Chief Financial Officer

Join Tillamook County Community Health Center as the Chief Financial Officer for the Health and Human Services department. This onsite role in Tillamook, Oregon offers an annual salary range of USD 94,884 to 129,864, a robust benefits package, and the opportunity to lead financial stewardship, regulatory compliance, and long term sustainability for community health programs. You will partner with the HHS Administrator to guide budgeting, funding strategy, and financial decision making that aligns with community health priorities.

Benefits

• Medical, dental, and vision coverage for employees and dependents
• Health Reimbursement Arrangement (HRA VEBA) contributions
• Employer-paid life insurance and long-term disability
• PERS retirement eligibility and optional 457(b) plan
• 12 paid holidays plus vacation and sick leave accrual
• Employee Assistance Program and wellness resources

Why join Tillamook County

This mission driven role offers the chance to strengthen access to healthcare and public health services within the community. It supports leadership growth in executive finance, with development opportunities for candidates who bring strong foundational experience and long term potential.

Responsibilities

• Lead financial strategy and operations across Health and Human Services, aligning resources with community health priorities
• Assess programs and services to ensure optimal financial performance, sustainability, and compliance with grant provisions and regulatory requirements
• Ensure full compliance with GAAP, GASB, HRSA guidelines, and county, state, and federal regulations to mitigate financial and legal risk
• Direct budgeting and financial planning, including development of the department budget in partnership with the HHS Administrator
• Oversee grant, contract, and funding strategy, including identifying funding opportunities and reviewing proposals for alignment and compliance
• Develop and implement financial policies and procedures for grants, provider contracting, and healthcare billing to ensure ongoing compliance
• Oversee accounting, reporting, and internal controls, ensuring accurate recordkeeping and adherence to County standards
• Analyze and present financial performance, including monthly financial statements, forecasts, and reports to leadership, Health Council, and Board stakeholders
• Provide financial training and technical assistance to internal teams and governing bodies as needed
• Oversee revenue cycle operations, including clinic billing and collections, identifying trends and implementing corrective actions
• Interpret and enforce third-party payer requirements, including Medicare and other reimbursement rules
• Ensure accurate cost reporting and billing practices to support financial sustainability
• Serve as liaison with federal and state agencies and regulators, including tax authorities and program oversight entities
• Partner with Information Services on systems supporting billing, reporting, and financial operations
• Lead and develop finance staff, including hiring, performance management, and professional development
• Maintain strict confidentiality and professional standards, while staying current with industry trends and best practice
• Perform other duties as assigned

Requirements

• Bachelor's degree in Finance, Accounting, Business Administration, or related field
• Five (5) years of finance or accounting experience (healthcare preferred)
• Financial reporting and analysis
• Budgeting and forecasting
• Grants, contracts, and compliance
• Healthcare billing and collections
• CPA designation strongly preferred