Chief Financial Officer

About BMS Family Health & Wellness Centers

BMS Family Health & Wellness Centers is a mission driven Federally Qualified Health Center (FQHC) serving the Brownsville and East New York communities of Brooklyn. With an annual operating budget of $45 million and 78,000 projected annual service units in 2026, BMS provides comprehensive primary care, behavioral health, dental services, WIC, and specialized grant-funded programs to historically underserved populations. Under new executive leadership, BMS is undergoing strategic transformation to strengthen financial sustainability, enhance operational excellence, and deepen our commitment to integrated, value-based care.

The Chief Financial Officer is a critical member of the executive leadership team, serving as the CEO's strategic partner in driving financial sustainability and organizational transformation. This pivotal role requires a visionary financial leader who can bring both strategic thinking and hands-on expertise to establish fiscal discipline, ensure regulatory compliance, and support innovation in a rapidly evolving healthcare environment. The ideal candidate is mission-driven, collaborative, and motivated by the challenge of building financial infrastructure that enables exceptional care delivery in underserved communities.

Strategic Financial Leadership

• Provide forward-thinking financial leadership aligned with BMS's mission, values, and long-term strategic goals
• Partner with the CEO and CMO to develop and execute financial strategies that support organizational transformation and growth
• Lead financial forecasting, scenario modeling, and data-driven decision-making to ensure sustainable operations
• Present comprehensive financial updates and recommendations to the Board of Directors and Executive Leadership Team
• Develop departmental profit and loss (P&L) statements to support accountability and performance management

Financial Operations & Compliance

• Oversee all accounting and financial operations, ensuring compliance with GAAP, federal cost principles, HRSA guidelines, and FQHC requirements
• Direct the preparation and distribution of monthly, quarterly, and annual financial statements and executive-level reports (cash on hand by days, payer mix, average cost per visit, accounts payable by days, P4P revenue, etc.)
• Ensure timely completion of annual Medicaid cost reports, UDS reporting, single audits, accounts receivable analysis, annual write-offs, and other regulatory submissions
• Establish and maintain robust internal controls and risk management processes
• Ensure transparency and ethical governance in all financial practices

Revenue Cycle & Grants Management

• Lead comprehensive revenue cycle management to optimize collections and reimbursement
• Oversee business office operations, including patient registration, billing, collections, and reimbursement from Medicaid, Medicare, managed care, and other payers
• Direct grant and contract development, budget management, and financial compliance reporting
• Prepare accurate and timely financial reports for all grants, contracts, and funding sources
• Support development of new funding opportunities through sound financial planning and budget development
• Collaboration with BMS subsidiary BCD on financial matters as needed

Cash Management & Banking

• Monitor cash flow and maintain optimal cash reserves to support operations
• Manage banking relationships and perform regular reconciliations of bank accounts and cash receipts
• Analyze revenue and expenditure trends to identify opportunities and risks
• Implement sustainable investment strategies to support organizational growth

Leadership & Team Development

• Supervise and develop fiscal department staff, including Billing and Credentialing Director, Controller, Senior Accountant, Grants Manager, and Executive Assistant
• Lead hiring, training, performance management, and workflow improvement initiatives
• Invest in developing team members  skills and creating pathways for professional growth
• Make tough decisions when necessary while maintaining team morale and trust
• Foster a collaborative, solution-driven culture within the finance department

Technology & Process Improvement

• Evaluate and implement technology solutions to improve operational efficiency, data integrity, and financial reporting capabilities
• Streamline financial processes and workflows to support the "One BMS" integrated care model
• Create systems and dashboards that provide real-time financial insights to support decision-making

Required Qualifications

• CPA certification (fundamental requirement) – essential given supervisory responsibilities over other CPAs and the complexity of FQHC financial management
• Bachelor's degree in Accounting, Finance, or Business Administration
• Minimum 15 years of progressive financial leadership experience
• Strong preference for experience in FQHCs, community health centers, or nonprofit healthcare organizations
• Experience with HRSA guidelines, federal grants (330, SAMHSA, etc.), and…