Auto Generated UID (For Official Use Only):
26-06-18148339527
O*NET Job Zone:
Job Zone 5
O*NET Job Code:
11-1011.00
Work Days Per Week:
Monday, Tuesday, Wednesday, Thursday, Friday
Work Hours Per Week:
40
Estimated Work Hours Per Day:
8
Hourly Work Schedule Per Day:
Monday to Friday - 7:30 am to 4:30 pm. Some evenings for Board meetings.
Are Hours Per Day Flexible?:
Yes, hours are flexible.
Payment Frequency:
Bi-Weekly
Estimated Annual Salary (If value is 0, employer did not provide):
0
Opening Date of Announcement:
06/18/2026
Closing Date of Announcement:
06/26/2026
Anticipated Start Date of Employment:
00/00/0000
Anticipated Closing Date of Employment:
00/00/0000
Number of Job Openings:
1
Job Location:
Saipan
Job Location Address:
856 Chalan Tun Thomas P. Sablan, San Antonio
FLSA Covered?:
No
DOD or VEVRAA Related?:
No
Overtime Available?:
Not Available
Payroll Deductions:
State Income Tax, Social Security (FICA), Medicare Tax, Insurance, Retirement
Job Qualification Requirements:
Qualifications
• Master’s degree in Accounting, Finance, or related field required; CPA preferred.
• Minimum of 7–10 years of progressive financial leadership experience, preferably in an executive healthcare or nonprofit organization.
• Strong knowledge of healthcare and/or FQHC financial regulations, healthcare reimbursement, and federal grant management and financial compliance requirements.
• Demonstrated expertise in financial reporting, budgeting, and compliance.
• Excellent leadership, communication, and interpersonal skills.
• Commitment to the mission of providing equitable healthcare access to underserved populations.
Knowledge, Skills, & Abilities
• Skills and Abilities:
• Strong knowledge of healthcare financial regulations, including but not limited to HRSA, HIPAA, OSHA, and CMS guidelines.
• Excellent organizational, analytical, and problem-solving skills.
• Effective communication and interpersonal abilities to collaborate with diverse teams and stakeholders.
• Proficiency in electronic health record (EHR) systems and compliance software.
• Ability to manage multiple projects and deadlines in a fast-paced environment.
Core Competencies
• Financial Management Principles
• Strategic financial planning and analysis
• Regulatory compliance and audit readiness
• Grants and contracts management
• Revenue cycle optimization
• Collaborative leadership and staff development
• Cultural competency and sensitivity to CNMI’s diverse communities
Additional Job Information: Benefits, Required Tools, Supplies, etc.:
Paid Time Off, Holiday Pay, Group Health Insurance, and 401K
Job Posting Type:
New
Visa Type:
Not Applicable
H-1A/H-2A/H-2B Related?:
Not Applicable
Staff Notes (For Official Use Only):
Confirmed by DC. 06/22/2026
Overview:
The Chief Financial Officer (CFO) is a key member of the executive leadership team, responsible for overseeing all financial operations of the Federally Qualified Health Center (FQHC) and partnering closely with the Chief Executive Officer (CEO) on strategic financial initiatives. The CFO ensures the organization's fiscal integrity, regulatory compliance, and long-term financial sustainability in support of its mission to provide accessible, high-quality healthcare services to the CNMI community.
This role provides strategic leadership in financial management, budgeting, financial planning and analysis, forecasting, grants administration, procurement, and revenue cycle optimization. The CFO develops and implements financial strategies that align with organizational goals, federal requirements, and industry best practices while supporting operational excellence and organizational growth.
As a highly visible and engaged leader, the CFO is expected to maintain a strong organizational presence and actively participate in cross-functional initiatives aimed at strengthening financial performance, improving operational efficiency, and advancing the overall financial health of the organization.
Key Responsibilities
Financial Leadership & Strategy
- Develop and implement financial strategies to ensure sustainability and growth of the organization.
- Advise the CEO, Board of Directors, and leadership team on financial performance, risks, and opportunities.
- Lead long-term financial planning, including capital projects and expansion initiatives.
Fiscal Management
- Oversee accounting, payroll, accounts payable/receivable, and general ledger functions.
- Ensure compliance with all federal, CNMI, and FQHC-specific regulations, including HRSA, and U.S. Department of Health and Human Services requirements.
- Prepare accurate and timely financial statements, reports, and dashboards for internal and external stakeholders.
Budgeting & Grants Administration
- Lead the annual budgeting process, ensuring alignment with strategic priorities.
- Manage federal grants, contracts, and funding streams, ensuring compliance with Uniform Guidance (2 CFR 200) and other applicable regulations.
- Monitor program expenditures and provide financial oversight for grant-funded initiatives.
Procurement
- Provide overall leadership and oversight of the organization's procurement and purchasing functions.
- Ensure procurement activities comply with federal, state, local, grant, and organizational requirements.
- Develop and maintain procurement policies, procedures, and internal controls.
- Oversee vendor selection, contract negotiations, and purchasing practices to ensure best value and quality.
- Review and approve significant purchases and contracts in accordance with established authority levels.
- Monitor procurement activities to ensure fiscal responsibility, cost-effectiveness, and efficient use of resources.
- Ensure proper documentation and audit readiness for all procurement activities.
- Collaborate with department leaders to align purchasing decisions with organizational needs and budgets.
- Identify opportunities to improve procurement processes and achieve cost savings.
- Provide guidance and oversight to staff responsible for procurement activities.
Audit Monitoring
- Oversees the annual independent financial audit, ensuring full compliance with HRSA, Uniform Guidance (2 CFR 200), and federal grant requirements.
- Review and ensure all financial statements, schedules, and supporting documentation required by external auditors.
- Coordinates audit timelines and communication between auditors, finance staff, leadership, and the Board of Directors.
- Ensures accuracy of general ledger, grant accounting, and internal controls, addressing discrepancies prior to audit fieldwork.
- Responds to auditor inquiries and provides clarifications, documentation, and corrective actions as needed.
- Reviews the draft audit report, management letter, and findings, and develops corrective action plans for any identified issues.
- Presents audit results to the CEO and Board, including financial performance, compliance status, and recommendations.
- Implements and monitors post-audit improvements to strengthen financial controls, reporting accuracy, and grant compliance.
Revenue Cycle & Compliance
- Oversee billing, collections, and reimbursement processes to maximize revenue while maintaining compliance with Medicaid, Medicare, and private insurance requirements.
- Ensure adherence to FQHC cost reporting standards and maintain compliance with audits and financial reviews.
- Implement internal controls to safeguard assets and prevent fraud.
Board and Governance Reporting
- Prepare monthly financial reports and dashboards for the CEO and Board of Directors, including but not limited to balance sheets, income statements, cash flow projections, and budget variance analyses.
- Provide financial guidance to the Board Finance Committee and contribute to the Board’s fiduciary responsibilities.
Leadership & Team Development
- Supervise and mentor finance staff, fostering a culture of accountability and professional growth.
- Collaborate with clinical, operational, and administrative leaders to integrate financial considerations into organizational decision-making.
- Serve as staff liaison to the Finance Committee of the Board of Directors.
