiscal management.
• Develop financial strategies to support growth, sustainability, and priorities.
• Lead annual operating and capital budget development and management.
• Prepare and present financial statements, forecasts, and performance reports to executives and board.
• Oversee accounting operations, cash management, internal controls, and reporting.
• Direct oversight of federal grants, grant accounting, and restricted funding.
• Coordinate annual financial audits and ensure regulatory compliance.
• Provide executive oversight of revenue cycle, including billing and collections.
• Oversee 340B program financial operations and related reporting.
• Ensure purchasing and procurement comply with policies and requirements.
• Monitor financial risks and opportunities; recommend corrective actions.
• Evaluate feasibility of new programs and initiatives.
• Lead and mentor finance and revenue cycle teams.
• Collaborate with leadership to support informed financial decisions.

Skills

Financial leadership

Budgeting

Financial reporting

Internal controls

Audits

Cash management

Grant management

Strategic planning

Leadership

Communication to executives

Education

Bachelor's degree in Accounting/Finance/Healthcare Administration

Master's degree (preferred)

CPA/CHFP/ CMA (preferred)

Job description

Join the leadership team at Coastal Health & Wellness as our Chief Financial Officer !

We are seeking an experienced and strategic financial leader to oversee financial operations, strengthen fiscal accountability, and support the long-term sustainability of our community health center. This executive leadership position plays a key role in financial planning, operational decision-making, and ensuring resources are managed effectively to support quality healthcare services for the residents of Galveston County.

Why Join Us?

We offer a career with fantastic benefits, including:

• Amazing retirement package to help secure your future
• Affordable medical insurance for you and your family
• Generous paid time off so you can recharge
• FREE life insurance & long-term disability for peace of mind
• FREE parking because the little things matter too!

What You’ll Do:

• Provide executive leadership and oversight of financial operations, accounting, and fiscal management
• Develop financial strategies that support organizational growth, sustainability, and strategic priorities
• Lead the development and management of annual operating and capital budgets
• Prepare and present financial statements, forecasts, and performance reports to executive leadership and the Governing Board
• Oversee accounting operations, cash management, internal controls, and financial reporting
• Direct financial oversight of federal grants, grant accounting, and restricted funding
• Coordinate annual financial audits and ensure compliance with applicable financial and regulatory requirements
• Provide executive oversight of revenue cycle operations, including billing, collections, reimbursement, and accounts receivable
• Oversee financial performance and reporting related to the 340B Drug Pricing Program
• Ensure purchasing, procurement, and financial transactions comply with organizational policies and applicable requirements
• Monitor financial risks, identify opportunities for improvement, and recommend corrective actions
• Evaluate the financial feasibility of new programs, service expansions, and organizational initiatives
• Lead, mentor, and develop finance and revenue cycle teams
• Collaborate with executive leadership and department leaders to support informed financial and operational decisions

What We’re Looking For:

• Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a closely related field
• Significant progressively responsible financial management experience
• Demonstrated experience in budgeting, financial reporting, internal controls, audits, cash management, and accounting operations
• Advanced knowledge of accounting principles, financial planning, forecasting, and financial analysis
• Knowledge of healthcare finance, reimbursement, and financial operations
• Understanding of Federally Qualified Health Center (FQHC) financial operations and federal grant requirements
• Strong analytical, problem-solving, organizational, and leadership skills
• Ability to communicate complex financial information clearly to executive leadership and non-financial audiences
• Strong written, verbal, and presentation skills
• Ability to manage competing priorities, meet deadlines, and maintain confidentiality
• High standards of integrity, accountability, accuracy, and financial stewardship
• Ability to travel between clinic locations and work outside normal business hours as needed

Preferred Qualifications:

• Master's degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field
• CPA, CMA, CHFP, or comparable professional certification
• Senior financial leadership experience in healthcare
• Experience in an FQHC, community health center, nonprofit healthcare organization, or public healthcare setting
• Experience with federal grants and grant accounting
• Experience with healthcare revenue cycle management
• Experience working with Governing Boards or Board finance committees
• Experience with 340B financial operations, Medicare/Medicaid reimbursement, cost reporting, or public healthcare financing

Application Deadline:

Open Until Filled

No phone calls please

ADA / EEO / DFWP

Our Mission:

Protecting and Promoting the One Health of Galveston County