Multnomah County
FQHC Chief Financial Officer - LD
at Multnomah County
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 (Open Until Filled If No Date Specified): October 29, 2025
The Opportunity We seek leaders who bring skill and passion to a challenging and evolving environment. 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 serves 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 plan, direct, and manage all financial services, optimize financial systems within a large governmental agency, and lead the Revenue Cycle, Accounts Receivable, Eligibility, and Financial Budget Management teams. You will also partner with the Business and Financial Management team and guide the Decision Support team that supports the FQHC. This is a Limited Duration Assignment (LDA) expected to last up to two years, but may end sooner.
Responsibilities
Plan, organize, manage, and administer multiple finance-related work units; develop and implement program and strategic planning.
Develop, implement and assist in the development of financial and budget policies, procedures, and business practices for the FQHC.
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 new enterprises or joint ventures; direct procurement and contract strategy.
Attend CHCB governing board and CHCB Finance Committee meetings.
Oversee the development of the annual FQHC Budget, including County submissions, 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; maximize third-party reimbursement; manage third-party payer contracts.
Collaborate with financial functions in the Financial and Business Management division of the Health Department.
Provide direction and leadership to staff; advise on complex and sensitive concerns and issues.
Advise the Health Center Executive Director on healthcare and financial management, and HRSA regulatory compliance and requirements related to HRSA.
Develop and maintain collaborative relationships with other financial professionals within the Department and County; collaborate with external partners as needed (e.g., CCOs, state and federal partners, accreditation agencies).
Qualifications To Qualify
We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item is labeled required. Please be clear and specific about how your background is relevant.
Minimum Qualifications/Transferable Skills
Education/training equivalent to a bachelor’s degree.
Three (3) to six (6) years of relevant experience.
Must pass a reference check.
Preferred Qualifications/Transferable Skills
Previous experience working at a Federally Qualified Health Center (FQHC)
Experience managing end-to-end revenue cycles and budgets
Ability to collaborate effectively with diverse stakeholders and departments
Ability to synthesize data to independently solve problems or formulate recommendations
Ability to lead in a cross-cultural or multicultural organization with equity and inclusion initiatives
Transferable skills: describe how your skills apply to this position
Screening and Evaluation
Initial review of minimum qualifications
Evaluation of application materials to identify most qualified candidates
Consideration of top candidates for interviews
Background, reference, and education checks
Pay Equity The pay range is general guidance; actual compensation will be determined in accordance with Oregon law and factors such as experience and education. Initial offers may not be at the top of the range.
The Application Packet You must submit all requested items. Failure to do so may be deemed an incomplete application.
A completed online application.
A resume detailing related experience and training.
A cover letter addressing how you qualify, collaboration, financial sustainability, and interest in the role.
Note: Materials may be scored to determine interview eligibility. Check email for requests from the Recruiter. Delays may affect consideration.
Additional Details Type of Position: Salaried, not eligible for overtime. Schedule: Monday to Friday, 8 hours per day. Hybrid telework (remote and on-site). On-site location: Gladys McCoy Building, 619 NW 6th Ave, Portland, OR 97204. On-site Tuesday and Thursday required. All employees must reside in Oregon or Washington.
Diversity and Inclusion Multnomah County values diversity and is an Equal Opportunity Employer. We are a federally recognized contractor and encourage veterans to apply. Reasonable accommodations available under the Americans with Disabilities Act.
Contact Recruiter: Chandra Montgomery
Email: chandra.montgomery@multco.us
Phone: +1 (503) 988-4733 x84733
Questions? Application information may be used throughout the selection process and is subject to change without notice.
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at Multnomah County
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 (Open Until Filled If No Date Specified): October 29, 2025
The Opportunity We seek leaders who bring skill and passion to a challenging and evolving environment. 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 serves 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 plan, direct, and manage all financial services, optimize financial systems within a large governmental agency, and lead the Revenue Cycle, Accounts Receivable, Eligibility, and Financial Budget Management teams. You will also partner with the Business and Financial Management team and guide the Decision Support team that supports the FQHC. This is a Limited Duration Assignment (LDA) expected to last up to two years, but may end sooner.
Responsibilities
Plan, organize, manage, and administer multiple finance-related work units; develop and implement program and strategic planning.
Develop, implement and assist in the development of financial and budget policies, procedures, and business practices for the FQHC.
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 new enterprises or joint ventures; direct procurement and contract strategy.
Attend CHCB governing board and CHCB Finance Committee meetings.
Oversee the development of the annual FQHC Budget, including County submissions, 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; maximize third-party reimbursement; manage third-party payer contracts.
Collaborate with financial functions in the Financial and Business Management division of the Health Department.
Provide direction and leadership to staff; advise on complex and sensitive concerns and issues.
Advise the Health Center Executive Director on healthcare and financial management, and HRSA regulatory compliance and requirements related to HRSA.
Develop and maintain collaborative relationships with other financial professionals within the Department and County; collaborate with external partners as needed (e.g., CCOs, state and federal partners, accreditation agencies).
Qualifications To Qualify
We will consider any combination of relevant work experience, volunteering, education, and transferable skills as qualifying unless an item is labeled required. Please be clear and specific about how your background is relevant.
Minimum Qualifications/Transferable Skills
Education/training equivalent to a bachelor’s degree.
Three (3) to six (6) years of relevant experience.
Must pass a reference check.
Preferred Qualifications/Transferable Skills
Previous experience working at a Federally Qualified Health Center (FQHC)
Experience managing end-to-end revenue cycles and budgets
Ability to collaborate effectively with diverse stakeholders and departments
Ability to synthesize data to independently solve problems or formulate recommendations
Ability to lead in a cross-cultural or multicultural organization with equity and inclusion initiatives
Transferable skills: describe how your skills apply to this position
Screening and Evaluation
Initial review of minimum qualifications
Evaluation of application materials to identify most qualified candidates
Consideration of top candidates for interviews
Background, reference, and education checks
Pay Equity The pay range is general guidance; actual compensation will be determined in accordance with Oregon law and factors such as experience and education. Initial offers may not be at the top of the range.
The Application Packet You must submit all requested items. Failure to do so may be deemed an incomplete application.
A completed online application.
A resume detailing related experience and training.
A cover letter addressing how you qualify, collaboration, financial sustainability, and interest in the role.
Note: Materials may be scored to determine interview eligibility. Check email for requests from the Recruiter. Delays may affect consideration.
Additional Details Type of Position: Salaried, not eligible for overtime. Schedule: Monday to Friday, 8 hours per day. Hybrid telework (remote and on-site). On-site location: Gladys McCoy Building, 619 NW 6th Ave, Portland, OR 97204. On-site Tuesday and Thursday required. All employees must reside in Oregon or Washington.
Diversity and Inclusion Multnomah County values diversity and is an Equal Opportunity Employer. We are a federally recognized contractor and encourage veterans to apply. Reasonable accommodations available under the Americans with Disabilities Act.
Contact Recruiter: Chandra Montgomery
Email: chandra.montgomery@multco.us
Phone: +1 (503) 988-4733 x84733
Questions? Application information may be used throughout the selection process and is subject to change without notice.
#J-18808-Ljbffr