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Chief Financial Officer

Confidential Position Specification


Why we’re here

Since 1997, Northern Nevada HOPES has been on the front lines of community health, caring for those with the fewest resources and options, many of whom are living in crisis every day.

From our early days as a single-room HIV/AIDS clinic to the 38,000 sq. foot community health center we are today, HOPES continues to serve Northern Nevada’s vulnerable, overlooked, and underserved. Our expansion includes a new 43,000 sq. foot community clinic that will open in summer 2024.

We tackle our community’s hard problems with resolve and compassion — from chronic disease to addiction.

How we work

Our team of providers — including doctors, pharmacists, mental health experts, addiction counselors, and case workers — work under one roof, making access to comprehensive medical, behavioral, and wellness support services possible.

While patients typically come to HOPES seeking medical care, our medical team works closely with on-site case managers to meet all patients’ wellness needs. Over twelve percent of our patients are experiencing homelessness, and many others — including children and seniors — rely on us for far more than medical services. They depend on our case managers to connect them with meals, clothing, shelter, mental health care, addiction recovery support, and other vital services.

Everyone who walks through our doors is greeted with kindness and treated with respect and compassion. We welcome everyone, wherever they are in life, and provide a safe and accepting place to access comprehensive, patient-centered healthcare services.

Our Mission

Northern Nevada HOPES provides affordable, high-quality medical, behavioral health, and support services for all. NNH is dedicated to building a healthier community by providing coordinated care and support for individual and family wellness. Our community health centers combine primary care, pharmacies, medical specialties, behavioral health, and prevention with a team of experienced professionals who are committed to high-quality care. We are dedicated to serving those most often overlooked and underserved by the medical community.

Celebrating 25 Years of NNH


The Chief Financial Officer (CFO) is responsible for all financial matters of Northern Nevada HOPES. The CFO will report to and work closely with the Chief Executive Officer and the rest of the Executive Leadership Team. In addition, they will partner with the senior leadership and the board of directors to develop and implement strategies across the organization. The CFO will oversee all compliance and recognition for government (federal and state) contracts and private grants. The CFO will oversee the Finance department for HOPES. They will also oversee the financial components of human resources, such as 401k management, payroll, and insurance coverage for employees. They will also oversee the Billing Department. They must be able to adapt to a continually evolving environment and thrive in an autonomous and deadline-oriented workplace while managing finance staff. In this high-impact role, the CFO will have the opportunity to play a pivotal role in the growth and expansion of HOPES, taking the organization to the next level, beginning with the addition of 12,000 new patients served in the new 43,000 sq. foot clinic.

Reno, Nevada

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    Reno is located near the beautiful Lake Tahoe and Sierra Nevada mountains, offering a plethora of outdoor recreational activities. Whether you enjoy skiing, snowboarding, hiking, mountain biking, or water sports, Reno's proximity to these natural wonders provides ample opportunities for adventure.

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    Reno has been experiencing a growing tech industry and a business-friendly environment. The city has attracted companies due to its lower operating costs and business incentives. This growth in business has translated into increased job opportunities in various sectors.

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    Despite its smaller size, Reno boasts a lively arts and culture scene. The city hosts numerous festivals, art galleries, and cultural events throughout the year. The Riverwalk District and Midtown areas are known for their eclectic mix of shops, galleries, and restaurants, creating a vibrant cultural hub.

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    Reno's central location within the western United States makes it a convenient hub for travel. It's relatively close to major cities like San Francisco, Sacramento, and Salt Lake City, as well as various natural attractions, which can make for easy weekend getaways.

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    The revitalization of areas like the Riverwalk District and Midtown has brought new life to the city's urban spaces. These areas are known for their unique shops, eateries, and entertainment options.

Leadership Team

We are proud to lead a team of experienced professionals who are as diverse as the patients we serve. We are members of the Hispanic community, the LGBTQ community, the HIV community, and the northern Nevada community—and we are committed to serving you.

Sharon Chamberlain

Chief Executive Officer & President

Julie Gwin, RN, MBA

Interim Chief Operations Officer

Faith Whittier, MD

Chief Medical Officer

Rachelle Rene, PhD, BCB, CGP, AGPA-F

Chief Behavioral Health Officer

Debbie DeVay, CPA, DBA

Chief Financial Officer

Mandi Larsen

Chief Development Officer

Jerry Trigueros

Vice President, Client Services

Jake Wahrer

Vice President, Infrastructure & Technology

Chief Financial Officer

Key Responsibilities

Key Responsibilities

As quality and risk management are every employee's responsibility, the Chief Financial Officer is required to uphold all standards and policies, and participate in quality improvement and risk identification/mitigation processes and meetings within scope. Specific responsibilities include:


