Multnomah County
Chief Financial Officer
Current employees:
Please apply through the employee portal to be considered for this opportunity.
Pay Range:
$118,948.83 - $190,317.60 Annual
Department:
Health Department
Job Type:
Limited Duration
Exemption Status:
United States of America (Exempt)
Closing Date:
October 29, 2025
The Opportunity This Work Matters We seek leaders, achievers and doers who bring skill and passion to a challenging and evolving environment. At Multnomah County Community Health Center we are all inspired by the mission: We work with communities to advance health equity, protect the most vulnerable, and promote health and wellness for everyone and we uphold the values: Compassion and Care, Empowerment, Racial Equity, Creativity and Integrity. We create a culture of respect, trust and understanding for the highly diverse population we serve in our communities.
As the
Chief Financial Officer
for the Community Health Center, you will report to the Community Health Center Executive Director, providing expert financial guidance and managing daily financial operations. This role is crucial for Oregon's largest Federally Qualified Health Center (FQHC), a $217 million entity with over 900 FTEs across multiple sites, offering primary care, dental, pharmacy, and integrated behavioral health services. You will be responsible for planning, directing, and managing all financial services, optimizing financial systems within a large, complex governmental agency. Your leadership will extend to the Revenue Cycle, Accounts Receivable, Eligibility, and Financial Budget Management teams. Additionally, you will work in partnership with the Business and Financial Management team and guide the Decision Support team that supports the FQHC.
This is a Limited Duration Assignment (LDA). Limited Duration Assignments are expected to last up to two (2) years, but may end sooner.
Responsibilities
Plan, organize, manage, and administer multiple finance-related work units, sections, and functions; develop and implement program and strategic planning.
Develop, implement and assist in the development of financial and budget policies for the FQHC, procedures, and business practices.
Evaluate goals, objectives, priorities, and activities to improve performance and outcomes.
Recommend and establish administrative controls and improvements; develop procedures to implement new and/or changing regulatory requirements.
Serve as a member of the Health Center and Business and Financial Management management teams.
Recommend financial strategy; participate in funding negotiations with stakeholders; act as key financial advisor to the FQHC.
Conduct or coordinate audits of division accounts and financial transactions; develop and conceptualize new enterprise or joint ventures; set strategy and direction for procurement and contract activities.
Attend CHCB governing board and CHCB Finance Committee meetings.
Oversee the development of the annual FQHC Budget, including annual County submission, Board presentations, and HRSA budget submissions.
Administer and monitor budgets; develop justifications for budgetary recommendations and/or adjustments.
Develop long-term sustainable financial and operating plans; assure financial sustainability, highlighting risks and opportunities.
Provide strategic financial forecasts, analysis, and leadership on business models; oversee efforts to maximize third-party reimbursement; manage third party insurance payer contracts.
Collaborate and communicate with financial functions in the Financial and Business Management division of the Health Department.
Provide direction, guidance, and leadership to staff; advise on complex and sensitive concerns and issues.
Serve as an advisor to the Health Center Executive Director in the areas of healthcare and financial management, and budgetary regulatory compliance and requirements related to Human Resources and Services Administration (HRSA).
Develop and maintain collaborative relationships with other financial professionals within the Department and the County for best practices and quality improvement.
Collaborate with external partners as needed, including CCOs, state and federal, funding partners, accreditation agencies.
Diversity and Inclusion At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees. We are proud to be an Equal Opportunity Employer. As a Health Department employee you will create a work culture of respect, trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the County's attention conduct that interferes with providing a work environment free of illegal discrimination and harassment.
To Qualify We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant.
Minimum Qualifications
Education/ training equivalent to a bachelor's degree.
Three (3) to six (6) years of relevant experience.
Must pass a reference check.
Preferred Qualifications
Previous experience working at a Federally Qualified Health Center (FQHC).
Experience managing end-to-end revenue cycles and budgets.
Proven ability to collaborate effectively with diverse stakeholders and departments, fostering strong relationships to achieve shared goals.
Experience or ability to synthesize data in order to independently solve problems or formulate recommendations.
Ability to work and lead effectively in a cross-cultural or multicultural organization ensuring equity and inclusion initiatives are implemented and measured across the organization.
