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Chief Financial Officer - Ambulatory Care, Ventura, CA

Organization: Ventura County Health Care Agency
Category: Chief Financial Officer
Location: Ventura, CA
Date Job Posted: July 9, 2021
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Chief Financial Officer - Ambulatory Care
0594HCA-21AB (NW)
An Equal Opportunity Employer

SALARY RANGE (approximate)
$72.06 - $100.88 Hour
$12,490.45 - $17,486.63 Monthly
$149,885.43 - $209,839.61 Annually

This posting is for the Ventura County Health Care Agency; vacancy location is Ventura; requires travel throughout Ventura County and California.


Under administrative direction, is responsible for the administration, planning, and coordination of the Health Care Agency's (HCA) Ambulatory Care financial activities, including fiscal services, revenue services, program audits and reimbursement, contract administration, and capital planning; represents the department's interests at the local, state, and federal levels regarding health care funding, revenue reimbursement, and financial compliance; provides technical and policy advice to the CEO Medical Director of Ambulatory Care regarding Ambulatory Care financial, contracting, and capital planning issues having a significant impact upon Ambulatory Care operations; is responsible for the work of subordinate managers; collaborates with the other financial managers/officers in support of the overall fiscal strategic goals within the HCA; and, serves as a member of the County's management team.

Distinguishing Characteristics:

The Chief Financial Officer-Ambulatory Care is a single-position classification that reports to the CEO Medical Director of Ambulatory Care and is responsible for the administration of the fiscal division for Ambulatory Care. It differs from the Assistant Chief Financial Officer-HCA in that the latter manages the fiscal division's operations on a day-to-day basis and is responsible for the formulation of sound accounting procedures and compliance with applicable laws, regulations, and policies.

AGENCY/DEPARTMENT: Health Care Agency - Ambulatory Care

What We Offer

The County of Ventura offers an attractive compensation and benefits package that includes:

  • Educational Incentive: Possible incentives of 2.5% for an Associate's degree, 3.5% for a Bachelor's degree, or 5% for a Master's degree for classifications that do not require a degree.
  • Executive Annual Leave: 248 hours earned per year, increasing to 288 hours after 5 years of service, to 328 hours after 10 years, and to 368 hours after 15 years.
  • Annual Leave Redemption: up to 100 hours (of total 208 hours of Annual Leave accrued) per year.
  • Deferred Compensation: Section 457 Plan and/or 401(k) Shared Savings Plan with up to a 3% match on your 401(k) contributions.
  • Flexible Credit Allowance: Biweekly contribution towards medical, dental, and/or vision insurance from authorized plans.
  • Flexible Spending Account: Pre-tax benefit towards eligible medical, dental, and vision care expenses.
  • Pension Plan: Participation in the County's defined pension plan.
  • Bilingual Incentive: Proficiency levels by exam are $.65 per hour (Level I), $.80 per hour (Level II), or $1.10 per hour (Level III).

The Chief Financial Officer-Ambulatory Care is an at-will classification which is exempt from the provisions of the Civil Service ordinance. The incumbent will receive Management benefits at the MB-2 level and is exempt from overtime compensation.

The eligible list established from this recruitment may be used to fill current and future Regular vacancies within Ambulatory Care. There is currently one (1) Regular vacancy.

CLOSING DATE: Continuous and may close at any time; therefore, the schedule for the remainder of the process will depend upon when we receive a sufficient number of qualified applications to meet business needs.


Duties may include but are not limited to the following:

  • Oversees the administration of all aspects of fiscal and financial operations, including supervision of various fiscal division heads for Ambulatory Care;
  • Oversees the development and implementation of short- and long-range fiscal strategic planning initiatives to ensure that current and future fiscal needs are clearly identified and addressed;
  • Recommends operating policies and procedures to meet financial goals and objectives;
  • Oversees the development, implementation, and evaluation of objectives, policies, procedures, and operations for all assigned fiscal areas to ensure maximum revenue reimbursement, utilization, and compliance with applicable local, state, and federal regulations and County and agency guidelines;
  • Provides direction to resolve the most difficult and complex health care financial issues having a significant impact upon departmental operations;
  • Oversees the preparation of annual operating and capital budgets, budget implementation, and management of the budgeting system;
  • Directs the preparation of financial reports as needed for executive staff;
  • Ensures and directs that internal control policies and procedures are implemented and establishes action plans for policy changes;
  • Communicates and advocates for the financial needs of the department;
  • Provides direction on the intricacies of government funding and finances related to a health care system;
  • Participates with other members of the executive management team in assisting the CEO Medical Director of Ambulatory Care with the development of current and long-range objectives, plans, and policies and overall management of Ambulatory Care;
  • Attends meetings of the Board of Supervisors and its committees and presents fiscal reports and policies to the Community Health Center (CHC) Board of Directors;
  • Stays current in matters relating to both HRSA and the Medi-Cal Prospective Payment System to ensure compliance and the optimization of revenue streams;
  • Works closely with Revenue Cycle Management to meet, improve and maximize revenue and cash flow;
  • Participates in performance and quality improvement efforts;
  • Represents the division's interests at the local, state, and federal levels for all health care financial matters;
  • Represents the CEO Medical Director of Ambulatory Care as directed and may act on his/her behalf as required; and
  • Performs other related duties as required.


