Chief operations officer Jobs in Boston, MA

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!

As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.

Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital. Together, we’re advancing medicine and delivering the best care experience for our patients and community!

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Time Type : Full time

Department : Finance

All Locations :

300 Ocean Avenue – Revere

Position Summary :

The Chief Financial Officer (CFO) is a key strategic partner to the President & CEO and a critical member of NeighborHealth’s Executive Leadership Team. The CFO provides vision, oversight, and accountability for all financial operations across the organization—including primary care, behavioral health, specialties, PACE, pharmacy / 340B, grants management, and administrative functions.

The CFO is responsible for the organization’s long-term financial sustainability, the integrity of all financial reporting, and execution of systems, controls, and processes that meet Federal, State, HRSA, CMS, and hospital-licensed health center (HLHC) requirements. This role oversees Accounting, Financial Planning & Analysis (FP&A), Revenue Cycle, Billing / Coding, Payroll, Payables, Procurement, and Grants Management functions. The CFO ensures accurate, timely, and transparent financial information to leadership and the Board, while positioning NeighborHealth to thrive in an increasingly complex and value-based healthcare environment.

Essential Duties & Responsibilities

Strategic Financial Leadership

Serve as the organization’s chief financial strategist, developing long-range financial models, forecasts, and strategies aligned with NeighborHealth’s mission and strategic plan.

Advise the CEO, Board of Directors, and Executive Leadership Team on the financial implications of strategic initiatives, new programs, partnerships, and market trends.

Lead short- and long-term capital planning, debt management, investment strategies, and liquidity management.

Present financial performance, risks, and opportunities to the Finance Committee and Board of Directors.

Financial Operations & Compliance

Oversee all financial accounting, reporting, and internal control functions to ensure accuracy, transparency, and compliance with GAAP, OMB Uniform Guidance, HRSA, CMS, 340B, and federal / state regulatory requirements.

Direct preparation of all regulatory filings, including UDS, FSR, Medicaid cost reports, PACE financial reporting, IRS Form 990, and grant financial reports.

Serve as primary liaison to external auditors, financial institutions, and regulatory agencies.

Ensure appropriate organizational insurance coverage, including property, liability, malpractice, directors & officers, workers’ compensation, and stop-loss coverage.

Oversee Finance, Revenue Cycle, and Billing Operations

Provide leadership to Accounting, Financial Planning & Analysis (FP&A), Revenue Cycle, Billing / Coding, Payroll, Payables, Procurement, and Grants Management teams.

Ensure efficient, compliant billing and collections processes across primary care, behavioral health, dental, pharmacy, PACE, and specialty programs.

Oversee optimization of E&M, HCC, and risk-based payment accuracy; drive strategies to maximize reimbursement and reduce avoidable denials.

Maintain strong internal controls around cash, purchasing, procurement, and treasury functions.

PACE & Pharmacy / 340B Financial Oversight

Ensure compliance with federal and state PACE financial requirements, including budgeting, encounter reporting, capitation reconciliation, risk adjustment, and cost allocation.

Serve as internal advisor on 340B / retail pharmacy strategy; oversee financial modeling, contracting, and compliance with HRSA, state, and payer requirements.

Review and negotiate key financial contracts for PACE, pharmacy vendors, payer agreements, value-based arrangements, and managed care contracts.

Budgeting, Forecasting & Analytics

Lead development of the annual operating and capital budgets in collaboration with all departments; ensure budget accountability throughout the year.

Create and maintain dashboards, KPIs, and data analytics to support decision-making across clinical, operational, and financial domains.

Analyze financial performance trends, risks, and opportunities; implement cost management and revenue enhancement strategies.

Systems & Process Modernization

Lead modernization of financial systems, decision-support tools, and revenue cycle infrastructure to increase efficiency, accuracy, and scalability.

Ensure the Finance and Revenue Cycle teams have robust technology, business intelligence tools, and workflows to support a rapidly growing, multi-site organization.

Leadership & Culture

Recruit, develop, mentor, and evaluate a high-performing Finance and Revenue Cycle team; foster a culture of accountability, continuous improvement, and service excellence.

Promote collaborative partnerships across clinical, operational, IT, and administrative teams.

Uphold NeighborHealth values of respect, compassion, teamwork, and innovation in all interactions.

Required Qualifications

Education

Bachelor’s degree in Accounting, Finance, Business Administration, or related field required.

Master’s degree (MBA, MHA, MPH) and / or CPA strongly preferred.

Experience

Minimum of 7–10 years of progressive leadership experience in healthcare finance, with at least 5 years as a senior leader (Controller, VP Finance, CFO).

Direct experience in :

Federally Qualified Health Centers (FQHCs) or community health systems

PACE program financial management and regulatory compliance

Pharmacy / 340B program finance

Hospital-based or HLHC billing and reimbursement preferred

Demonstrated experience with multi-payer environments—including capitation, risk-based contracts, ACO models, commercial plans, Medicare / Medicaid, and value-based arrangements.

Proven leadership in systems modernization, process improvement, and financial transformation.

Knowledge, Skills & Abilities

Deep knowledge of :

FQHC and PACE regulations, 340B program, and Medicaid / Medicare reimbursement

Third-party billing, risk adjustment, and alternative payment methodologies

Grants management (federal, state, private) and uniform guidance

Healthcare operations, capital planning, and cost accounting

Strong analytical skills; ability to model scenarios, analyze financial performance, and communicate complex concepts clearly.

Exceptional communication and presentation skills; comfortable engaging with Board members, community partners, auditors, and regulators.

Strong relationship-builder with the ability to work across functions and foster organizational trust.

Strategic, innovative, and mission-driven, with the willingness to “roll up sleeves” in a dynamic environment.

Other

• This is a five day per week role, 8A to 5P, and generally follows a hybrid schedule with three to four on site days per week, subject to business needs.

Salary

#LI-RC1

EEO & Accommodation Statement :

NeighborHealth is an equal employment / affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and / or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to HRrecruit@NeighborHealth.com or call 617-568-4480 to let us know the nature of your request

Federal Trade Commission Statement : According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement :

NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.

There’s a reason NeighborHealth (formerly East Boston Neighborhood Health Center) is ranked as one of the "Top Places to Work" by The Boston Globe. It's because we're committed to maintaining a supportive and welcoming environment — for both our employees and our patients — that reflects our mission and culture. We are proud to offer benefits that support you inside and outside of work.

We strive to offer a variety of schedules, a diverse and inclusive workforce, and a patient-driven purpose that supports our local community. Additionally, we utilize our Education & Training Institute as a resource for our large employee workforce who seek to broaden their skill base and advance their careers. We hope you consider joining our team!

Medical & Dental Coverage

Life and Disability Insurance

Privileges at Boston Medical Center for Providers

401(K) Retirement Plan

Educational Assistance

Flexible Spending & Transportation Accounts

Paid Holidays, Vacations, Sick and Personal Time

A Generous Staff Development Benefit

Excellent Malpractice Coverage

A Designated Medical Staff Office for Physician Support

Free Parking

And Much More…