Screening and Evaluation
Initial review of minimum qualifications.
An evaluation of application materials to identify the most qualified candidates.
Consideration of top candidates/interviews.
Background, reference, and education checks.
Pay Equity Pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.
The Application Packet
A completed online application.
A resume that explains all related experience (paid or unpaid) and training in your resume.
A cover letter that expands on your resume addressing how you qualify for the position; how you collaborate and break down silos; how you ensure continued financial sustainability of an organization; and why you are interested in the role.
Additional Details Type of Position: This salaried position is not eligible for overtime.
FLSA: Exempt
Schedule: Monday to Friday, 8 hrs/ day (flexible/ schedule to be determined).
Hybrid Telework: This position is designated as “hybrid telework,” meaning you will be working both remotely (from home) and in person at an onsite location. All employees must reside in Oregon or Washington. The onsite work location for this position is the Gladys McCoy Building 619 NW 6th Ave, Portland OR 97204. This position will be required to be onsite at Gladys McCoy on Tuesday and Thursday each week.
Serving the Public, Even During Disasters Everyday, Multnomah County staff work together to serve as a safety net for our communities. During a disaster, this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather, natural disaster, or other types of community emergency response. During these emergency responses, while typically there begins with a call for volunteers, county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information, please visit Disaster Service Worker Information.
Veterans’ Preference Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.
Accommodation under the Americans with Disabilities Act We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.
Questions Recruiter Chandra Montgomery
Email: chandra.montgomery@multco.us
Phone: +1 (503) 9884733 x84733
Application information may be used throughout the entire selection process. This process is subject to change without notice.
Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.
Job Profile 9338 - Finance Manager Senior
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Please apply through the employee portal to be considered for this opportunity.
Pay Range:
$118,948.83 - $190,317.60 Annual
Department:
Health Department
Job Type:
Limited Duration
Exemption Status:
United States of America (Exempt)
Closing Date:
October 29, 2025
The Opportunity This Work Matters We seek leaders, achievers and doers who bring skill and passion to a challenging and evolving environment. At Multnomah County Community Health Center we are all inspired by the mission: We work with communities to advance health equity, protect the most vulnerable, and promote health and wellness for everyone and we uphold the values: Compassion and Care, Empowerment, Racial Equity, Creativity and Integrity. We create a culture of respect, trust and understanding for the highly diverse population we serve in our communities.
As the
Chief Financial Officer
for the Community Health Center, you will report to the Community Health Center Executive Director, providing expert financial guidance and managing daily financial operations. This role is crucial for Oregon's largest Federally Qualified Health Center (FQHC), a $217 million entity with over 900 FTEs across multiple sites, offering primary care, dental, pharmacy, and integrated behavioral health services. You will be responsible for planning, directing, and managing all financial services, optimizing financial systems within a large, complex governmental agency. Your leadership will extend to the Revenue Cycle, Accounts Receivable, Eligibility, and Financial Budget Management teams. Additionally, you will work in partnership with the Business and Financial Management team and guide the Decision Support team that supports the FQHC.
This is a Limited Duration Assignment (LDA). Limited Duration Assignments are expected to last up to two (2) years, but may end sooner.
Responsibilities
Plan, organize, manage, and administer multiple finance-related work units, sections, and functions; develop and implement program and strategic planning.
Develop, implement and assist in the development of financial and budget policies for the FQHC, procedures, and business practices.
Evaluate goals, objectives, priorities, and activities to improve performance and outcomes.
Recommend and establish administrative controls and improvements; develop procedures to implement new and/or changing regulatory requirements.
Serve as a member of the Health Center and Business and Financial Management management teams.
Recommend financial strategy; participate in funding negotiations with stakeholders; act as key financial advisor to the FQHC.
Conduct or coordinate audits of division accounts and financial transactions; develop and conceptualize new enterprise or joint ventures; set strategy and direction for procurement and contract activities.
Attend CHCB governing board and CHCB Finance Committee meetings.
Oversee the development of the annual FQHC Budget, including annual County submission, Board presentations, and HRSA budget submissions.
Administer and monitor budgets; develop justifications for budgetary recommendations and/or adjustments.
Develop long-term sustainable financial and operating plans; assure financial sustainability, highlighting risks and opportunities.
