Chief Financial Officer

Neighborhood Health Center | Buffalo, NY

Review the full Position Profile HERE

The Opportunity

Neighborhood Health Center is seeking an innovative and strategic Chief Financial Officer (CFO) to lead the evolution of its financial strategy and team. As a key member of the Executive Leadership Team, the CFO will serve as a trusted advisor to the CEO and play a vital role in shaping the future of a growing, mission-driven healthcare organization.

This is a unique opportunity to reimagine and elevate the finance function. The CFO will assess and optimize the current team structure and financial systems, bringing a growth mindset and the ability to collaborate across departments—from clinical operations and pharmacy to quality and compliance. A focus on cross-functional partnership will be essential in aligning financial planning with operational realities and strategic goals.

Neighborhood welcomes a leader who brings innovative ideas, strong analytical skills, and comfort with emerging technologies, to support smarter decision-making and long-term sustainability.

With annual revenue approaching $65 million, six locations across Western New York, plus a mobile unit and over 31,000 individuals served each year, Neighborhood is positioned for continued growth and impact. The CFO will help ensure that financial strategies align with the organization’s commitment to Better Health Outcomes, Better Care Experience, Better Cost, and a Thriving Workforce.

This is an ideal role for a collaborative, mission-aligned finance leader who believes healthcare is a right, thrives in dynamic environments and is energized by the opportunity to support an organization that welcomes everyone for high-quality, patient-centered primary care.

Position Overview

The Chief Financial Officer (CFO) will serve as a critical member of the Executive Leadership Team and a strategic financial partner to the CEO and fellow senior leaders. This role requires a forward-thinking, collaborative leader with the experience and mindset to guide Neighborhood’s financial strategy during a period of continued growth, innovation, and transformation.

The CFO will oversee all financial functions, including budgeting, forecasting, revenue cycle management, pharmacy finance, grants management, and audit compliance. In addition to providing fiscal oversight and risk management, the CFO will play a lead role in identifying and recommending strategic opportunities that advance the organization’s mission and ensure long-term sustainability.

The CFO will work closely with the CEO to assess and evolve the current finance team structure, with the flexibility to recommend changes that better support strategic priorities. This includes the opportunity to help design a future-ready finance function that is data-informed, integrated across departments, and prepared to meet the complex needs of a Federally Qualified Health Center.

An ability to partner across clinical, operational, and administrative teams will be essential, as will a desire to apply technology and analytics—including AI tools—to strengthen modeling, forecasting, and performance tracking.

Key competencies include:

• Strategic, Innovative, and Data-Informed Financial Leader
• Collaborative and Mission-Driven Partner
• Healthcare Finance Expertise, with Revenue Cycle Experience
• Kind and Accountable Talent Leader with a Commitment to Team Development
  

Neighborhood is committed to strategic and sustainable growth, and this role will be instrumental in advancing the mission of providing “healthcare that welcomes you” to more individuals and families throughout the region.

The current finance team includes:

• VP of Finance
• Director of Finance
• Director of Revenue Cycle
• Billing Office Manager
• Accountant
• Payroll Administrator
• Payroll/AP Clerk

About Neighborhood Health Center

Neighborhood is the largest and longest-serving Federally Qualified Health Center (FQHC) in Western New York and is consistently ranked among the state’s top-performing health centers for quality. We provide comprehensive, integrated services under one roof—including primary care, behavioral health, pharmacy, OB-GYN, dentistry, psychiatry, nutrition, and more— regardless of a person’s ability to pay.

ORGANIZATION SNAPSHOT

• Locations: 6 locations throughout Western New York + Mobile Unit
• Annual Revenue: $64 million and growing
• Total Employees: 390+
• Individuals Served Annually: Over 31,000
• Year founded: 1987

MISSION, VISION & VALUES

• MISSION: We welcome all Western New Yorkers for high-quality, patient-centered primary healthcare.
• VISION: A Western New York where all enjoy their highest level of health and wellbeing.
• VALUES:
  • Lead with Kindness: We treat each person with respect and compassion, valuing each person’s story.
  • Build Resilience: We grow, reflect, and find innovative solutions when challenges arise.
  • Succeed through Teamwork: We are open to one another’s unique perspectives and collaborate to meet shared goals.
  • Seek Fairness: Healthcare is a right. We listen to and advocate for our patients and communities.

