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Director of Finance
Director of FinanceChildren's Therapy Center • Kent, WA, United States
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Director of Finance

Director of Finance

Children's Therapy Center • Kent, WA, United States
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Founded in 1979 by a group of very involved, hands-on, highly regarded therapists, Children's Therapy Center is on a mission to maximize the potential of children with disabilities. Our approach is to dismantle racism and ableism by offering collaborative, personalized, and family-centered physical, occupational, and speech therapy. We believe in the power of teamwork and offer early intervention services and multidisciplinary, play-based, and child-led early childhood special education.

Children's Therapy Center is seeking an experienced Director of Finance to lead and oversee all aspects of financial management, accounting operations, billing functions, and regulatory compliance. This is a strategic leadership role that ensures organizational fiscal integrity, improves operational effectiveness, and supports the mission through sound stewardship, vendor management and cross-functional collaboration.

The Director of Finance partners closely with programs, senior leaders and 3rd party vendors to ensure accurate financial planning and reporting, optimize systems and processes, and foster a culture of transparency, accountability, and mission alignment.

Requirements

Primary Responsibilities

Strategic Leader Core Competencies

  • Leads workforce strategic vision, drives necessary change, mitigates risks, and makes high-impact decisions to ensure long-term organizational success.
  • Demonstrates operational efficiency, relevant market trends, and project execution; demonstrates financial knowledge and appropriate management.
  • Builds knowledgeable and diverse teams through collaboration, emotional intelligence, and commitment to DEI principles while fostering growth and managing performance.
  • Develops and maintains strong relationships, resolves conflicts, and negotiates agreements to balance organizational and stakeholder priorities.
  • Champions creative solutions, process optimization, and technology adoption to adapt to changing environments and drive improvement.

Financial Management & Accounting Operations

  • Leads financial planning processes, including budgeting, forecasting, and financial analysis that supports strategic decision-making.
  • Partners with the 3rd party accounting team to ensure timely and accurate monthly, quarterly, and annual financial statements prepared in accordance with GAAP and organizational standards.
  • Manages the relationship with the 3rd party accounting team for day-to-day financial operations, including general ledger, accounts payable / receivable, cash flow tracking, and account reconciliations.
  • Serves as project manager for external financial audits; track IRS filings, and annual tax reporting ensuring vendors meet timelines, compliance standards, and data accuracy.
  • Identify and implement opportunities to streamline and improve internal financial processes, reporting systems, and financial technology platforms in coordination with vendors and internal stakeholders.
  • Billing, Revenue, and Reimbursement Operations

  • Provides oversight for managing all aspects of the revenue cycle, including charge entry, claims submission, payment posting, denial management, and patient billing.
  • Monitor billing vendor performance against Key Point Indicators and facilitate ongoing process improvements.
  • Maintain oversight of insurance payer contracts, identify reimbursement issues, and coordinate with vendors to ensure payer compliance and maximize revenue capture.
  • Ensure compliance with all federal, state, and payer-specific billing regulations and standards
  • Serve as primary liaison for credentialing function, ensuring timely credentialing of all billable providers.
  • Accounts Payable Operations

  • Oversees the full accounts payable function to ensure timely and accurate processing of invoices, vendor payments, and credit reconciliations in accordance with organizational policy.
  • Provides guidance, training, and oversight for invoice entry, coding, and payment scheduling in Ramp.
  • Monitors vendor file maintenance, including W-9 documentation, 1099 tracking, and compliance with IRS reporting requirements.
  • Reviews and approves vendor payments to ensure appropriate levels of authorization and adherence to internal controls prior to disbursement.
  • Analyzes and prepares accounts payable and expense reports, identifying trends, variances, and opportunities for process improvement.
  • Monitors vendor relationships and escalates issues related to overdue balances, disputed charges, or policy exceptions to leadership as needed.
  • Grant & Contract Finance Management

  • Supports Fund Development and Program teams to ensure financial accountability for all grants and contracts.
  • Partner in the development and submission of grant proposals by preparing accurate budgets, cost allocations, and required financial narratives.
  • Coordinate with outsourced accounting vendors and internal stakeholders to ensure timely invoicing and billing of grant-funded activities and government contracts.
  • Monitor grants receivable and follow up on outstanding invoices to maintain cash flow and support revenue projections.
  • Track and manage restricted funds to ensure compliance with donor and funder requirements, including allowable costs, reporting timelines, and expenditure documentation.
  • Prepare and submit timely and accurate financial reports to funders in coordination with Development, Program, and accounting partners.
  • Compliance & Risk Management