Provide strategic financial forecasts, analysis, and leadership on business models; oversee efforts to maximize third-party reimbursement; manage third party insurance payer contracts.
Collaborate and communicate with financial functions in the Financial and Business Management division of the Health Department.
Provide direction, guidance, and leadership to staff; advise on complex and sensitive concerns and issues.
Serve as an advisor to the Health Center Executive Director in the areas of healthcare and financial management, and budgetary regulatory compliance and requirements related to Human Resources and Services Administration (HRSA).
Develop and maintain collaborative relationships with other financial professionals within the Department and the County for best practices and quality improvement.
Collaborate with external partners as needed, including CCOs, state and federal, funding partners, accreditation agencies.
Diversity and Inclusion At Multnomah County, we don't just accept difference; we value it and support it to create a culture of dignity and respect for our employees. We are proud to be an Equal Opportunity Employer. As a Health Department employee you will create a work culture of respect, trust and understanding for the highly diverse populations the Health Department serves in the office and in the community. Every employee shares the responsibility for promptly bringing to the County's attention conduct that interferes with providing a work environment free of illegal discrimination and harassment.
To Qualify We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item or section is labeled required. Please be clear and specific about how your background is relevant.
Minimum Qualifications
Education/ training equivalent to a bachelor's degree.
Three (3) to six (6) years of relevant experience.
Must pass a reference check.
Preferred Qualifications
Previous experience working at a Federally Qualified Health Center (FQHC).
Experience managing end-to-end revenue cycles and budgets.
Proven ability to collaborate effectively with diverse stakeholders and departments, fostering strong relationships to achieve shared goals.
Experience or ability to synthesize data in order to independently solve problems or formulate recommendations.
Ability to work and lead effectively in a cross-cultural or multicultural organization ensuring equity and inclusion initiatives are implemented and measured across the organization.
Screening and Evaluation
Initial review of minimum qualifications.
An evaluation of application materials to identify the most qualified candidates.
Consideration of top candidates/interviews.
Background, reference, and education checks.
Pay Equity Pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined in accordance with the Oregon Equal Pay Law and will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range.
The Application Packet
A completed online application.
A resume that explains all related experience (paid or unpaid) and training in your resume.
A cover letter that expands on your resume addressing how you qualify for the position; how you collaborate and break down silos; how you ensure continued financial sustainability of an organization; and why you are interested in the role.
Additional Details Type of Position: This salaried position is not eligible for overtime.
FLSA: Exempt
Schedule: Monday to Friday, 8 hrs/ day (flexible/ schedule to be determined).
Hybrid Telework: This position is designated as “hybrid telework,” meaning you will be working both remotely (from home) and in person at an onsite location. All employees must reside in Oregon or Washington. The onsite work location for this position is the Gladys McCoy Building 619 NW 6th Ave, Portland OR 97204. This position will be required to be onsite at Gladys McCoy on Tuesday and Thursday each week.
Serving the Public, Even During Disasters Everyday, Multnomah County staff work together to serve as a safety net for our communities. During a disaster, this safety net becomes even more critical. All County employees have a role in serving the public during inclement weather, natural disaster, or other types of community emergency response. During these emergency responses, while typically there begins with a call for volunteers, county employees may ultimately be reassigned from their current position to a role in the emergency response in order to support the critical needs presented by our communities. For more information, please visit Disaster Service Worker Information.
Veterans’ Preference Under Oregon Law, qualifying veterans may apply for veterans’ preference. Review our veterans’ preference page for details about eligibility and how to apply.
Accommodation under the Americans with Disabilities Act We gladly provide reasonable accommodation to anyone whose specific disability prevents them from completing an application or participating in this recruitment process. Please contact the recruiter below in advance to request assistance. Individuals with hearing or speech impairments may contact the recruiter through the Telecommunications Relay Service by dialing 711.
Questions Recruiter Chandra Montgomery
Email: chandra.montgomery@multco.us
Phone: +1 (503) 9884733 x84733
Application information may be used throughout the entire selection process. This process is subject to change without notice.
Disclaimer: This announcement is intended as a general descriptive recruitment guide and is subject to change. It does not constitute either an expressed or implied contract.
Job Profile 9338 - Finance Manager Senior
#J-18808-Ljbffr