Director of Finance

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