The Office of Academic Clinical Affairs (OACA) and its Community-University Health Care Center (CUHCC) seek a motivated, strategic Finance Director who has a passion for community health. CUHCC is a federally qualified health center (FQHC) with a mission to transform care and education to advance health equity. The health center provides comprehensive primary care, specialty mental health services, dental care and wrap around services to 11,000 patients annually through 60,000 visits and educates 150 students and residents annually. The Finance Director is responsible for overall management of the finance and revenue cycle operations that support the missions of service and education and will lead strategic financial initiatives to advance CUHCC’s long-term objectives. This position assures a financial environment that complies with internal and external requirements, provides timely and accurate financial reporting, and exercises good judgment with an ethical approach to business and compliance issues. The Finance Director represents CUHCC’s fiscal accountability within the University’s Office of Academic Clinical Affairs (OACA) and to external funders and stakeholders, as needed.
REPORTING RELATIONSHIPS: This position has four (4) direct reports: Revenue Cycle Manager, Accountant, Financial Analyst, EHR/Revenue Cycle Analyst and any contracted financial staff, as well as 13 indirect reports, and general oversight for the CUHCC finance function.
INTERNAL RELATIONSHIPS: This position serves as one of CUHCC’s senior leadership team members, along with the Chief Executive Officer, and leaders of CUHCC’s clinical, operational and compliance functions. The Finance Director serves as a liaison to the Office of Academic Clinical Affairs for functions including the Controller’s Office, Purchasing, Central Accounting among other University departments. The Finance Director presents financial data to the Board of Directors at the Finance Committee as directed or delegated by the CEO.
EXTERNAL RELATIONSHIPS: As a core member of the Senior Leadership Team, the Finance Director has major responsibility to represent CUHCC and its strategic direction to patients, general public, private, local, state and federal funders, and private donors, as appropriate and needed.
ESSENTIAL DUTIES & RESPONSIBILITIES: Clinic Financial Management, Planning and Analysis (45%) Responsible and accountable for leading financial initiatives and strategies to support the fiscal viability of the health center. Serves as a strategic thought partner that exemplifies a growth mindset and strong leadership skills. Collaborates closely with the Senior Leadership Team to develop and identify revenue opportunities to improve operating budget and future fiscal planning. Serves as financial liaison to the Office of Academic Clinical Affairs and as CUHCC’s Finance Director for clinical financial compliance purposes with federal, state and local government authorities. Provides regular and timely fiscal updates to the CEO, CUHCC’s Governing Board and the Office of Academic Clinical Affairs. Identifies and implements tactics to generate revenue and manage expenses. Leads the budgeting process for fiscal years following University accounting guidelines. Develops processes to ensure the accuracy for FQHC rate setting and the optimization of revenue improvement from contracted third party payers. Monitors the performance of clinics discount program(s) and use of public programs available to patients to ensure financial hardship experienced by patients is not a barrier for care. Provides financial or integrated clinical/financial analysis for planning, contracting and other functions. Provides strategy to guide strategic decision making around payment reform.
Financial Data Reporting (25%) Develops and oversees streamlined financial reporting and metrics to monitor financial performance, including revenue realization (patient and grant), Uniform Data System (UDS) measures, accounts receivable valuation, and analysis for expense reductions. The Finance Director completes monthly financial statements in accordance with FQHC financial reporting guidelines, and reports measures to the Board’s Finance Committee and to OACA leadership. The Finance Director provides productivity reports per service line to Senior Leadership team members and works with leaders to maximize revenue across service lines as well as addressing variances to budget. The Finance Director is responsible for the timely and accurate reporting of financial information on behalf of the organization including annual UDS, Medicare Cost Report, and Provider Tax filings, and the development of Federal 330 grant application budgets and progress reports.
