Maryland Job Bank

Director of Finance & Accounting
Westside Family Healthcare
Full-time

Posted 10/9/2026

Position Description:

Management Pathways (www.managementpathways.com) in Malvern, PA has been retained by Westside Family Healthcare (“Westside”) in Wilmington, DE to conduct the search for a Director of Finance & Accounting.

The Director of Finance & Accounting (DFA) is responsible for oversight of all finance, accounting, payroll, and reporting activities in a manner consistent with the goals and standards of Westside Family Healthcare. Reporting to the Chief Financial Officer (CFO), the DFA leads all day-to-day finance and accounting operations and serves as a member of the senior management team. The DFA prepares presentations to the Board Finance Committee and other monthly, quarterly, and special reports. This role oversees an Accounting team for general accounting and finance operations and functions parallel to the Director, Revenue Cycle (Billing). The DFA ensures that Westside has the financial systems and procedures in place to support organizational goals and objectives and works closely with managers and their staff to educate them regarding finance and accounting procedures and to explore how the finance function can support program operations. The Director of Finance and Accounting works both independently and collaboratively in a spirit of teamwork, with the CFO and other members of the team, to serve the best interests of Westside Family Healthcare and its mission.

Core Responsibilities:

• Provide hands-on oversight of day-to-day Finance and Accounting operations and reporting to ensure efficiency, accuracy, and timeliness.
• Supervise the Accounting team comprised of a Senior Accountant and an Accountant who support payroll, accounts payable, grants, and financial reporting.
• Develop and plan department objectives with the CFO and staff including short- and long-range accounting programs in budgeting, profit analyses, accounting systems, financial reporting, and internal auditing.
• Develop and implement policies and procedures to maintain strong internal controls and ensure compliance with regulatory agencies.
• Work with the CFO to develop and prepare financial statements (including balance sheets and profit/loss statements) as well as variance analysis, ratios, income/expense, and investment analysis (e.g. effects of fee changes on costs and profits, ROI).
• Prepare monthly, quarterly, and annual reporting for management and the Board of Directors.
• Direct the preparation of statistical information and reports for management, government, and other agencies.
• Supervise the preparation of payroll to ensure accuracy.
• Develop and maintain grants management processes to ensure accurate financial reporting.
• Collaborate with the clinical team to develop and prepare grant applications.
• Develop and maintain relationships with auditors, lenders, and other third-party agencies to facilitate accounting functions.
• Oversee the annual financial audit and any special financial audits.
• Maintain current knowledge of organizational policies and procedures, federal and state policies and directives, and current accounting standards.
• Represent Westside in a professional manner with external partners, financial institutions, vendors, regulatory agencies, and community organizations.

Required Qualifications:

Our ideal candidate will bring hands-on leadership experience and effectiveness in managing financial and accounting operations for a mission-driven, non-profit organization. This individual will be comfortable in a lean, entrepreneurial, team-based environment and will demonstrate a high level of initiative, curiosity, and the agility to take on new projects and meet changing work demands. The individual we are seeking will have a strong understanding of accounting principles, financial reporting, internal controls, and experience with supporting grant writing and management. The desired candidate will have excellent critical thinking and analytical skills and the ability to synthesize and prepare data to present to our senior leadership team, Board of Directors, and other stakeholders. The successful candidate will be approachable, collaborative, open to learning, and demonstrate a commitment to building strong relationships with a diverse group of people both internally and externally. The ideal candidate will be highly organized, resourceful, reliable, and exhibit integrity and dedication to serving a mission.

• Bachelor’s degree in finance or accounting is required.
• Master’s degree in finance, business administration or related field is desirable but not a requirement for consideration.
• A minimum of five (5) years of progressive accounting experience, including recent experience in a non-profit organization, is strongly preferred.
• Previous experience in all aspects of grant writing and fund development is required.
• Strong analytical, problem-solving, project management, and process-improvement skills.
• Excellent leadership, communication, and interpersonal skills.
• Ability to manage multiple priorities and meet deadlines.
• High level of attention to detail and accuracy.
• Proficiency with Microsoft Excel, QuickBooks®, and other accounting and financial reporting tools.
• Ownership mindset and accountability.
• Persistence to overcome obstacles.
• Community orientation and desire to serve others and make a positive impact.

