Chief Financial Officer

Chief Financial Officer

As a health division of the Confederated Tribes of the Goshute Reservation, we, at Sacred Circle Healthcare, preserve the Goshute heritage of protecting and caring for family and extend the tradition to all marginalized and underserved populations in our area. We refuse to let access, ethnicity, or socioeconomic status restrict someone from receiving complete healthcare.

Interested in joining our team? We are looking for people who are genuine, kind, ambitious, positive, and helpful - exceptional people building on a celebrated heritage who are passionate about delivering uncompromising care - people who make a difference every day no matter what their role or position. If you are looking for a job where the work you do impacts lives for the better every day, you are in the right place!

Sacred Circle Healthcare is seeking a full-time Chief Financial Officer, in Salt Lake City, Utah.

Job Summary

Overview: The Chief Financial Officer (CFO) provides strategic financial leadership for the clinic, ensuring the delivery of ethical, sustainable, strategic, and mission-centered financial operations of the organization. The CFO is a key member in the development of business planning, stakeholder engagement, and tribal advocacy. The CFO oversees the finance department, budgeting, financial accounting system, revenue cycle, financial reporting, compliance, and risk management while supporting the clinic's mission to deliver high-quality healthcare services to the tribal community and patients. Establishes financial operating policies and procedures, accounting, regulatory and reimbursement operations. The CFO reports directly to the Chief Executive Officer and provides expertise and strategic support for financial planning and direction. The CFO works closely with the executive leadership team, governing bodies, community partners, and external stakeholders to ensure financial strategies align with clinical priorities, community health needs, and the long-term goals of the organization.

Reports to: Chief Executive Officer

Department: Executive

Business Unit: Sacred Circle Administration

Patient Care: No

Worker Status: Full-time, Benefits Eligible, Salary

Hours Per Week: 40

Location: Salt Lake Main Clinic

Supervisor Responsibilities: Yes

Work Schedule: To Be Determined with the availability of 8:00 am 6:00 pm Monday through Friday. Evening and weekend work may be required as needed.

The successful candidate:

Financial Leadership and Strategy

• Provides executive leadership for all financial operations including budgeting, forecasting, accounting, financial reporting, and revenue cycle management.
• Provides financial guidance to the Executive Officer, leadership team, and Governing Bodies
• Assists in the development of organizational plans and objectives with the Executive Officer, Executive Team, Governing Bodies and department staff regarding short and long-range goals.
• Oversee the development of financial analytic platforms that integrate financial and clinical data to support data-driven decision-making and predictive forecasting.
• Participate in executive leadership meetings and activities to support strategic planning and long-term organizational growth.
• Represent the organization in community partnerships, health initiatives, and area/tribal collaborations, demonstrating an understanding of community health needs while collaborating with external partners to support and strengthen tribal healthcare programs and resources.
• Identify opportunities to create financial value through partnerships, collaborations, and innovative funding strategies.
• Maintains strict confidentiality.

Budgeting, Performance, and Financial Planning

• Strategic financial planning skills demonstrated by developing 3-5 year operating plans, scenario planning, and capital allocation aligned to operational objectives.
• Engage leadership and key stakeholders to connect budgeting and financial planning with clinical KPIs, establish department performance reviews to monitor outcomes, ensure accountability, and support steady improvement.
• Develops and plans the annual budget in collaboration with clinic leadership, Executive Team, Executive Officer, and governing bodies.
• Identify innovative and cost-effective financial strategies that improve organizational performance and sustainability.
• Monitor financial performance regularly and report progress to executive leadership and governing bodies.
• Ensure financial strategies support culturally appropriate care and community-driven health priorities.

Risk Management and Compliance

• Evaluate financial implications of strategic initiatives, service line expansion, and operational changes.
• Oversee the development and implementation of finance policies and procedures designed to effectively support organizational strategy and ensure regulatory compliance.
• Design and implement financial contingency and disaster recovery strategies that protect financial data, maintain revenue cycle and report continuity.
• Lead financial risk management activities including audits, financial risk assessments, compliance monitoring, and regulatory reporting.
• Design and implement internal financial controls, policies and procedures that safeguard organizational assets.
• Identify financial risks and develop mitigation strategies to protect the organization's financial viability.
• Ensures compliance with federal, state, tribal and healthcare, and other regulatory requirements.
• Reads, understands, and adheres to all Sacred Circle Health Care Policies and Procedures and Employee Manual
• Practices and adheres to the Code of Conduct and Mission and Values Statements.

Financial Systems and Information Management

• Champions the development and implementation of advanced analytic infrastructure that integrates finance and clinical data to improve performance transparency, support predictive forecasting, and guide strategic planning.
• Oversee financial information systems to ensure accurate, timely and secure financial reporting.
• Ensure Financial Data is accessible to leadership for informed decision-making and performance monitoring.
• Ensure appropriate controls and safeguards are in place to protect financial and organizational data.
• Develop and maintain financial metrics and dashboards to measure operational efficiency and cost-effectiveness.

Workforce Leadership and Organizational Development

• Lead the development of a high-performing finance team through clear role definition, training, mentoring, and professional development.
• Foster cross-department collaboration between finance, clinical and operational teams.
• Empowering employees to support data-driven decisions.

Tribal and Community Partnership Responsibilities

• Build and maintain strong, mutually beneficial relationships with tribal leadership, community organizations and external stakeholders and partners.
• Collaborate with federal/state agencies, tribal programs, and healthcare partners to support initiatives that improve tribal health outcomes.
• Support advocacy efforts that advance tribal healthcare resources, funding, and program development
• Demonstrate an understanding of tribal and community health priorities by actively participating in community partnerships, health initiatives, and tribal events.
• AND Other Duties as Assigned

Minimum Requirements:

EDUCATION: Master's degree in finance and/or accounting

EXPERIENCE: Ten (10) or more years of progressive healthcare financial leadership experience Five (5) years in senior leadership Significant senior-level financial leadership experience with proven capabilities in strategic planning, long-range forecasting, and capital allocation

CERTIFICATION/LICENSE: Active Certified Public Accountant (CPA) Certification

Other: Experience working with information technology systems -finance and accounting software packages and Electronic Health Records (E.H.R.)

Preferred Requirements:

EDUCATION: MBA preferred

EXPERIENCE: Experience working with Indian Self-Determination and Education Assistance Act (638 Programs)Experience working with Indian Health Service (I.H.S.) funding and reportingExperience working with Federally funded Tribal healthcare systemsExperience working with FQHCExperience with grant funding

CERTIFICATION/LICENSE: Certified Healthcare Financial Professional (CHFP), Certified Management Accounting (CMA)

Other: Experience working with the Native American/Alaskan Native communities.

Knowledge, Skills, and Abilities

• Expert level knowledge of Generally Accepted Accounting Principles (GAAP)
• Ability to manage sensitive and highly confidential information.
• Proven negotiation expertise with experience managing contracts and vendor relationships.
• Excellent ability to maintain positive, respectful working relationships with colleagues, teams and leadership while promoting a collaborative and culturally respectful workplace.
• Exceptional verbal, written and presentation skills with the ability to communicate complex financial and operation information effectively to diverse audiences, to include leadership, staff, governing bodies, and community stakeholders.
• Knowledge of federal funding requirements, governmental reporting programs, practices, and procedures, including grants.gov.
• Demonstrates a growth mindset by welcoming feedback from colleagues, leadership, and stakeholders to strengthen decision-making and service delivery effectiveness.
• Knowledge of organizational policies, procedures, systems, and objectives.
• Ability to work under minimal supervision but maintain a high degree of communication regarding current work activity