Hometown Health Center | Newport, ME, United States

Posted Date 11/18/2022

Position Title:

Director of Finance



Reports To:

Chief Executive Officer


Senior Accountant, Revenue Cycle Manager, Grants Manager

FLSA Status:


Last Revised/Approved:

January 2022


The Director of Finance (DOF) is an integral leader of Hometown Health Center (HHC), contributing to the strength, growth and long-term development of the organization. The DOF shares responsibility with the Chief Medical Officer and Chief Operating Officer for clinic and financial performance measures. The DOF is directly responsible for all financial systems and functions of the organization and ensures legal and regulatory compliance for all accounting and financial reporting functions. The DOF reports to the Chief Executive Officer (CEO). The DOF will understand and fully support the Mission, Vision and Value Statements of HHC.


  1. Oversees the Finance and Billing Department to ensure proper maintenance of all accounting systems and function in accordance with all regulation, law and professional and Health Center standards.
  2. Supervises Senior Accountant, Revenue Cycle Manager, and Grants Manager. Mentors and develops Finance Department team, managing work allocation, training, problem resolution, performance evaluation, and the building of an effective team dynamic.
  3. Ensures appropriate internal controls and financial procedures, and updates and revises internal control policies and procedures as needed to be in compliance with funder requirements.
  4. Oversees the accurate and timely preparation and communication of monthly and annual financial statements and other financial reports for leaders, board, government agencies, lenders and other appropriate parties.
  5. Oversees the organization’s financial accounting systems and functions maintaining strong internal controls – resulting in a clean annual audit, in full compliance with generally accepted accounting principles (GAAP). Also, oversight of Payroll and Benefits.
  6. Periodically reviews funder regulations including Department of Public Health, HRSA, and CDC, as well as other applicable federal regulations; is in direct contact with funders, ensuring compliance with all administrative and financial aspects of grants and contracts.
  7. Remains up to date on nonprofit audit best practices and state and federal law regarding nonprofit operations.
  8. Serves as a key point of contact for external auditors; manage timely preparation, support and filing of all external audits.
  9. Oversees weekly cash management; approve weekly payables.
  10. Oversees billing department, to help maximize appropriate revenue, and to account for all revenue accurately and billing is managed to maximize appropriate revenues.
  11. Oversees cash flow planning and ensure availability of funds as needed.
  12. Oversees investment and asset management.
  13. Prepares annual budget; generates, analyzes and presents monthly financial statements, cash flow statements, and ongoing financial analysis to the Finance Committee of the Board of Directors.
  14. Ensures financial analyses to provide insight into the organization's operations and business plans and to evaluate potential initiatives. Assesses organizational performance against both the annual budget and long-term strategy.
  15. Develops a clear financial plan that is consistent with the organization’s strategic programs, goals and initiatives.
  16. Provides CEO and other leaders with recommendations on controlling expenditures, maximizing revenues, and implications of proposed services and programs.
  17. Informs leaders around issues, trends, and changes in current and potential health care financial operating models and trends.
  18. Effectively manages HHC’s cash accounts.
  19. Along with CEO, represents the organization regarding financial matters to financial partners, including financial institutions, lenders, insurance companies, foundation executives, auditors, public officials, etc.
  20. Assists CEO with negotiations for any vendor, payer, and other finance related contracts.
  21. Prepares various analyses and reports required by banks, funders and others.
  22. Works with CEO to ensure appropriate insurance coverage for all assets and risks.
  23. Oversees finances for all HHC-owned entities, including subsidiaries and other corporations, and other key financial arrangements, including, without limitation, accountable care organizations and other shared savings arrangements.
  24. Participates as a member of Quality Improvement Committee and Corporate Compliance Committee.
  25. Ensures awareness with and adherence to the Compliance Program and Standards of Conduct, including all related compliance, HR, finance, and administrative policies.
  26. Adheres and supports HRSA’s health center program requirements
  27. Participates in all safety program and training, drills and education sessions AND may include assignment to an emergency response team.


