Job Details

Job Location: HQ - Aberdeen, MD

Salary Range: $145000.00 - $160000.00

Job Type: Full-Time

Schedule: Monday - Friday Hybrid after 90 days

Pay: $145,000- $160,000 per year

What We Offer:

• Comprehensive Health, Dental & Life Insurance.
• Generous PTO and Sick leave plan (6 weeks in first year)
• Tuition reimbursement
• And more!

Who We Are:

Key Point Health Services is a leading nonprofit agency serving people with behavioral healthcare needs in the Greater Baltimore area. We provide comprehensive community-based services that help people thrive while realizing and choosing their goals. We provide opportunities, support and integration within our community. Among the programs and services, we provide are Outpatient Mental Health Centers, Adult and Child Psychiatric Rehabilitation Programs, School-Based Therapy, Community Outreach, and Residential Services.

POSITION SUMMARY:

The Chief Financial Officer (CFO) leads financial strategy and daily accounting operations for Key Point Health Services, Inc. (KPHS), a community behavioral health organization serving individuals and families across Maryland. Reporting to the CEO and serving on the executive leadership team, this leader supports financial stability, accessible care, and responsible growth. This role requires both executive financial leadership and hands-on accounting expertise. The CFO owns the integrity of the financial records and close process, leads budgeting, cash flow, and revenue cycle performance, and turns financial information into practical recommendations. The position also supports expanded services and KPHS’s goal of becoming a Certified Community Behavioral Health Clinic (CCBHC) by 2030.

SUMMARY OF RESPONSIBILITIES:

ESSENTIAL RESPONSIBILITES

Financial Strategy and Executive Partnership

• Advise the CEO and executive leadership team on financial performance, emerging risks, resource allocation, and the financial implications of operational decisions.
• Lead annual budgets, rolling forecasts, and multiyear financial plans, with clear assumptions for staffing, service volume, reimbursement, and expenses.
• Assess the financial feasibility of new programs, service expansions, facility projects, partnerships, and other investments; develop business cases and monitor results.
• Prepare clear financial reports and recommendations for the CEO, advisory board, and applicable committees; explain variances, corrective actions, and decisions requiring attention.

Controller Duties and Accounting Operations

• Own the general ledger and monthly and year-end close calendar; prepare or review journal entries, accruals, adjusting entries, and supporting schedules, and resolve discrepancies promptly.
• Prepare or review bank, balance sheet, and subledger reconciliations, including accounts receivable and payroll liabilities; investigate differences and maintain complete documentation.
• Manage accounts payable, receivables accounting, payroll accounting, and cash receipt processes; ensure accurate coding, timely processing, and required approvals.
• Prepare accurate financial statements in accordance with generally accepted accounting principles and applicable nonprofit requirements; maintain supporting records and explain significant changes.
• Maintain the chart of accounts, fixed asset and depreciation schedules, restricted fund accounting, and consistent cost allocations; report results by program, location, and funding source.
• Oversee administration of the organization’s 403(b) retirement plan, including contributions, withdrawals, and loans, in coordination with payroll and the plan administrator.
• Compile supporting information and assist independent auditors with the required annual plan audit.
• Manage all accounting and financial activities for St. Anthony’s Homes, Inc., including payments, receipts, rent rolls, general ledger accounts, and budgets.
• Coordinate correspondence with HUD, work with the Administrative Services Organization (ASO), review contracts, and compile financial records and supporting schedules for the annual HUD-required independent audit.

Cash Flow and Financial Stewardship

• Maintain short-term cash forecasts, monitor liquidity and reserves, and recommend timely actions to meet obligations and support financial stability.
• Oversee banking relationships, debt and financing arrangements, and investment activities within approved authority and organizational policies.
• Partner with leaders on staffing plans, purchasing, vendor agreements, and expense controls that support service quality and long-term sustainability.

