Health Care for the Homeless Logo

Director of Finance

Baltimore, MarylandFull-time
$110,000 - $144,000 annually
About the Job
Salary Range: $110,000.00 To $144,000.00 Annually
Department: Finance
Reports To: Chief Financial Officer
Job Family: Financial Operations
FLSA Status: Exempt
Supervisor: Yes
Leadership Level: Director
Job Function: Essential Onsite at 421 Fallsway, Main Clinic

Overview
Drawing upon strong financial acumen and demonstrated management experience, the Director of Finance is responsible for all finance and accounting functions at Health Care for the Homeless. Under the supervision of the Chief Financial Officer, the Director of Finance manages the agency’s budgeting, financial reporting, revenue cycle operations and annual audit processes. In collaboration with other members of management and leadership, the Director of Finance ensures legal and regulatory financial compliance, routinely evaluates financial processes throughout a multi-sited organization, and continually seeks new ways to improve financial performance and oversight in support of leadership, staff, and clients.

Key Role Responsibilities:
  • Trains and coaches, the finance team, sets clear expectations, monitors outcomes, creates a culture of open communication and helps team members solve complex problems through individual supervision and team meetings. Fosters a collaborative, supportive, and collegial environment across departments to ensure a high-quality experience for clients and high staff morale.
  • In collaboration with a designee in the housing services department, audits and monitors the representative payee program.
  • Develop, maintain, and improve a system of financial policies, procedures, and accounting controls according to generally accepted accounting principles, public sector regulation, and best practices in the fields of finance and health care. Maintain positive, collaborative relationships with Management Team peers to continuously improve understanding and ownership of fiduciary matters. Standardize processes that leverage technology and simplify workflows. Partner to create and enforce clear standards of practice, policies, and procedures.
  • Oversee all accounting functions. This includes general agency revenue and expenditures, public and private grant accounting, and reporting utilization of grant funds including UDS reports and other Federal cost reports.
  • Manage billing and revenue cycle functions. Assure appropriate processes, policies and procedures are in place to recognize, record and report on revenue and accounts receivable in a timely and accurate manner. Identify, document, and implement process improvements to workflows as necessary. Monitor billing trends and work collaboratively with providers to explore changes to services and implications for billing processes and revenue.
  • Develop controls to protect financial assets. Analyze and audit balance sheet accounts.
  • In collaboration with the CFO and agency leadership, guide the organization through the annual budgeting process. Produce and track the annual operating and capital budgets by department and grant. Help to support and educate directors so that they can manage their department budgets. Produce monthly financial reports for Management, the Board Finance Committee, and the Board of Directors. Analyze and explain monthly budget variances and business trends.
  • Oversee and review the payroll process and audits, and financial compliance responsibilities of related employee benefits. Serve as fiduciary for Agency retirement plans and oversight of pension compliance audits. Assist the Director of Human Resources with forecasting, budgeting and management responsibilities of employee benefits and related contracts.
  • Manage the annual financial audits including A-133 compliance and file Annual IRS 990 in conjunction with the contracted accounting firm.
  • Manage cash flow and forecast cash needs.
  • Actively develops own racial equity and inclusion lens both personally and professionally and supports team members to do the same. Commits to understanding and addressing REI matters that impact our shared work environment.

Knowledge, Experience and Skills:
Formal Education and Training:
  • BA/BS in Accounting required; Master’s degree or CPA preferred.
Experience:
  • Five years of management experience with accounting and control systems, maintaining financial records, controlling budgetary expenditures, directing account reconciliations, and cash management.
  • Three years of experience managing teams, preferably in a hybrid work environment.
  • Grant Management experience required.
  • Experience in a Community Health Center preferred.
  • Experience with MIP Software and ADP Workforce Now preferred.
  • Experience with A-133 Audits required.
  • Expert level knowledge in Excel required.
Skills:
  • Able to build a team, motivate staff and delegate tasks using a strength-based approach.
  • Advanced skills in accounting software and databases.
  • High attention to detail and accuracy.
  • Flexible approach, works within cross-disciplinary teams in a collaborative style.
  • Energetic, adaptive, and self-reflective learner.
  • Systems-thinker, sets clear goals, uses action plans, and knows how to prioritize.
  • Builds rapport and relationships; has strong interpersonal and communication skills.
  • Ability to work in sensitive situations and maintain confidentiality.
  • Highly skilled at problem-solving; helpful to others in making ethical decisions in the workplace.
  • Willingly admits mistakes, self-corrects and gains insight from experiences.
  • Instills energy and optimism in staff for the future of the organization.

Read more about the people we serve here: https://www.hchmd.org/who-we-help

Join us in advancing health equity and delivering exceptional care to our community’s most underserved populations. Apply today to be a part of something bigger.

Health Care for the Homeless is an equal opportunity employer.
Notice to Applicants

Health Care for the Homeless participates in E-Verify. All newly hired employees are required to complete the I-9 Employment Eligibility Verification form and provide documentation proving their identity and legal authorization to work in the United States.