  • Maintain working knowledge of nonprofit accounting regulations and ensure financial compliance with federal, state, and funder requirements (e.g., GAAP, Uniform Guidance, Medicaid / Medicare).
  • Monitor and enhance internal controls in collaboration with vendors and internal teams to prevent fraud, ensure financial accuracy, and protect organizational assets.
  • Develop and enforce financial policies and procedures that promote audit readiness and regulatory compliance organization-wide.
  • Capital & Asset Management

  • Oversee the organization's investment practices, ensuring sound financial management and strategies that support long-term sustainability and maximize returns.
  • Collaborate with the Director of Fund Development & Marketing to align fundraising strategies with capital goals and organizational financial objectives.
  • Ensure that asset management practices prioritize efficiency, profitability, and sustainable growth-operating with a business-minded approach to resource stewardship.
  • Maintain current and compliant business licenses and registrations for all organizational entities and locations, coordinating renewals and documentation as required.
  • Participates as the employee-representative on the Board Finance Committee, with back-up support to the Board Fund Development Committee.
  • Other duties as assigned.
  • Required Skills and Experience

  • Bachelor's degree in Accounting, Finance, or related field required.
  • Minimum of 5 years of leadership experience in nonprofit or healthcare finance, including oversight of budgeting, forecasting, and compliance.
  • Demonstrated success managing outsourced accounting and / or billing vendors, including performance monitoring, accountability, and process improvement.
  • Knowledge of GAAP, nonprofit accounting standards, and federal grant compliance
  • Experience overseeing revenue cycle operations, including medical billing, reimbursement, payer compliance, and credentialing.
  • Strong project management skills, with a track record of leading financial audits, implementing systems improvements, and streamlining finance operations.
  • Proficiency with accounting and billing systems (e.g., QuickBooks, Ramp, clearinghouses) and comfort with technology adoption to optimize workflow.
  • Strong communication skills, including the ability to convey thoughts and express ideas effectively using various oral, written, visual, and / or non-verbal skills.
  • Effective listening skills, including the ability to recognize, comprehend and appreciate various perspectives and diverse points of view.
  • Organized and detail oriented, with the ability to organize work to meet various commitments and responsibilities.
  • Ability to anticipate potential challenges and adjust to changes as needed.
  • Collaborative and participatory; serves as an active member of the team, inviting diverse perspectives to support organizational priorities and common goals.
  • Demonstrated the ability to include, value, respect, and engage perspectives that cross cultural backgrounds, lived experiences, and diverse points of view.
  • Strong decision-making skills, including the ability to complete duties factoring appropriate or relevant details, considerations, and input from all individuals impacted.
  • Consciously and intentionally operates with self-awareness; consistently seeking opportunities to learning and grow in proactive and respectful ways
  • Flexible and responsive to changing priorities and needs
  • Additional Information

    This is a full-time position that requires a minimum of three full days per week working onsite (Monday-Friday). Remote work may be available for up to two days per week, depending on Organization needs. The primary office is located in Kent, Washington; however, the role involves regular travel between office locations in Burien, Kent, Maple Valley, and Tacoma, as well as throughout South King and Pierce County for meetings and events.

    Compensation & Benefits :

    Children's Therapy Center offers equitable and competitive pay commensurate with job-related experience and education. The salary range for this position is $116,954-$172,651, annualized, per year.

    Our comprehensive benefits package includes generous paid time off, medical, dental, vision, life insurance, and continuing education benefits. Supplemental / premium insurance options are also available. Eligible employees can enroll in our retirement plan with their first paycheck and will be eligible for company contributions after their first year of employment.

    Children's Therapy Center is an equal opportunity employer. We seek to hire candidates that reflect diverse backgrounds, beliefs and cultural histories. We continually seek to understand, acknowledge and appreciate our differences, engaging with an attitude of respectful curiosity, and a growth-mindset. We believe everyone has the right to be respected and valued.

    Consistent with applicable federal, state and local laws, and our values, Children's Therapy Center provides all employees and applicants with equal opportunity in all aspects of the employment relationship including consideration for employment without regard to race, color, religion, creed, national origin, sex, sexual orientation, age, marital status, veteran status, or the presence of any sensory, mental or physical disability, genetic information, or the use of a trained guide dog or service animal by a disabled person.

    Salary Description

    $116,954-$172,651

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