Chief Financial Officer (CFO)

Chief Financial Officer (CFO)

Brooklyn, NY

$200,000–$250,000 DOE

Company & Position Overview

Growing behavioral health organization seeking a strong, hands-on Chief Financial Officer to lead the financial and operational growth of the organization.

Programs include:

Article 31 Mental Health Services
Article 32 Substance Use Services
CFTSS
HCBS
Peer Support Services
Care Management
This is not a traditional accounting role. We are seeking a strategic and operational finance leader who understands healthcare reimbursement, revenue cycle management, productivity metrics, grants management, forecasting, and organizational growth.

The CFO will serve as a key member of the executive leadership team, helping drive financial sustainability, operational accountability, and long-term growth across the organization.

Key Responsibilities

Develop and implement modern financial systems, dashboards, and reporting tools
Create KPI-driven management structures across all departments and programs
Track profitability, productivity, census growth, staffing ratios, reimbursement trends, and collections
Oversee budgeting, forecasting, cash flow management, and financial reporting
Build financial models, break-even analyses, and long-term growth projections
Ensure billing is properly submitted, followed up on, and collected in a timely manner
Oversee revenue cycle operations, collections, and reimbursement optimization
Analyze Medicaid, managed care, and insurance reimbursement structures
Manage grants budgeting, tracking, reporting, and compliance
Conduct regular strategy meetings with department leaders to review performance and financial metrics
Establish accountability systems and performance measurement frameworks across the organization
Oversee payroll, accounting, financial controls, audits, CFR reporting, and regulatory compliance
Partner with leadership on strategic planning, expansion opportunities, and organizational growth initiatives
Identify operational inefficiencies and implement systems to improve financial performance
Qualifications

Prior experience as a CFO, VP of Finance, Controller, or senior healthcare finance leader
Strong understanding of healthcare finance, revenue cycle management, reimbursement models, and financial operations
Experience with Medicaid, managed care, insurance billing, and collections
Experience developing KPIs, dashboards, forecasts, budgets, and financial models
Strong understanding of grants management, reporting, and compliance
Experience implementing financial systems, reporting tools, and operational processes
Hands-on leadership style with strong communication and organizational skills
Experience within behavioral health, mental health, substance use, nonprofit healthcare, or related healthcare environments preferred
Experience with OMH, OASAS, CFTSS, HCBS, or fee-for-service reimbursement models preferred
CPA and/or MBA preferred but not required for the right candidate
The Ideal Candidate

You are an operationally focused finance leader who goes beyond accounting and financial reporting. You understand how financial performance connects to billing, collections, staffing, productivity, census growth, and program operations. You are comfortable working closely with department leaders, building accountability structures, and helping drive the organization toward greater financial sustainability and growth.

Why Apply

Join a growing behavioral health organization where you will have the opportunity to build systems, create financial visibility, improve operational performance, and serve as a key strategic partner in the organization's continued growth and success