Chief Financial Officer (CFO)

ALABAMA REGIONAL MEDICAL SERVICES; Birmingham (AL); On-site; USD 160,000 - 230,000; Full time

Job summary

ALABAMA REGIONAL MEDICAL SERVICES is seeking an experienced Chief Financial Officer to lead our financial operations and steer strategy for growth and sustainability.

In this executive role, you will oversee budgeting, accounting, audits, grants, and compliance, while guiding the finance team and reporting to the CEO and Board. This position requires healthcare finance expertise and strong leadership in a mission-driven, nonprofit FQHC environment.

Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
• 5–7 years of progressive financial management experience in an FQHC or healthcare organization.
• CFO or senior-level healthcare financial executive experience preferred.
• Strong knowledge of healthcare accounting, budgeting, audits, financial reporting, and regulatory compliance.
• Demonstrated supervisory and leadership experience.
• Excellent analytical, organizational, communication, and problem-solving skills.

Responsibilities

• Lead the organization’s financial planning, accounting, budgeting, and fiscal operations.
• Oversee treasury, audit, tax accounting, purchasing, insurance, and risk management.
• Develop, monitor, and manage the organization’s annual operating budget.
• Prepare and present monthly financial and operating reports to the Board of Directors.
• Oversee internal and external audits and ensure regulatory compliance.
• Develop financial information and budgets for federal, state, and other grant applications.
• Monitor financial performance, cost accounting, revenue, expenditures, and organizational trends.
• Provide financial guidance to the CEO and leadership team.
• Ensure internal controls and stewardship of funds and assets.
• Monitor federal and state fiscal requirements and regulatory compliance.
• Analyze healthcare, reimbursement, managed care, economic, and funding trends.
• Oversee financial systems, policies, procedures, and reporting processes.
• Supervise, develop, and evaluate finance and accounting staff.
• Support strategic planning and identify opportunities to strengthen financial performance.

Skills

Leadership

Regulatory compliance

Analytical capabilities

Communication skills

Education

Bachelor’s degree in Accounting, Finance, Business Administration, or related field

Master’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field

Job description

LEAD. STRATEGIZE. STRENGTHEN. MAKE AN IMPACT.

Join a Mission-Driven Federally Qualified Health Center (FQHC)

We are seeking an experienced and strategic Chief Financial Officer (CFO) to lead our financial operations and help position our organization for continued growth, sustainability, and success.

The CFO will serve as a key member of the executive leadership team and will provide strategic oversight of financial planning, accounting, budgeting, audits, grants, compliance, risk management, and fiscal operations.

WHAT YOU’LL DO

• Lead the organization’s financial planning, accounting, budgeting, and fiscal operations.
• Oversee treasury, audit, tax accounting, purchasing, insurance, and risk management.
• Develop, monitor, and manage the organization’s annual operating budget.
• Prepare and present monthly financial and operating reports to the Board of Directors.
• Oversee internal and external audits and ensure compliance with applicable laws, regulations, and funding requirements.
• Develop financial information and budgets for federal, state, and other grant applications.
• Monitor financial performance, cost accounting, revenue, expenditures, and organizational trends.
• Provide financial guidance and recommendations to the Executive Director/CEO and leadership team.
• Ensure appropriate internal controls and effective stewardship of organizational funds and assets.
• Monitor federal and state fiscal requirements and maintain regulatory compliance.
• Analyze healthcare, reimbursement, managed care, economic, and funding trends affecting the organization.
• Oversee financial systems, policies, procedures, and reporting processes.
• Supervise, develop, and evaluate finance and accounting staff.
• Support strategic planning and identify opportunities to strengthen financial performance and organizational sustainability.

WHAT YOU BRING

Required Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field.
• 5–7 years of progressive financial management experience in an FQHC or healthcare organization.
• Previous experience serving as a CFO or senior-level healthcare financial executive.
• Strong knowledge of healthcare accounting, budgeting, audits, financial reporting, and regulatory compliance.
• Demonstrated supervisory and leadership experience.
• Excellent analytical, organizational, communication, and problem-solving skills.
• Ability to work effectively with executive leadership, the Board of Directors, employees, auditors, funding agencies, and external partners.

Preferred Qualifications

• Master’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field.
• CPA or other relevant professional certification.
• Extensive FQHC experience, including familiarity with federal grants, cost reporting, reimbursement, managed care, and healthcare financial compliance.
• Experience working in a nonprofit or community health center environment.

WHY JOIN US?

This is more than a finance leadership position—it is an opportunity to use your expertise to support a mission that directly impacts the health and well-being of our community.

As our CFO, you will help ensure that strong financial management supports accessible, high-quality, patient-centered healthcare.