Chief Financial Officer

Financial Management & Reporting

• Responsible for overall administration of accounting and financial operations, including revenue cycle, general accounting, information systems, and financial reporting in accordance with corporate policies and procedures.
• Manages accounting control systems and internal audits to ensure accurate and timely production of financial reports.
• Ensure timely, complete, and accurate financial records in accordance with GAAP and applicable audit guidelines of the federal government and State of Vermont.
• Prepares, analyzes, and presents monthly financial reports for the organization, its programs, and activities; monitors variances and reports to the Executive Director and Board of Directors.
• Provides regular financial updates, forecasts, and recommendations to the Executive Director and Board to support informed decision‑making.
• Oversees and reviews preparation of all program financial reporting required for funding sources.
• Oversees banking activities and actively manages cash flow to ensure operational liquidity. Develops reliable cash‑flow projections and reporting mechanisms and optimizes banking relationships to enhance cash positions.
• Oversees coordination and activities of independent auditors, ensuring all A-133 audit issues and 403(b) compliance matters are resolved, and that annual financial statements meet GAAP and all federal, state, and contractual requirements.

• Prepares, oversees, and reviews the annual operating budget and capital budgets to ensure programmatic success and compliance with all contractual and regulatory requirements.
• Develops tools and systems to provide critical financial information to leadership and recommends strategic actions.
• Interprets legislative and programmatic rules and regulations to ensure compliance, disseminates relevant updates, and monitors adherence.
• Monitors changes in legal, regulatory, and administrative environments and adjusts internal procedures to maintain compliance and optimize results.
• Participates in developing new business and funding opportunities, including evaluating cost‑effectiveness and drafting programmatic budgets.

• Serves as a key member of the Senior Leadership Team, assisting the Executive Director in decisions on NKHS’s strategic direction, financial operations, and major policy development.
• Acts as financial liaison to the Board of Directors, providing expertise on the organization’s financial position and participating in relevant board committees.
• Develops, distributes, and supports divisional and administrative staff in implementing financial protocols to ensure organizational integrity and effective decision‑making.
• Works closely with Vermont Care Partners (VCP), the state‑wide CFO group, and State of Vermont agencies to promote the Designated Agency (DA) system and ensure adequate funding for services.
• Represents NKHS professionally in internal and external committees and intragroup meetings.
• Fosters collaboration across departments to support effective financial operations and organizational success.

• Supervises the Controller in managing billing, accounts receivable, accounts payable, and integration of billing data between electronic health record and accounting systems.
• Coordinates contract negotiations and execution with funders, vendors, and collaborative service providers, assessing contract benefits and advising on programmatic design and implementation strategies.
• Oversees the organization’s liability insurance program and conducts ongoing risk analysis.
• Reviews efficiency and effectiveness of employee benefit programs and seeks cost‑effective solutions that maintain quality.
• Ensures strong internal controls are in place to safeguard organizational assets and maintain financial integrity.