  • Oversee cash, investment, and asset management.
  • Oversee cash flow planning and ensure availability of funds as needed.
  • Oversee financing strategies and activities, as well as banking relationships.
  • Develop and utilize forward-looking, predictive models and activity-based financial analyses to provide insight into the organization’s operations and business plans.
  • Oversee the Billing Department ensuring compliance, accuracy.
  • Provide oversight of patient collections, ensuring compliance and accuracy.
  • Planning, Policy, and Investor Relations
  • Coordinate the development and monitoring of budgets.
  • Develop financial business plans and forecasts.
  • Participate in corporate policy development as a member of the senior management team.
  • Engage the finance committee of the board of directors to develop short-, medium-, and long-term financial plans and projections.
  • Represent the company to financial partners, including financial institutions, investors, foundation executives, auditors, public officials, etc.
  • Remain up to date on nonprofit audit best practices and state and federal law regarding nonprofit operations.

Accounting and Administration

  • Oversee the accounting department to ensure proper maintenance of all accounting systems and function; supervise finance staff.
  • Ensure maintenance of appropriate internal controls and financial procedures.
  • Ensure timeliness, accuracy, and usefulness of financial and management reporting for federal and state funders, foundations, and Northern Nevada HOPES board of directors; oversee the preparation and communication of monthly and annual financial statements.
  • Coordinate audits and proper filing of tax returns.
  • Ensure legal and regulatory compliance regarding all financial functions.

Human Resources (Finance)

  • Collaborates with HR staff and CEO regarding all financial aspects of Human Resources, including 401k administration, insurance coverage, and payroll.

Education & Experience

Education Required:

A minimum of a Bachelor's Degree; a CPA and/or MBA would be a plus.

Job Experience:

The CFO will be a seasoned and mature leader with at least 12-15 years of broad finance experience, ideally beginning in audit, followed by experience gathering and evaluating financial information and making actionable recommendations to senior leadership. S/he will ideally have experience managing finance (accounting, budgeting, control, and reporting) for a complex nonprofit with multiple funding sources, including government (federal and state) contracts and an affiliate structure with diverse program areas delivered nationally.

  • At least five years experience as CFO or equivalent, preferably in a nonprofit organization with a budget of at least $50 million.
  • Experience in a senior financial management role, partnering with executive staff, resulting in the development and implementation of creative financial management strategies.
  • Significant experience in or knowledge of nonprofit accounting, including sophisticated fund and grant accounting, compliance, and reporting.
  • Deep knowledge and understanding of the Office of Management and Budget Circular A133 audit.
  • Experience working with information technology staff to manage finance and accounting software packages.
  • Excellent written and oral communication skills.
  • Demonstrated leadership ability, team management, and interpersonal skills.
  • Excellent analytical and abstract reasoning skills, plus excellent organization skills.
  • Good working knowledge of accounting and administrative procedures, with the ability to manage the day to day operations of an administrative department.
  • Proficient in the use of Microsoft Word, Excel, accounting software, online banking, and third party payroll systems.

The N2 Experience

1. Qualify

2. Interviews

3. Assessment

4. Finalist



Congratulations! You have been selected as a potential candidate. Your career journey has caught our attention for this leadership role with our client.

In this step, we will evalute the needs and requirements of the client organization to determine the best fit for this role. This will include reviewing the responsibilities and requirements of the role, understanding the culture and values of the organization and identifying the skills and experience required for the role.


When you are selected as a qualified potential candidate, you will be invited to participate in an in-depth series of interviews with various levels at N2Growth. This will include discussing your career goals, objectives and accomplishments, as well as your interest and fit for the specific role and client organization. When you are selected as a finalist candidate in this stage of the interview process, you will then start your interview journey with the client organization.


​​​As a Finalist for the role, we will request that you participate in our leadership assessment. The Big Five Leadership Assessment links your unique personality traits to leadership roles. Our "Big Five" is a scientifically validated process focused on the five inherent personality traits found in all human beings. This process provides insight into:

  • Assessment of leadership potential and development opportunities
  • Differentiation between naturally well-fitting leadership roles and less well-fitting roles
  • Objective comparison with a general reference group of global leaders
  • Ability to build powerful teams in which all leadership roles are represented

This is a supplemental tool that benefits both you and the client organization in the search process.


When you are selected as the Finalist, we will work with you and the client organization to ensure a smooth and successful onboarding process and support you as you transition into your new role.

Prepared by:

Jessica Toth

Senior Director, N2Growth

Direct: 305-330-5986

Toll Free: 800-944-GoN2 (4662)