Director of Finance

Ultimate Staffing; Fresno (CA); On-site; USD 140,000 - 170,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

401(k) Retirement Plan

Employer-Paid Life Insurance

Paid Time Off and Holidays

Professional Development Opportunities

Employee Assistance Program

Wellness Programs

Job summary

Ultimate Staffing in California is seeking an experienced Director of Finance to lead the financial operations of a growing healthcare organization. This executive role oversees accounting, budgeting, financial reporting, grants management, revenue cycle oversight, purchasing, payroll, compliance, and long-term financial planning.

The ideal candidate brings healthcare finance experience, familiarity with FQHC operations, and expertise in grant management, financial analysis, and team leadership.

Qualifications

• Five or more years of progressive financial leadership in a healthcare environment.
• Experience with GAAP and financial reporting.
• Experience with grants administration and compliance preferred.
• Strong budgeting, forecasting, and financial analysis skills.

Responsibilities

• Provide strategic financial leadership and support organizational growth initiatives.
• Lead annual operating and capital budgeting processes.
• Develop short- and long-term financial plans, forecasts, and performance metrics.
• Partner with executive leadership to support strategic decision-making.
• Identify opportunities to improve operational efficiencies and contain costs.
• Oversee accounting operations including GL, AP, AR, payroll, and purchasing.

Education

Bachelor's degree in Accounting, Finance, or related field

MBA or CPA preferred

Tools

Microsoft Excel

ERP systems

Job description

Location: California
Job Type: Full-Time
Department: Finance
Reports To: Chief Financial Officer (CFO)

Salary

$140,000 - $170,000 annually Salary commensurate with experience, education, and qualifications.

About the Opportunity

We are seeking an experienced and strategic Director of Finance to lead the financial operations of a growing healthcare organization. This executive-level role is responsible for overseeing accounting, budgeting, financial reporting, grants management, revenue cycle oversight, purchasing, payroll, compliance, and long-term financial planning.

The ideal candidate will bring strong healthcare finance experience, knowledge of Federally Qualified Health Center (FQHC) operations, and expertise in grant management, financial analysis, and team leadership. This is an excellent opportunity for a collaborative finance leader who is passionate about operational excellence, financial stewardship, and supporting access to quality healthcare.

What You'll Do

Financial Leadership & Strategy

• Provide strategic financial leadership and support organizational growth initiatives.
• Lead annual operating and capital budgeting processes.
• Develop short- and long-term financial plans, forecasts, and performance metrics.
• Partner with executive leadership to support strategic decision-making.
• Identify opportunities to improve operational efficiencies and contain costs.

Accounting & Financial Management

• Oversee all accounting operations, including general ledger, accounts payable, accounts receivable, payroll, purchasing, and cash management.
• Ensure timely and accurate monthly, quarterly, and annual financial reporting.
• Develop and maintain accounting policies and procedures in accordance with GAAP.
• Monitor cash flow and prepare financial projections.
• Maintain strong internal controls to safeguard organizational assets.

Grant Management & Regulatory Compliance

• Manage financial oversight of federal, state, local, and private grant funding.
• Monitor grant expenditures and ensure compliance with funding requirements.
• Prepare required grant-related financial reports and documentation.
• Support audits and compliance reviews related to grant funding.
• Maintain knowledge of healthcare and federal funding regulations.

Revenue Cycle & Financial Performance

• Monitor revenue cycle performance and reimbursement trends.
• Analyze financial and operational metrics to improve organizational performance.
• Review aged receivables and collection activities.
• Support initiatives that strengthen financial sustainability and revenue integrity.

Purchasing, Contracts & Risk Management

• Oversee procurement and vendor management activities.
• Review contracts and monitor compliance with financial obligations.
• Assist with contract negotiations and cost-control initiatives.
• Evaluate insurance coverage and organizational risk exposure.

Leadership & Team Development

• Lead, mentor, and develop finance and accounting staff.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Support cross-functional initiatives and organizational objectives.
• Provide training and guidance on financial policies, procedures, and systems.

Required Qualifications

Education

• Bachelor's degree in Accounting, Finance, Business Administration, or related field required.
• MBA, CPA, or other advanced financial credential preferred.

Experience

• Five (5) or more years of progressive financial leadership experience in a healthcare environment.
• Five (5) or more years of supervisory or management experience.
• Experience with healthcare accounting, financial reporting, and revenue cycle management.
• Experience developing and managing organizational budgets.
• Experience with grants administration and financial compliance preferred.
• Experience in a Community Health Center or FQHC environment strongly preferred.

Required Skills & Knowledge

• Excellent analytical, accounting, communication, and leadership skills.
• Strong knowledge of FQHC financial operations and grant management.
• Strong understanding of budgeting, forecasting, and financial analysis.
• Excellent verbal, written, and presentation skills.
• Familiarity with Community Health Center operations and federal healthcare programs.
• Strong attention to detail and commitment to accuracy.
• Ability to identify and resolve financial discrepancies and reporting issues.
• Demonstrated initiative and sound judgment in interpreting financial information.
• Strong organizational, problem-solving, and project management abilities.
• Ability to manage multiple priorities in a fast-paced environment.
• Excellent facilitation and team-building skills.
• Customer-service oriented with a collaborative leadership style.
• Advanced proficiency with Microsoft Excel and financial management systems.
• Ability to build relationships with providers, leadership, staff, and community stakeholders from diverse backgrounds.

Preferred Qualifications

• Certified Public Accountant (CPA).
• Master of Business Administration (MBA).
• FQHC or Community Health Center experience.
• Experience with HRSA-funded programs and Section 330 grants.
• Knowledge of Uniform Guidance (2 CFR Part 200).
• Experience supporting Single Audits and grant compliance reviews.
• Experience with Medicare, Medicaid/Medi-Cal, and managed care reimbursement.

Benefits

We offer a competitive benefits package that may include:

• Medical, Dental, and Vision Insurance
• 401(k) Retirement Plan
• Employer-Paid Life Insurance
• Paid Time Off and Holidays
• Professional Development Opportunities
• Employee Assistance Program
• Wellness Programs

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.