  1. Performs other duties as assigned.


  1. Good organizational skills to handle multiple priorities while remaining professional and calm.
  2. Ability to work with many diverse people.
  3. Effective telephone skills.
  4. Strong level of confidentiality due to the sensitivity of materials and information handled.
  5. Must be able to make suggestions on workflow or system efficiency and effectiveness.
  6. Ability to work independently and be self-directed and flexible.
  7. Ability to prioritize.
  8. Ability to perform functions with minimal supervision.
  9. Ability to work at a high-volume level of accuracy.


  1. Be committed to the mission of the Hometown Health Center.
  2. Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of the healthcare team.
  3. Committed to the constant pursuit of excellence and teamwork in improving the care of the patient and families of Hometown Health Center and the Patient Centered Medical Home Neighborhood.
  4. Be punctual for scheduled work and use time appropriately.
  5. Perform duties in a conscientious, cooperative manner.
  6. Perform required amount of work in a timely fashion with a minimum of errors.
  7. Be neat and maintain a professional appearance.
  8. Maintain confidentiality and protect the Practice by abiding by laws and principles related to confidentiality; keep information concerning Practice Operations, patients and employees confidential.
  9. This position requires compliance with Health Center’s compliance standards, including its Standards of Conduct, Compliance Program, and policies and procedures. Such compliance will be an element considered as part of the Pediatrician’s regular performance evaluation.
  10. Adhere to Hometown Health Center’s employee immunization policy.


The physical requirements described here are representative of those that must be met by the Incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to stand or sit for prolonged periods of time, and talk and hear. The employee is occasionally required to walk and use hands to operate a standard computer keyboard. The employee may occasionally lift and/or move up to 10 pounds. Vision requirements include: close vision, distance vision, depth perception, and the ability to adjust focus.


The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work is performed in a busy medical office environment with many interruptions. Noise level is moderate. Very active, fast paced position with short deadlines. At times, must interact with irate patients and remain calm and professional. High risk exposure to blood borne pathogens and chemical hazards.


  1. Minimum five years’ experience in high level health care, non-profit financial management position, preferably for an organization with a budget over $5 million.
  2. Significant experience in nonprofit accounting, including sophisticated fund and grant accounting, compliance, and reporting.
  3. Experience exercising a high degree of leadership, initiative, judgment, and discretion in a senior financial-management role, partnering with executive staff, resulting in the development and implementation of financial management strategies.
  4. Excellent analytical and abstract reasoning skills, including skill in identifying, analyzing and resolving complex financial challenges.
  5. Ability to communicate clearly orally and in writing, and to maintain strict confidentiality.
  6. Strong leadership and supervision skills.
  7. Experience working with data analysis and information technology staff to manage finance and accounting software packages and produce financial reports.
  8. Proficient knowledge of spreadsheet, word processing, Excel and general ledger accounting software.
  9. Organized, reliable, efficient and effective high level professional capable of thriving in a fast-paced work environment.
  10. Experienced in carrying out complex project management tasks with little supervision.
  11. Excellent attention to detail skills, ability to communicate effectively and manage multiple deadlines and priorities.


The following education requirements are considered essential:

  1. CPA, MBA, or comparable degree required.
  2. Knowledge of the principles of financial management and accounting sufficient to direct staff and coordinate all aspects involved with fiscal requirements.
  3. Knowledge of the health care financial and budgetary practices to develop annual budget, analyze financial data and patterns, manage AR, and prepare statements.
  4. Working knowledge of payment reform models, including accountable care organizations and other shared savings arrangements.
  5. Working knowledge and understanding of the OMB Circular A133, audit and financial requirements of federal contractors.
  6. Working knowledge and understanding of OMB Circular A-122, cost principles for non-profit organizations.
  7. Valid driver’s license with acceptable driving record for insurance purposes.

** All requirements and skills are considered to be essential, unless otherwise indicated. **

External and internal applicants, as well as position incumbents who become disabled as defined under the Americans With Disabilities Act, must be able to perform the essential job functions (as listed) either unaided or with the assistance of a reasonable accommodation to be determined by management on a case by case basis.

The job description does not constitute an employment agreement between the employer and the employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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