About the Organization:

Westside Family Healthcare (“Westside”) is a 501(c)3, non-profit organization and Federally Qualified Health Center (FQHC) and the largest community health center in Delaware. Westside is accredited by the Joint Commission as a Primary Care Medical Home and provides comprehensive primary care, pediatric care, women’s health, behavioral health, dental, financial aid assistance, and social support services to primarily low income, underinsured or uninsured residents of Delaware.

Founded largely through the grassroots efforts of a group of volunteer nurses, Westside opened its doors to patients as a medical clinic in 1988 to address the needs of the underserved community in Wilmington, DE and was designated as a FQHC in 1994. Over the years, Westside has grown its mission and expanded access to healthcare services through five (5) community health centers, two (2) dental suites, a mobile unit, and executive and administrative offices. The organization employs about 240 colleagues including physicians, nurse practitioners, physician assistants, dentists, dental hygienists, nurses, nursing assistants, behavioral health counselors, and other support team members and administrative leaders who share a dedication to providing access to quality healthcare to Delaware communities.
Current initiatives include implementing a new Epic EMR system scheduled to go-live in October 2026. Westside Family Healthcare is partnering with Eastside Charter School through a School-Based Health Center, helping to make healthcare more accessible for students and families. Planning and development are underway for a new health center located in Milford, DE expected to open in 2028.

Apply:

Email John: [email protected]

Finance Business Partner (Manager)
Main Line Health System Paoli Hospital
Full-time

Posted 9/11/2026

Position Description:

A Finance Partner acts as a bridge between financial operations and clinical or administrative departments, providing financial guidance, insights, and analysis to help decision-makers optimize resource use, control costs, and enhance patient care. This role involves working closely with the department leaders, offering financial expertise to support budgeting, forecasting, and strategic planning processes.

Required Qualifications:

Partnering

• Serve as financial point of contact for assigned entity/(entities) (e.g., Hospital, HomeCare,Rehab, Lab, Real Estate, Main Line Services (Corporate), Capital, etc).
• Collaborate with department leaders to provide financial insights and recommendations that support operational goals, cost control, and strategic initiatives.
• Support decision-making by delivering financial analysis, business case evaluations, and performance reports tailored to each department’s needs.

Budgeting and Forecasting

• Lead the development of annual budgets and quarterly forecasts for assigned entity.
• Work with department heads to set realistic financial goals based on historical performance, market trends, and strategic priorities.
• Ensure that budgets are aligned with the overall financial goals of the healthcare system, identifying risks and opportunities for improvement.

Financial Analysis and Reporting

• Provide monthly, quarterly, and ad hoc financial reports to departmental leadership, highlighting key performance indicators (KPIs) such as revenue, expense trends, and variances to budget.
• Conduct in-depth analysis of variances and trends to help department leaders understand financial results and implement corrective actions if necessary.
• Support the creation of financial models to assess the impact of strategic decisions, new initiatives, and operational changes on departmental and overall financial performance.

Performance Improvement

• Identify opportunities for cost savings, efficiency improvements, and revenue enhancement within assigned departments. Assist with process improvement initiatives, collaborating with clinical and administrative teams to optimize resource utilization.
• Provide financial guidance to help departments achieve performance improvement targets without compromising patient care quality or regulatory compliance.

Business Case Development

• Work with department leaders to develop business cases for capital investments, new service lines, or expansion projects.
• Conduct financial analysis on proposed projects, including ROI analysis, break-even points, and cost-benefit assessments.
• Present recommendations to senior leadership, ensuring alignment with MLH’s financial strategy and operational needs.

Strategic Planning and Support

• Partner with clinical, operational, and administrative teams to develop and implement long-term strategic plans.
• Provide financial expertise during strategic planning sessions, helping departments prioritize initiatives based on financial impact and feasibility.
• Monitor progress against strategic goals and provide updates on financial performance relative to the plan.

Risk Management and Compliance

• Ensure all financial activities within the assigned departments are compliant with internal policies, industry regulations, and healthcare laws (e.g., Medicare/Medicaid rules).
• Collaborate with compliance and risk management teams to assess financial risks and ensure that internal controls are in place to mitigate them.

