Our Client, Tillamook County Community Health Center, based in Tillamook, OR, has retained the services of Community Link Consulting to manage the recruitment of a Chief Financial Officer to join its team.
About the Opportunity
Tillamook County is seeking a strategic and mission-driven Chief Financial Officer (CFO) to lead the financial operations of its Health and Human Services (HHS) department. This is a high-impact executive role responsible for ensuring financial stewardship, regulatory compliance, and long-term sustainability for community health programs.
The CFO partners closely with the HHS Administrator and leadership team to guide budgeting, funding strategy, and financial decision-making—directly supporting access to care and public health outcomes across the community
Tillamook County Community Health Center is an integrated health system that includes Primary Care, Behavioral Health, Dental, Public Health, and Environmental Health services. The CFO plays a key leadership role in supporting the financial sustainability and strategic growth of these diverse programs while advancing the organization's mission to improve the health of Tillamook County residents.
Ability to Relocate to: Tillamook County, OR (Relocation is required prior to start date.) Relocation Assistance Available!
Work Location: In Person, On Site Only - Experience coastal living with access to outdoor recreation, a strong sense of community, and a meaningful connection to the region you serve.
Salary Range: $94,884 - $129,864
What You’ll Do
- Lead financial strategy and operations across Health and Human Services, aligning resources with community health priorities
- Assess programs and services to ensure optimal financial performance, sustainability, and compliance with grant provisions and regulatory requirements
- Ensure full compliance with GAAP, GASB, HRSA guidelines, and county, state, and federal regulations to mitigate financial and legal risk
- Direct budgeting and financial planning, including development of the department budget in partnership with the HHS Administrator
- Oversee grant, contract, and funding strategy, including identifying funding opportunities and reviewing proposals for alignment and compliance
- Develop and implement financial policies and procedures for grants, provider contracting, and healthcare billing to ensure ongoing compliance
- Oversee accounting, reporting, and internal controls, ensuring accurate recordkeeping and adherence to County standards
- Analyze and present financial performance, including monthly financial statements, forecasts, and reports to leadership, Health Council, and Board stakeholders
- Provide financial training and technical assistance to internal teams and governing bodies as needed
- Oversee revenue cycle operations, including clinic billing and collections, identifying trends and implementing corrective actions
- Interpret and enforce third-party payer requirements, including Medicare and other reimbursement rules
- Ensure accurate cost reporting and billing practices to support financial sustainability
- Serve as liaison with federal/state agencies and regulators, including tax authorities and program oversight entities
- Partner with Information Services on systems supporting billing, reporting, and financial operations
- Lead and develop finance staff, including hiring, performance management, and professional development
- Maintain strict confidentiality and professional standards, while staying current with industry trends and best practice
- Perform other duties as assigned.
What You Bring
- Bachelor’s degree in Finance, Accounting, Business Administration, or related field
- Five (5) years of finance or accounting experience (healthcare preferred)
- Demonstrated experience with: Financial reporting and analysis - Budgeting and forecasting - Grants, contracts, and compliance - Healthcare billing and collections
- CPA designation strongly preferred
Competencies
- Strategic financial leadership and decision-making
- Knowledge of healthcare finance and regulatory requirements
- Ability to communicate complex financial information to diverse audiences
- Strong team leadership and relationship-building skills
Why Join Tillamook County?
Mission-Driven Impact: Serve a community where your leadership directly strengthens access to healthcare and public health services.
This is a compelling opportunity for someone ready to expand their leadership scope and continue growing in executive finance, with support and development available for a candidate who brings strong foundational experience and long-term potential.
Benefits
- Medical, dental, and vision coverage for employees and dependents
- Health Reimbursement Arrangement (HRA VEBA) contributions
- Employer-paid life insurance and long-term disability
- PERS retirement eligibility and optional 457(b) plan
- 12 paid holidays plus vacation and sick leave accrual
- Employee Assistance Program and wellness resources
NOTE: This position description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time, with or without notice.
About the Area: Tillamook, OR
Outdoor Adventures
· Beaches & Surfing: Pacific City, Rockaway Beach, Oceanside, and Cape Kiwanda offer iconic coastal surf breaks and beach walks. The annual Cape Kiwanda Longboard Classic draws surfers from across the Northwest.
· Fishing & Boating: Tillamook Bay and nearby rivers (Wilson, Trask, Kilchis, Nestucca, and Miami) are renowned for salmon and steelhead fishing. Charter boats are available, and the local community college even offers fly fishing classes.
· Hiking & State Parks: Explore over a dozen state parks and forests, including Cape Lookout, Oswald West, and the Tillamook Forest Center. Hike coastal bluffs, old-growth forests, and waterfall trails.
· Crabbing & Clamming: A unique coastal tradition. Rent gear locally or join community events around Netarts Bay and Tillamook Bay.
· Off-Roading & Dunes: The Sand Lake Recreation Area offers coastal dunes for OHVs, ATVs, and dirt bikes just south of Tillamook.
· Golfing by the Coast: Nearby golf courses like Alderbrook or Bay Breeze offer coastal views.
Lifestyle & Community
· Outdoor Lifestyle: Residents often surf in the morning and hike or fish after work. Many providers at Tillamook CHC share these hobbies and often get together outside of work.
· Farm & Food Culture: Famous for Tillamook Creamery (cheese, ice cream, and dairy tours) and a growing number of local breweries, seafood shacks, and farmers markets.
· Arts & Events: Explore small galleries, community theater, local music, and festivals like the Tillamook County Fair.
· Family-Friendly: Great schools, libraries, and safe small-town living, with outdoor activities for all ages.
Proximity to Portland
· 90 Minutes Away: Easy access to Portland’s cultural amenities: world-class dining, theater, symphony, NBA games, international airport, and vibrant arts and music scene.
· Weekend Trips: Ski or snowboard at Mt. Hood (2 hours away), or explore wine country in the Willamette Valley (about 1 hour).
Equal Employment Opportunity Policy
Employer provides equal employment opportunity and treatment regardless of race, religion, color, creed, sex (including pregnancy, lactation, childbirth or related medical conditions), sexual orientation, age (40 and over), gender identity, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status or any other status protected by federal, state or local law. Employer conforms to the spirit as well as to the letter of all applicable laws and regulations. These protections extend to all management practices and decisions, including recruitment and hiring, appraisal systems, promotions, training, and career development programs.
Pay: $94,884.00 - $129,864.00 per year
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