Administrative and Programmatic Operations (30%) This position supervises the functions of revenue cycle, finance and accounting for the Center and ensures the organization maintains compliance with Health 330 Center Program policies and procedure requirements that would include 340B contract pharmacy compliance. This position directly supervises the Revenue Cycle Manager, Accountant, Financial Analyst, EHR/Revenue Cycle Analyst, and other contracted staff to complete needed duties. The Finance Director directs staff in problem-solving operational issues and assists in developing efficient and timely administrative systems and provides leadership on established organizational committees including Revenue Cycle Steering and Development Steering. The Finance Director works closely with supervisees to identify and report on key financial indicators to track overall financial and revenue cycle performance. The Finance Director leads consulting engagements with external consultants to include Medicare Cost Report filing, Fee Schedule market analysis, Coding Quality audits, 340B Contract Pharmacy program audit, and other audit/review engagements to ensure accurate and timely financial reporting and program management. The Finance Director serves as the primary contact with the University External Sales Department, Minnesota Association of Community Health Centers, Federal Urban Health Network, and reviews contracts with health plans and other payers or major vendors, and problem-solves contract concerns related to external agreements as they pertain to reimbursement.
CORE COMPETENCIES Strategic Leadership - Operates Strategically â—Understands the big picture; assists the CEO in reallocation of resources to align with CUHCC’s strategic priorities â—Understands the broader University culture and context of issues and dilemmas; skillfully navigates to find solutions to complex issues â—Leverages diversity and differences to foster a climate of respect and inclusion; leads by example in encouraging others to support diversity goals, values, and practices â—Effectively utilizes and prioritizes time to maximize impact in leadership role
Results Leadership - Manages Execution, Anticipates Change â—Applies functional and technical knowledge to educate leadership team on financial topics in support of key financial decisions â—Assists the leadership team in translating broad strategies and priorities into specific action plans based on reliable financial assumptions â—Ensures financial transparency during planning, decision-making, and execution of initiatives â—Ensures accountability and tracking of outcomes to support further decision-making and subsequent adjustments to programs â—Integrates information from a variety of sources and seeks expertise of others to evaluate alternatives that will support sound financial decisions â—Adheres to defined principles when making decisions; considers intended and unintended consequences of decisions â—Practices good stewardship of University resources
People Leadership - Influences and Inspires â—Promotes ideas and proposals persuasively; creates a climate that encourages personal investment; inspires action without relying solely on positional authority â—Utilizes skills to manage conflict constructively; demonstrates growth mindset in coaching and mentoring team members to improve outcomes and efficacy
*CUHCC reserves the right to change or add duties to this position consistent with the job classification. A criminal background check is required for this position.
REQUIRED QUALIFICATIONS â–ªBachelor’s Degree in Accounting, Finance, or related field â–ªMinimum of 10 years’ experience in accounting or finance, including 5 or more years in healthcare financial management â–ªStrategic leadership experience â–ªSupervisory and/or management experience â–ªExcellent English written and verbal communication skills Experience working with diverse populations and in a large or complex organization
PREFERRED QUALIFICATIONS â–ªMasters degree in accounting, finance or business administration â–ªCertified Public Accountant (active or inactive) â–ªRevenue cycle management knowledge and experience â–ªKnowledge of federal policies related to Medical Assistance, Medicare and Federally Qualified Health Centers â–ªExpert knowledge of software with financial reporting capabilities. â–ªExperience with data driven problem solving and test of change methodologies (Lean, Sixth Sigma, PDCA) â–ªLeadership experience at a Federally Qualified Health Care Center or other outpatient and primary clinic setting â–ªCapacity to work in a highly matrixed work environment, ability to cope with complexity and ambiguity and creatively solve problems â–ªRelational leading style with excellent interpersonal and communication skills
The University of Minnesota, founded in the belief that all people are enriched by understanding, is dedicated to the advancement of learning and the search for truth; to the sharing of this knowledge through education for a diverse community; and to the application of this knowledge to benefit the people of the state, the nation, and the world.