Director of Finance

Gallup Community Health; Gallup, Northern (NM, KY); Hybrid; USD 120,000 - 160,000; Full time

Benefits offered by this job

Relocation assistance available

Leadership role in finance function

Job summary

Gallup Community Health is seeking a Finance Director to lead the financial strategy with CFO-scope responsibilities, reporting to the Executive Director and partnering with the Board’s Finance Committee.

You will guide budgeting, forecasting, cash management, and Board-level reporting, while advancing service line expansion and capital planning in a community health setting.

Qualifications

• Bachelor's in Accounting, Finance, or related field; CPA and/or MBA/MHA strongly preferred.
• 3+ years of progressive financial leadership, ideally in an FQHC, community health center, or nonprofit healthcare setting.
• Working knowledge of FQHC reimbursement, federal grant compliance, and nonprofit accounting (GAAP, fund accounting).
• A collaborative communicator — comfortable with clinicians, Board members, and auditors alike
• Genuine commitment to the mission of community health

Responsibilities

• Own the full financial picture: budgeting, forecasting, cash management, monthly close, and Board-level reporting
• Lead FQHC-specific finance — PPS/wrap reconciliation, Medicaid and Medicare cost reports, sliding fee scale, 340B program economics, and payer contracting
• Manage Section 330 grant budgets, drawdowns, and compliance; support UDS reporting and HRSA operational site visits
• Direct the annual audit and Single Audit (Uniform Guidance), and keep us clean and audit-ready year-round
• Build and mentor the accounting, billing, and revenue cycle team
• Bring the numbers into strategy — service line expansion, capital projects, grant opportunities, and long-range planning

Skills

Financial leadership

Strategic planning

Stakeholder communication

Education

Bachelor's in Accounting/Finance

CPA

MBA/MHA

Tools

GAAP knowledge

Fund accounting

Job description

Lead the financial strategy behind care that this community counts on.

Gallup Community Health is looking for a Finance Director to serve as our senior financial leader — a CFO-scope role reporting to the Executive Director and partnering directly with the Board’s Finance Committee. If you want your financial expertise to translate into more access, more services, and a stronger safety net, this is that job.

What you’ll do

• Own the full financial picture: budgeting, forecasting, cash management, monthly close, and Board-level reporting
• Lead FQHC-specific finance — PPS/wrap reconciliation, Medicaid and Medicare cost reports, sliding fee scale, 340B program economics, and payer contracting
• Manage Section 330 grant budgets, drawdowns, and compliance; support UDS reporting and HRSA operational site visits
• Direct the annual audit and Single Audit (Uniform Guidance), and keep us clean and audit-ready year-round
• Build and mentor the accounting, billing, and revenue cycle team
• Bring the numbers into strategy — service line expansion, capital projects, grant opportunities, and long-range planning

What you bring

• Bachelor's in Accounting, Finance, or related field; CPA and/or MBA/MHA strongly preferred
• 3+ years of progressive financial leadership, ideally in an FQHC, community health center, or nonprofit healthcare setting
• Working knowledge of FQHC reimbursement, federal grant compliance, and nonprofit accounting (GAAP, fund accounting)
• A collaborative communicator — comfortable with clinicians, Board members, and auditors alike
• Genuine commitment to the mission of community health

What we offer

• Competitive salary commensurate with experience
• Full medical, dental, and vision; 403b with employer match
• weeks PTO plus holidays and professional development support
• Relocation assistance available
• A seat at the leadership table and the autonomy to build the finance function the right way
• Life in northwest New Mexico — high desert, wide skies, and a community worth investing in