Extensive education, training, and experience that demonstrates possession of the required knowledge, skills, and abilities. The required knowledge, skills, and abilities can also be obtained by a Bachelor's degree from an accredited college or university in accounting, finance, business administration, or health care administration AND at least five (5) years of progressively responsible management experience in a large health care organization overseeing work including budget development and analysis, fiscal forecasting, financial and workload monitoring, cost accounting, reimbursement, health care funding programs, and/or fiscal systems.


  • Extensive management experience in Federally Qualified Health Center (FQHC) leadership for a very large health care organization.
  • Understanding of programs that are tied to remuneration for the Health Care Agency, including Health Resources and Service Administration (HRSA), managed Medi-Cal, Quality Incentive Program (QIP), and Cal AIM.
  • Proficiency using Cerner (County's Electronic Medical Record) and a Financial Management System
  • Experience working within a Civil Service merit system, especially as it relates to health care organizations
  • Master's degree in accounting, finance, business administration, health care services administration, or a related field are highly desirable.

Special Requirements:

Work is primarily performed in an office environment, but incumbent will be required to meet with various departments/agencies, businesses and community groups, the public, and outside vendors. Some travel, primarily within the state, is also required. Must possess or have the ability to obtain a valid California driver license.

Knowledge, Skills, and Abilities:

Extensive knowledge of: Generally Accepted Accounting Principles (GAAP), practices and standards; fiscal monitoring and control mechanisms; budgeting methods and techniques; fundamentals of Ambulatory Care and how health care service agencies are organized and administered; federal and state laws and regulations governing health care delivery organizations; financial management; senior administrative experience directly related to operating financial programs and services of a public or private health maintenance organization.

Comprehensive ability to: effectively manage and supervise the overall financial operations of a large health care organization; manage, supervise, and evaluate the activities of the assigned areas of responsibility; establish and maintain effective working relationships with public officials, legislative bodies, and public and private organizations; coordinate the development and implementation of fiscal policies that will adapt to internal and external policy changes or legal mandates; exercise strong leadership skills to direct subordinate administrators managing a comprehensive spectrum of financial functions; exercise independent analysis and judgment and a high degree of adaptability to develop innovative approaches for resolving complex health care financial issues; provide financial advice to executive management including making and/or negotiating fiscal- and revenue-related decisions for budgetary and strategic planning purposes.

Comprehensive skill in: oral and written communication; including overseeing the preparation of complex reports; experience in making presentations before various audiences; utilization of Microsoft Excel, Word, and other related financial software.


FINAL FILING DATE: This is a continuous recruitment and may close at any time; therefore, apply as soon as possible if you are interested. Your application must be received by County of Ventura Human Resources in Ventura, California, no later than 5:00 p.m. on the closing date.

RESUME/APPLICATION EVALUATION: Resumes and applications will be reviewed weekly until closing.

To apply:

  • Submit an online application at and attach your cover letter and current resume OR
  • Send a cover letter and a current resume with detailed work history to the name and address below OR
  • If you prefer to fill out a paper application, please call (805) 654-5129 for application materials

Send application materials to:

Nathan Wood
County of Ventura, CEO HR - HCA
800 South Victoria Avenue, L-#1980
Ventura CA 93009

APPLICATION/RESUME EVALUATION - qualifying: All applications/resumes will be reviewed to determine whether or not the stated requirements are met. All relevant work experience needs to be included in order to determine eligibility.

Following an evaluation of applications, the most qualified candidates may be invited to the next step which may include a Zoom, phone, or panel interview. The top candidates may then be invited to a second interview with the hiring managers.

BACKGROUND INVESTIGATION: A thorough pre-employment, post offer background investigation which may include inquiry into past employment, education, and driving record may be required for this position.

For further information about this recruitment, please contact Nathan Wood by e-mail at or by telephone at (805) 677-5232.

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