Chief Financial Officer

The CFO will serve as a driving force behind ACCESS's financial transformation, modernizing how we operate, optimizing how we generate and protect revenue, and positioning the organization for long-term sustainability in an evolving healthcare landscape.

The Chief Financial Officer (CFO) is a strategic, execution-focused enterprise leader partnering with the CEO, Executive Leadership Team, and Board of Directors to drive financial strength, operational discipline, and long-term sustainability. This role aligns financial strategy with measurable business outcomes, ensuring accountability, margin improvement, and scalable growth.

Why This Role

For more than 40 years, ACCESS has delivered high-quality, essential healthcare services to underserved communities across the Chicagoland region. The CFO will play a central role in strengthening long-term financial sustainability, enabling strategic investment in care delivery, expanding access, and supporting the communities that depend on ACCESS every day.

This enterprise leadership role is pivotal to shaping strategy, modernizing financial operations, and driving performance across a mission-driven healthcare system. The ideal candidate brings judgment, operational discipline, and strategic leadership to the position ACCESS for sustained stability, growth, and community impact.

The CFO leads all financial operations and serves as a key architect of transformation, strengthening fiscal stewardship, modernizing financial infrastructure, and delivering data-driven insights that inform decision-making across a complex, mission-driven healthcare environment.

ACCESS seeks a forward-thinking, high-impact finance executive with a proven ability to lead change, build operational rigor, and deliver measurable performance improvement. The ideal candidate is decisive, accountable, and focused on translating strategy into sustainable financial and operational results while fostering a culture of ownership and continuous improvement.

Core Job Responsibilities

Lead Financial Turnaround Strategy

• Own and deliver operating margin recovery through disciplined cost management, capital planning, and revenue optimization.
• Apply a zero-based approach to spending and eliminating costs that do not deliver measurable value.
• Lead enterprise-wide efficiency initiatives to strengthen accountability and optimize resource allocation.
• Translate financial insights into clear operational actions in partnership with executive leadership.
• Provide direct, data-driven counsel to the CEO and Board to enable transparency and timely decision-making.

Transform the Finance Function

• Lead end-to-end finance transformation, modernizing systems, tools, and workflows to improve speed, accuracy, and scalability.
• Scale the use of AI, automation, and analytics across forecasting, reporting, and decision support to improve speed, accuracy, scalability, and insight.
• Eliminate low-value manual work and reallocate capacity toward strategic analysis and performance improvement.
• Establish a culture of accountability, discipline, and measurable outcomes within the finance function.

Drive Revenue Strategy

• Lead enterprise revenue strategy in partnership with revenue cycle and managed care leadership to improve reimbursement, optimize value-based care outcomes, and long-term sustainability.
• Optimize revenue mix across capitation, pay-for-performance, value-based models, and fee-for-service structures.
• Oversee 340B financial strategy with strong risk management and diversification planning.
• Advance revenue growth through payer innovation, partnerships, grant diversification, and program expansion.

Serve as a Strategic Partner to the CEO and Board

• Shape enterprise strategy by challenging assumptions, informing decisions, and reinforcing accountability.
• Serve as a trusted advisor and deliver clear, data-driven financial insights and strategic guidance to the Board and Finance Committee.
• Develop a forward-looking 3–5-year financial outlook that anticipates risk and enables proactive action.
• Serve as the lead financial voice in decisions related to growth, investment, and organizational design.

Manage Core Financial Operations

• Oversee all financial operations, including finance, revenue cycle, and fiscal performance; provide governance for Pharmacy and Laboratory financial functions.
• Ensure disciplined execution of budgeting, audit readiness, grants management, and regulatory compliance while maintaining accuracy, transparency, and operational accountability.
• Manage treasury, cash flow, liquidity, and debt strategy to protect financial stability and support investment.
• Maintain strong internal controls and governance to ensure accurate and compliant financial reporting.

 What we are seeking

• Proven CFO or senior finance executive experience in a complex, multi-site, margin-constrained environment, with full accountability for financial performance.
• Demonstrated use of AI, automation, and technology to improve efficiency and performance.
• Executive presence, resilience, and sound judgment with the ability to make difficult decisions, navigate complexity, and maintain accountability under pressure.
• Active, hands-on use of AI and technology to drive efficiency, insight, and performance.
• Ability to influence across the enterprise and lead through credibility, execution, judgment, and results.

Distinctive Executive Capabilities

• Executive leadership experience in complex, multi-site healthcare environments, preferably within FQHCs or similarly regulated, mission-driven organizations.
• Deep understanding of value-based care, capitation models, and managed care dynamics, with the ability to translate complexity into performance improvement.
• Direct experience leading or playing a critical role in a financial turnaround or performance recovery.
• Proven success implementing AI, automation, and finance transformation with measurable results.
• Track record of building and leading high-performing finance teams to drive results and operate with discipline and accountability.

Requirements/Preferences

• Master’s degree (MBA/MHA) with a finance or accounting focus, or a Bachelor's degree with equivalent experience required. 
• CPA designation preferred.
• Ten (10) years of progressive finance leadership experience, including CFO or Vice President of Finance roles.
• Exceptional candidates from adjacent industries with comparable scale and complexity will be considered.
• End-to-end expertise across financial operations, including financial planning & analysis, budgeting, forecasting, capital management, treasury, audit, regulatory compliance, and financial reporting.
• Advanced proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).