We use the E-Verify system to confirm employment eligibility in accordance with federal law.
About Health Care for the Homeless
Locations:
Baltimore City – Downtown - 421 Fallsway, Baltimore, MD 21202
Baltimore City – West Baltimore - 2000 W. Baltimore St., Suite 3300 Baltimore, MD 21223
Baltimore County - 9150 Franklin Square Dr., Suite 301 Baltimore, MD 21237

Our Vision
Everyone is healthy and has a safe home in a just and respectful community.

Our Mission
We work to end homelessness through racially equitable health care, housing and advocacy in partnership with those of us who have experienced it.

Our mission: "...to prevent and end homelessness for vulnerable individuals and families by providing quality, integrated health care and promoting access to affordable housing and sustainable incomes through direct service, advocacy and community engagement."

Over 35+ years, we at Health Care for the Homeless have steadily grown and strengthened our approach to care to meet the needs of the vulnerable people we served. We are driven by a single and unwavering goal: to improve access to care for clients, and to provide them with the highest possible quality of care. Continuing in that spirit, we are now implementing a care model that takes quality and access to a new level.

A health home delivers person-centered, whole-person care that is evidence-based, uses data and listens to clients to continuously improve the care we deliver. We have been person-centered and focused on the whole person since the first client walked through our clinic doors in 1985. We’ve also always applied evidenced-based standards to our work and used data to inform our care.

What’s changed is how much we’ve grown over the years: We have more disciplines, staff members and sites. Coordinating all of our activity today requires a more powerful and standardized way of delivering care.

We are a health home.

Five areas of focus
As a health home, we apply five (5) clinical areas of focus to the care we deliver.

ACCESS FOR THOSE WHO NEED US
People should be able to reach us easily when they need help. So we ensure 24/7 access to clinical advice; make our appointment schedules and hours flexible and accommodating; and enable clients to access their health records electronically. We also are increasing our presence throughout the community. We have clinics in dowtown Baltimore, West Baltimore and Baltimore County. And we are continually expanding our street outreach and reaching more people with our mobile clinic.
TEAM-BASED CARE
Whole-person care requires the expertise of many different providers. Done well, it demands collaboration and constant communication among these providers. We are integrating our care providers into multidisciplinary care teams, each with a “panel” of clients, so they can develop care plans that span the range of treatment and services with clients.
CARE MANAGEMENT
Not only are we committed to providing clients with the best possible care; we are committed to positioning them to manage their own care. To that end, we make sure we know which client groups have the highest needs; we share clients' care plans with them and across their care teams; we provide clients with the tools to care for themselves and we make sure they are part of all decisions relating to their care; and we help them manage their medications.
BETTER MANAGE AND COORDINATE CARE
People experiencing homelessness often have complex conditions that require intensive care coordination. Our providers specialize in identifying these particularly vulnerable individuals. They provide them with the multi-disciplinary support that keeps them out of hospital emergency rooms, and they help them develop reasonable, healthy goals for themselves. This coordinated and comprehensive care includes helping individuals put a roof over their heads.
IMPROVE THE HEALTH OF THE LARGER POPULATION
As a population, people without homes have higher rates of chronic disease, such as diabetes, than their housed counterparts. We are using evidence-based guidelines to standardize and expand our assessments for these conditions. And we are continuously seeking ways to help our clients manage and treat their conditions.
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Person-centered, whole-person care
We provide person-centered, whole-person care, combining health care services and supportive services with advocacy.
We provide whole-person care in a safe, respectful environment with acute sensitivity to clients’ life experiences. All have endured trauma; many engage in behaviors that pose a risk to their health. Through a trauma-informed and harm reduction approach, we meet individuals where they are, engage them in care with dignity and work to engage them fully in their own overall wellness.
TRAUMA-INFORMED CARE
Trauma is central to the homeless experience. People without homes often experience life trauma before they end up on the street, and living on the street is, in itself, traumatic. Trauma affects everything from our ability to trust others and build relationships to our brain development. For these reasons, we at Health Care for the Homeless are committed to providing trauma-informed care, a best practice that recognizes the impact of violence on an individual’s well-being, and that helps heal the social and psychological wounds violence leaves in its wake.
HARM REDUCTION
Total adherence or abstinence doesn’t work for all who engage in behaviors harmful to their health, like substance use. Harm reduction leverages the relationship between the care provider and the individual to lower the individual’s health risks. Our providers work with individuals to set goals that both reduce harm and are realistic to achieve.
Our model of care is known in the health care industry as a patient-centered medical home. Because we provide comprehensive care that goes beyond medical care, we call ourselves a health home.
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Health Care for the Homeless is Participating in the Maryland Primary Care Program (MDPCP)
Our practice is participating in the MDPCP, a state-wide initiative to improve primary care. To help us provide you with the best care, Medicare will share some of your personal health information with HCH and the State Designated Health Information Exchange (CRISP), to share with other health professionals providing care to you. This will provide us with a more complete picture of your health and allow us to better coordinate your care.
For further information and to opt out of data sharing, read more here.
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Health Care for the Homeless is accredited for quality: Health Care for the Homeless is an FTCA-deemed facility and is accredited by the Joint Commission for ambulatory care and behavioral health, and as a patient-centered medical home.

We invite you to apply and join a welcoming team.