A growing federally qualified health center in Colorado is seeking its next Chief Financial Officer. The organization is a multi-site FQHC with integrated service lines spanning primary care, dental, behavioral health, pediatrics, vision, and pharmacy.

The organization is in a transformation moment. A new CEO has rebuilt the executive team, modernized core systems, and is positioning the finance function for a strategic leader to partner with the CEO and board on the next chapter.

Why this role is different

This CFO has a seat at the table. The executive team is small and engaged, working directly with an active, federally compliant board. You will report to the CEO, present at board and finance committee meetings, and operate as a true member of the leadership team. If you have ever wondered what FQHC finance looks like when it is treated as strategy rather than compliance, this is that role.

What you will own

You will lead all financial operations: accounting, revenue cycle oversight, FP&A, grants management, 340B financial strategy, HRSA 330 reporting, UDS, sliding fee scale economics, and capital planning. The finance team includes an established Controller, an outsourced revenue cycle partner, and an eligibility supervisor with a small team.

You will own the annual budget process, cash management, payer mix strategy, OSV preparedness, and board level financial presentations. You will be a strategic partner to the executive team on operational and clinical financial decisions as the organization continues to grow.

Beyond the numbers, you will be expected to be visible. Travel to the flagship location regularly, attend board meetings in person, engage with clinical and operational staff, and represent the organization in the Colorado FQHC community.

What you get

Compensation up to $180,000 base depending on experience, with full medical, dental, vision, 401k, generous PTO, and professional development support. Hybrid work model. Front Range candidates strongly preferred. Relocation support available for the right candidate. Outdoor recreation benefits and wellness program included.

Who we are looking for

Direct FQHC finance leadership experience is required. You understand HRSA 330 funding, UDS reporting, sliding fee scale economics, 340B pharmacy revenue, FQHC PPS, and the operational realities of multi-site safety net care. You have led at least one OSV and can speak to findings and remediation.

The ideal candidate brings:

Senior finance leadership experience, ideally including prior CFO or senior director level responsibility, with direct FQHC experience.

Active CPA preferred, not required for the right candidate.

Strategic orientation. You think in terms of cash flow, payer mix, grant strategy, capital planning, and OSV readiness, not just monthly closes.

Revenue cycle fluency, including experience working with or transitioning RCM partners.

Comfort presenting to a federally compliant, patient-majority board.

The personality to engage. The CEO is looking for a partner who shows up, talks to staff, builds relationships, and takes ownership of the mission rather than operating from behind a screen.