Director, Finance

La Red Health Center Inc; Georgetown (DE); On-site; USD 120,000 - 180,000; Full time

Job summary

La Red Health Center Inc is seeking a Finance Director to lead the organization’s financial strategy, risk management, and regulatory compliance to support mission-driven, patient-centered care for underserved communities.

You will oversee budgeting across clinical sites, grant accounting, HRSA compliance, revenue cycle, audits, and a growing finance team, ensuring strong internal controls and strategic financial planning.

Qualifications

• Bachelor’s degree in Accounting, Finance or Business Administration; MBA preferred.
• CPA designation preferred.
• 5–7 years progressive healthcare finance experience.
• FQHC or community health center experience preferred.
• Bilingual English/Spanish preferred.

Responsibilities

• Strategic planning with CEO, leadership, and board to set financial goals.
• Forecasting, modeling, and capital project planning for growth.
• Prepare monthly financial statements for the Board of Directors.
• Ensure HRSA 330 grant compliance and UD S financial tables.
• Oversee grant accounting for federal, state and private funds.
• Maintain internal controls for 340B and Sliding Fee programs.
• Lead revenue cycle improvements with billing; monitor PPS/APM rates.
• Manage annual budgeting across clinical sites and departments.
• Coordinate annual audits, single audits, and IRS Form 990.
• Recruit, train, and supervise finance and billing staff.

Skills

GAAP

HRSA compliance

ERP software

EHR billing modules

Leadership

Communication

Presentation skills

Education

Bachelor's degree in Accounting/Finance/Business Administration

CPA designation preferred

5-7 years healthcare finance experience

FQHC experience preferred

Tools

Healthcare ERP software

EHR billing modules

Job description

Description

Job Summary

The Finance Director serves as the chief financial leader of the health center. This role is responsible for the overall fiscal health, strategic financial planning, and regulatory compliance. Ensures the integrity of financial operations while supporting our mission to provide high-quality, patient-centered care to underserved communities.

Essential Responsibilities

The following duties are not intended to serve as a comprehensive list of all duties performed by all associates in this position. The duties listed are intended to provide a representative summary of the major duties and responsibilities. The incumbent may be required to perform additional, position-specific duties as assigned by their manager and/or LRHC Leadership.

Financial Strategy & Leadership

• Strategic Planning: Partner with the CEO, Senior Leadership, and the Board Finance Committee to establish short- and long-term financial goals.
• Fiscal Sustainability: Drive financial forecasting, modeling, and capital project planning to support organizational growth.
• Board Reporting: Prepare and present comprehensive, accurate, and timely monthly financial statements to the Board of Directors.

FQHC Compliance & Grant Management

• HRSA & UDS Compliance: Oversee financial compliance with HRSA Section 330 grant requirements and lead the preparation of the annual Uniform Data System (UDS) financial tables.
• Grant Accounting: Supervise the tracking, allocation, and reporting of all federal, state, and private grant funds.
• Program Oversight: Ensure strict financial oversight and internal controls for the 340B Drug Pricing Program and the Sliding Fee Discount Program.

Financial Operations & Revenue Cycle

• Revenue Cycle Management: Collaborate with the billing department to optimize patient revenue, monitor FQHC Prospective Payment System (PPS) and APM reimbursement rates.
• Budgeting: Lead the annual organizational budgeting process across all clinical sites and departments.
• Audits & Taxes: Coordinate the annual independent financial audit, single audits (Uniform Guidance), and the preparation of IRS Form 990.
• Team Supervision: Directly recruit, train, manage, and evaluate finance and billing department personnel.

Requirements

Education and/or Experience:

• Degree: Bachelor's degree in Accounting, Finance, or Business Administration (Master's degree or MBA preferred).
• Certification: Certified Public Accountant (CPA) designation preferred.
• Experience: Minimum of 5-7 years of progressive healthcare finance management experience preferred.
• FQHC Expertise: At least 3 years of direct experience working within an FQHC or Community Health Center preferred.

Language Skills:

Bilingual (English/Spanish) preferred

Skills and Competencies:

• Deep working knowledge of GAAP, Uniform Guidance (2 CFR 200), and HRSA compliance.
• Proficiency with healthcare-specific ERP software and Electronic Health Record (EHR) billing modules.
• Strong leadership skills with a proven history of managing and developing finance staff.
• Excellent analytical, communication, and presentation skills.

Equipment Operated:

• Wide range of office equipment.

Mental/Physical Requirements:

Frequent sitting or standing for long periods while using a computer. Regular walking within the clinic to coordinate with staff. Must be able to lift or move up to 15-25 pounds and occasionally push.