Starting pay is negotiable based on education, relevant experience, and applicable licensure or certifications.
Join Lamoille County Mental Health Services
For nearly 60 years, Lamoille County Mental Health Services (LCMHS) has provided compassionate, community-based mental health, developmental, behavioral, and family support services across Vermont. As a designated community mental health agency established in 1966, we support more than 1,000 individuals annually with a mission centered on wellness, dignity, and access to high-quality care.
We are seeking an experienced and collaborative Associate Chief Financial Officer (ACFO) to help lead the agency’s financial operations during a transformative period in healthcare funding and payment reform.
Position Overview
The Associate Chief Financial Officer is a key member of the finance leadership team, partnering closely with the CFO to strengthen financial stability, improve operational performance, and support the agency’s long-term sustainability.
This is a hands-on leadership role ideal for a finance professional who combines strong technical accounting expertise with strategic thinking and a collaborative approach. The ACFO will oversee core accounting operations, financial reporting, billing and reimbursement processes, accounts receivable management, compliance, and audit readiness while helping drive continuous improvement across the organization.
Key Responsibilities
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Partner with the CFO on financial strategy, forecasting, and long-range sustainability planning amid evolving payment reform initiatives
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Lead month-end and year-end close processes, ensuring accuracy, timeliness, and GAAP-compliant financial reporting
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Oversee general ledger integrity, reconciliations, and core accounting functions
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Direct agency contract invoicing and billing processes to ensure timely and accurate reimbursement from state and funding partners
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Manage accounts receivable operations, including aging analysis, collections follow-up, and cash flow monitoring
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Support development and monitoring of agency-wide and program-specific budgets; analyze financial trends and variances
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Oversee grant and contract financial reporting, cost allocation methodologies, and compliance with state and federal requirements
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Coordinate annual audits, state reviews, and implementation of corrective action plans as needed
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Strengthen internal controls, financial policies, and operational procedures to enhance accountability and transparency
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Serve as a trusted financial partner to program leaders and department managers, promoting shared ownership of fiscal performance
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Identify opportunities for process improvement, operational efficiency, and stronger financial systems
What We Offer
LCMHS offers a comprehensive benefits package designed to support your health, financial wellbeing, and professional growth:
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Competitive compensation
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401(k) with 3% employer match
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Health, dental, and vision insurance
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Health Savings Account (HSA)
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Flexible Spending Account (FSA)
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Life insurance
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Generous paid time off
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Tuition reimbursement and professional development support
Why Join LCMHS?
At LCMHS, you’ll have the opportunity to make a meaningful impact in your community while helping shape the financial future of an organization dedicated to improving lives. We value collaboration, integrity, innovation, and a commitment to compassionate care.
Qualifications
Required
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Master’s degree in Accounting, Finance, or related field
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3–5 years of progressive accounting or financial management experience
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Strong knowledge of GAAP and financial reporting standards
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Experience with budgeting, forecasting, and financial analysis
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Demonstrated ability to manage multiple priorities in a mission-driven environment
Preferred
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Experience in nonprofit healthcare, behavioral health, or community mental health settings
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Familiarity with government funding, grants management, and reimbursement systems
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Experience supporting audits and regulatory compliance initiatives
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CPA or CPA-track candidate preferred