Preferred Qualifications:

• Bachelor’s Degree in Finance, Accounting, Business Administration required.
• 5-10 years hospital finance experience preferred with experience in budgeting, forecasting, financial reporting, and performance analysis
• Microsoft suite fluency

About the Organization:

https://www.mainlinehealth.org

Additional Information:

Primary Customers or Key Working Relationships

• Regional Finance Director
• Entity Senior Leadership
• Administrative Directors
• Program and Departmental managers

To submit applications candidate should use this link: https://careers.mainlinehealth.org/posting/finance-business-partner/80846/

Apply:

https://careers.mainlinehealth.org/posting/finance-business-partner/80846

Chief Financial Officer (Program Manager Senior IV)
Maryland Department of Health
Baltimore, MD (Hybrid)
Full-time

Posted 9/8/2026

Position Description:

This position oversees and directs all administrative, operational, and programmatic functions of the Fiscal Services Administration, Cost Accounting and Reimbursements Division, and the General Accounting Division, providing financial stewardship for all financial operations within the Maryland Department of Health’s five administrations (Operations, Public Health Services, Behavioral Health Administration, Developmental Disabilities Administration, and the Healthcare Financing/Medicaid Administration). Financial operations include but are not limited to: accounting, finance/budgetary projections, auditing, procurement, expenditure control and monitoring, resource and personnel allocation, and program cost analysis.

The position oversees the operations of the department’s Office of Finance, the central office for coordinating and setting processes and policies for all financial functions.

The Fiscal Services Administration has the responsibility to provide fiscal support services and oversight to assure accountability, promptness, responsiveness, and fairness in the application of MDH or State regulations and policies.

The Division of Cost Accounting and Reimbursement is responsible for billing and collecting the cost of inpatient and outpatient services provided at facilities operated by the Maryland Department of Health, including fee coordination activities for community services, preparation of the Department’s indirect cost report, preparation of hospital cost reports, and audit settlement for human services providers.

The General Accounting Division oversees all units within Accounting, Grants and Local Health Accounting and FMIS Coordination. The responsibilities of the units under this directorate include ensuring implementation and support of FMIS functions and preparing accurate and timely financial information.

Required Qualifications:

Qualified candidates should possess a master’s degree from an accredited college or university in business administration, finance or related field and ten years of fiscal administration, budgetary, or fiscal professional experience, three years of which at a supervisory or management level.

A bachelor’s degree from an accredited college or university in business administration, finance or related field and 4 additional years of experience may substitute for the master’s degree.

Preferred Qualifications:

Preferred candidates should possess the following:

• Prior experience serving as a CFO or Deputy CFO at a state government agency. Prior experience in comparable areas in the private or non-profit sector will be considered.
• Experience overseeing revenue-generating activities, including billing and accounts payable and receivable.

About the Organization:

The Maryland Department of Health (MDH) provides health care services through State programs, local health departments, State-run hospitals and residential centers, and contracts with private-sector health care providers. MDH can be divided into five major divisions: Public Health Services, Behavioral Health, Developmental Disabilities, Health Care Financing, and Operations. In addition, MDH has 20 boards that license and regulate health care professionals, as well as various commissions that issue grants, conduct research, and make recommendations on issues affecting Maryland’s health care delivery system. MDH employs over 10,000 individuals and has a budget of more than $12 billion to provide essential services to Maryland communities.

Benefits:

The Maryland Department of Health offers the following benefits:

• Meaningful Work
• Excellent Health Benefits Package, including Medical, Vision, Prescription and Dental
• Flexible Spending Accounts (Reduced Child and Health Care)
• Generous Leave Benefits (6 Personal Days, 12 Regular Holidays, Annual Leave, 15 Sick Days)
• Retirement
• Paid Parental Leave
• Flexible Work Schedules (where applicable)
• Free Mass Transit (Baltimore metro area)

For a full list of the benefits of working for the State of Maryland, please click the link below:
https://dbm.maryland.gov/jobseekers/Pages/BenefitsEmployment.asp

This is a Management Service position and serves at the pleasure of the Appointing Authority. A resume must accompany your application.

All applications, resumes, and/or CVs must be submitted online by September 30, 2026, at 11:59:00 PM.

Apply to Recruitment#: 26-005485-0006

EOE

Apply:

https://www.jobapscloud.com/MD/sup/bulpreview.asp?b=&R1=26&R2=005485&R3=0006