Description

As the Chief Financial Officer (CFO) at Crossnore Communities for Children, you’ll be more than a financial leader — you’ll be a champion for children and families. Guided by our vision of The Way to Hope and Healing, you will steward the resources that make it possible for us to create lasting impact in homes, schools, and communities.

With over a century of expertise, Crossnore is known for walking alongside children and families who have experienced trauma, weaving together a fabric of resilience and support. A core part of this role is ensuring strong financial oversight of Medicaid and behavioral health billing, reimbursement, and revenue cycle management, which are critical to the strength of our programs.

Your leadership will ensure the financial health, sustainability, and innovation needed to keep this continuum of services strong — from trauma-responsive schools to safe homes to thriving communities. This role is about more than managing numbers; it’s about building trust, fueling innovation, and safeguarding the future so that every child and family we serve has the chance to thrive.

Schedule/Location: Winston-Salem,NC with weekly travel to Avery County. This is an office-based position with a typical first-shift schedule, Monday through Friday, and occasional evening or weekend hours depending on department needs. The CFO must be present on our Avery campus at least 3 days per week (especially in the first 12–18 months). A private room on our campus is available for overnight stays. Hybrid and remote work arrangements are supported when appropriate, based on organizational needs and leadership responsibilities.
 
Skills/Competencies
• Financial Strategy & Leadership: Executive-level expertise in budgeting, forecasting, audit, tax, investments, and cash management.
• Medicaid & Behavioral Health Revenue Expertise: Deep knowledge of payer contracting, billing, denial management, cost reporting, and managed care transitions.
• Child Welfare Funding Knowledge: Experience with Title IV-E, IV-B, state and county contracts, residential rate setting, and reimbursement models.
• Accounting Mastery: Strong command of GAAP, FASB, IRS regulations, Single Audit, fund accounting, and nonprofit disclosures.
• Systems & Technology: Skilled in financial systems implementation, IT collaboration, data analytics, and cybersecurity for financial operations.
• Compliance & Risk Management: Hands-on knowledge of federal and state monitoring, grants management, internal controls, and enterprise risk.
• Executive Presence: Ability to communicate complex data clearly across diverse audiences—including staff, board members, regulators, and donors.
• People Leadership: Proven ability to lead cross-functional teams, coach staff, and promote an inclusive, trauma-informed workplace.
• Crisis Management & Problem-Solving: Calm under pressure, with a strong ability to navigate financial challenges and advocate for children.
• Mission Alignment: Passion for serving children and families in a sanctuary of hope and healing.

JOB DUTIES AND RESPONSIBILITIES
• Lead financial strategy and provide oversight for accounting functions (payroll, accounts payable, audit, tax, investments, and cash flow).
• Guide the CEO and Executive Leadership Team in strategic fiscal planning.
• Oversee Medicaid and behavioral health revenue cycles including billing, payer contracting, denial management, and encounter reporting.
• Manage state and county purchase-of-service contracts and Title IV-E reimbursement.
• Develop KPIs tied to financial health, program impact, and operational efficiency.
• Provide transparent and timely reporting to the CEO, Board Finance Committee, and Board of Directors.
• Lead audit and tax compliance, ensuring adherence to GAAP, FASB, and IRS requirements.
• Partner with IT on data integrity, cybersecurity, and financial systems innovation.
• Drive financial modeling for capacity, payer mix, and value-based contract readiness.
• Promote diversity, equity, inclusion, and belonging (DEIB) across financial and organizational practices.
• Supervise and coach the finance team, fostering accountability and growth.
• Champion a healthy, trauma-informed, and collaborative workplace culture.

The above list is not all-inclusive.  Other responsibilities may become necessary in the course of working routines and therefore be required.

Requirements

Education/Experience
• Bachelor’s degree required; Master’s degree in Business Administration or CPA credentials preferred.
• 10+ years of broad finance experience, ideally in accounting, followed by at least 7 years in financial leadership positions.
• Experience as CFO or equivalent, preferably in a nonprofit organization or related organization with a budget exceeding $20 million. 
• Extensive experience in:

• Financial operations and risk management, financial modeling & forecasting, and pooled investment and donor advised funds.
• Working with investment managers and Board Finance, Audit & Investment Committees. 
• Supervising senior staff and working collaboratively in a management team environment.
• Healthcare, and behavioral health systems, specifically related to behavioral health billing and financial modeling.

• An equivalent combination of education and experience may be considered.