Key Responsibilities

Neighborhood seeks an emotionally intelligent, fair, and compassionate, financial leader who thrives in complex environments and leads with humility and strategic clarity. Through this approach the CFO will:

• Serve as a strategic thought partner to the CEO and Executive Leadership Team to align financial strategies with organizational priorities, growth objectives, and community impact goals.
• Provide high-level financial oversight, including fiscal planning, budgeting, cash flow, forecasting, risk management, audit, compliance, and long-term modeling.
• Evaluate and recommend strategic financial opportunities to support Neighborhood’s sustainability, innovation, and expansion across Western New York.
• Lead and evolve the finance team structure, identifying areas for realignment and capacity building to better support a complex and growing organization.
• Oversee revenue cycle management and pharmacy billing operations, ensuring operational excellence, regulatory compliance, and effective collaboration with clinical and administrative teams.
• Advance the use of financial planning tools, dashboards, and analytics—including AI-driven approaches—to enhance forecasting, modeling, and strategic decision-making.
• Develop and tailor financial reporting for multiple audiences (board, leadership, department heads), enhancing financial literacy and engagement across the organization.
• Translate complex financial concepts into accessible insights for non-financial stakeholders, fostering stronger fiscal accountability and understanding.
• Collaborate cross-functionally with clinical, operations, quality, HR, and development teams to support shared organizational goals.
• Ensure compliance with grant requirements, FQHC regulations, audits, and HRSA/340B guidelines
• Represent the organization in external financial matters, including audits, funders, banking relationships, and payer contracts.

Experience & Qualifications

• Bachelor’s degree required; CPA preferred but not required
• At least 3 years of senior-level leadership experience at an organization of similar size and complexity, with strong supervisory and mentoring skills
• Healthcare finance background strongly preferred; FQHC or safety-net environment experience valuable
• Deep familiarity with revenue cycle operations; experience with pharmacy billing and federal reimbursement structures valuable
• Proven ability and strength building or leading analytics and financial strategy functions, including comfort with AI and emerging financial technologies a plus.
• Knowledge of government grants, funding streams, and cost-based reimbursement models
• Demonstrated success as a strategic advisor and thought partner to a CEO and executive team.
• Proven ability to lead and restructure teams, develop talent, and build future-ready finance functions.
• Demonstrated ability to translate financial concepts into actionable insights for non-financial audiences (e.g., board members, program leads).
• Exceptional communication and interpersonal skills, with a collaborative and mission-aligned leadership style.
• A growth mindset and ability to adapt reporting structures to the needs of a scaling organization.
• Visionary and strategic partner who can guide financial planning at both executive and operational levels.
• Collaborative, values-aligned leader who promotes transparency and fairness.
• Empathetic coach and culture carrier who supports team development and leads through complexity.
• Strong communicator with the ability to foster trust across teams, departments, and leadership levels.
• Commitment to creating healthy communities and the promise of “healthcare that welcomes you”.

Location & Work Environment

This is an in-person executive role based at our Northwest Buffalo location (155 Lawn Avenue), with occasional travel to other Neighborhood Health Center sites.

Compensation & Benefits

Annual Salary: $158,000 – $200,000, depending on experience and qualifications.

Employee focused benefits include generous PTO, medical, dental, vision, 403(b) with 4% employer match, Health Saving Account with employer contribution, life and supplemental insurance; wellness programs.

Neighborhood Health Center is an equal opportunity employer committed to building a workforce that reflects our community. We strongly encourage individuals from historically marginalized communities to apply.

Catapult has been retained to conduct the search for Neighborhood Health Center.

Posted On: Thursday, October 2, 2025