Revenue Cycle and Reimbursement

• Lead revenue cycle performance in partnership with clinical, operations, billing, and technology leaders, from eligibility and authorization through billing, payment posting, collections, and reconciliation.
• Monitor accounts receivable aging, denials, underpayments, unbilled services, and collection trends; establish accountability for resolving issues and preventing recurrence.
• Evaluate payer reimbursement, service costs, contract terms, and program margins; communicate the financial impact of payer and policy changes.
• Collaborate with program and compliance leaders to strengthen documentation and billing workflows, reduce preventable revenue loss, and support accurate claims.

Audit Grants and Financial Compliance

• Serve as the primary contact for external auditors and tax preparers; prepare audit schedules, coordinate tax filings and required cost reports, and address findings promptly.
• Oversee financial administration of grants, contracts, and restricted funds, including budgets, allowable costs, allocation methods, reporting, and reconciliation.
• Maintain internal controls, approval limits, and segregation of duties.
• Arrange independent review of transactions and reconciliations prepared by this role; coordinate appropriate review with the CEO or a designated reviewer.
• Partner with compliance and program leaders on payer reviews, accreditation preparation, and applicable federal, state, and contractual financial requirements.

Team Leadership and Systems Improvement

• Lead, coach, and develop finance, accounting, and revenue cycle personnel within the assigned reporting structure; establish clear expectations and cross-training.
• Build financial understanding among program leaders through practical budget reviews, accessible reports, and shared ownership of corrective actions.
• Improve financial systems, dashboards, and workflows; partner with IT to strengthen data integrity, automate manual work, and connect financial and operational reporting.
• Develop financial readiness for CCBHC planning, including service cost analysis, funding scenarios, and reporting capacity as requirements become applicable.

DESIRABLE MINIMUM QUALIFICATIONS

Required

• Bachelor’s degree in accounting, finance, or a closely related field with substantial accounting coursework.
• At least 8 years of progressively responsible finance or accounting experience, including at least 5 years leading financial operations and supervising staff.
• Experience in healthcare or behavioral health finance, including Medicaid reimbursement and revenue cycle management.
• Demonstrated hands-on experience managing the general ledger, preparing financial statements, completing month-end and year-end close, and resolving reconciliation and accounting issues.
• Strong knowledge of budgeting, forecasting, cash management, internal controls, and audit preparation; ability to analyze performance across programs and recommend action.
• Proficiency with financial systems, spreadsheets, and reporting tools, with the ability to evaluate and improve workflows and data quality.
• Ability to communicate financial information clearly, exercise sound judgment, protect confidential information, and work effectively with clinical and nonclinical leaders.

Preferred

• Active Certified Public Accountant (CPA) credential; master’s degree in accounting, finance, business administration, or a related field.
• Experience as a CFO, vice president of finance, controller, or comparable senior finance leader in a nonprofit community behavioral health organization.
• Experience with Maryland’s public behavioral health system, psychiatric rehabilitation, residential rehabilitation, outpatient mental health, or similar services.
• Experience with nonprofit accounting, grants and restricted funds, government contracts, and healthcare cost reporting.
• Familiarity with CCBHC financial planning, cost reporting, or prospective payment methodologies; experience supporting organizational growth and systems modernization.

Leadership Expectations

The CFO/Controller is expected to move comfortably between strategic planning and detailed accounting work, identify problems early, and follow through on solutions. This leader builds accountability, develops staff, and communicates clearly with colleagues across the organization. The position models KPHS values: Welcoming to All, Accessible by Design, Collaborating for Impact, and Advocating with Purpose.

Working Conditions

Work involves computer use, financial analysis, meetings, and collaboration across KPHS locations. Periodic travel to program sites and availability for scheduled leadership or advisory board meetings may be required. Essential functions may be performed with reasonable accommodation.

Additional Information

This description outlines the principal responsibilities of the position. Related duties may be assigned as organizational needs evolve. KPHS is committed to equal employment opportunity and an inclusive workplace. It is the policy of Key Point Health Services to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status regarding public assistance, veteran status, or any other characteristic protected by federal, state or local law.