Hands-on experience with Sage 300, ADP, and Epic EHR Strong knowledge of FQHC reimbursement, Medicaid/Medicare, Section 330 grants, 340B, Uniform Guidance (2 CFR 200), and HRSA OSV requirements Compensation & Benefits La Casa offers a competitive compensation package aligned with market benchmarks for rural FQHCs, including: Professional development support Salary commensurate with experience Comprehensive health benefits (health, dental, vision, AFLAC) Short/Long Term Disability Insurance Supplemental Life Insurance Retirement plan Paid Time Off Paid Sick Leave (HWA - Healthy Workplaces Act in New Mexico) Paid Holidays Professional development support How to Apply Interested candidates should submit: A cover letter A current résumé/CV * Three professional references Resumes will be accepted until April 30, 2026. Key Responsibilities Supervise and develop finance and billing teams Lead financial strategy aligned with FQHC, HRSA, and UDS requirements Oversee accounting, budgeting, forecasting, and financial reporting Collaborate with the Billing Director to optimize revenue cycle performance Manage audits, cost reports, and federal grant compliance Support capital planning and long-range financial initiatives Required Qualifications Bachelor's degree in Finance, Accounting, or related field Minimum 3-5 years of senior level accounting and finance experience, preferably in a FQHC or primary healthcare setting.