Director of Finance
gallup community healthGallup (NM)
About the role
Lead the financial strategy behind care that this community counts on.
Gallup Community Health is looking for a Finance Director to serve as our senior financial leader — a CFO-scope role reporting to the Executive Director and partnering directly with the Board’s Finance Committee. If you want your financial expertise to translate into more access, more services, and a stronger safety net, this is that job.
What you’ll do:
Own the full financial picture: budgeting, forecasting, cash management, monthly close, and Board-level reporting
Lead FQHC-specific finance — PPS/wrap reconciliation, Medicaid and Medicare cost reports, sliding fee scale, 340B program economics, and payer contracting
Manage Section 330 grant budgets, drawdowns, and compliance; support UDS reporting and HRSA operational site visits
Direct the annual audit and Single Audit (Uniform Guidance), and keep us clean and audit-ready year-round
Build and mentor the accounting, billing, and revenue cycle team
Bring the numbers into strategy — service line expansion, capital projects, grant opportunities, and long-range planning
What you bring:
Bachelor's in Accounting, Finance, or related field; CPA and/or MBA/MHA strongly preferred
3+ years of progressive financial leadership, ideally in an FQHC, community health center, or nonprofit healthcare setting
Working knowledge of FQHC reimbursement, federal grant compliance, and nonprofit accounting (GAAP, fund accounting)
A collaborative communicator — comfortable with clinicians, Board members, and auditors alike
Genuine commitment to the mission of community health
What we offer:
Competitive salary commensurate with experience
Full medical, dental, and vision; 403b with employer match
weeks PTO plus holidays and professional development support
Relocation assistance available
A seat at the leadership table and the autonomy to build the finance function the right way
Life in northwest New Mexico — high desert, wide skies, and a community worth investing in
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
It's what we read first. Occupations, seniority and locations matter more than a long history.
Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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