Senior Director of Finance and Administration- Des Moines, IA

The Iowa Primary Care Association’s (Iowa PCA’s) vision is health equity for all.  Our mission is enhancing community health centers’ capacity to care. All employees of the Iowa PCA are expected to represent the company vision and mission. 

Reporting to the Chief Operating Officer, the Senior Director of Finance and Administration oversees the company’s financial, human resources and administrative/office management functions for Iowa Primary Care Association, INConcertcare, Inc. and IowaHealth+. In collaboration with the Leadership Team, the Boards of Directors and the Finance Committees, the Senior Director of Finance and Administration participates in the development and execution of the strategic plan with a focus on maximizing financial, operational, personnel resources and initiatives to support operational excellence in clinical care delivery and transformation for community health centers. 

The following duties are normal for this position.  These are not to be construed as exclusive or all inclusive.  Other duties may be required and assigned. 


  • As directed by the Boards and in collaboration with the Leadership Team establish revenue enhancement and diversification goals and tactics for the organizations in alignment with the strategic plan. 
  • Accountable for annual capital and operating budgets, and monthly financial results and forecasts and presents to Board for strategic planning and approval at board meetings.  Collaborates with Leadership Team to define budget and forecast assumptions to provide to Director of Accounting and Finance Team. 
  • Reviews monthly financial statement package, cash position and management’s discussion and analysis and presents to the Board of Directors at monthly meetings. 
  • Leads modeling the development and sustainability of new service lines, capital projects, and other financial operating models to achieve strategic and operational objectives.  Integrally involved in the development of sound business plans for future viability. 
  • Consults and collaborates across the organization to provide financial and staffing assumptions, impacts and financial models for strategic goals and objectives. 
  • In partnership with the Leadership Team engages the Boards, Executive and Finance Committees around issues, trends and environmental developments that pose operational or financial risks or opportunities to the organizations and our members. 
  • With the Leadership Team, develops and delivers annual Board strategic agility planning. 
  • Contributes relevant content for the Board, Executive and Finance Committees of the three companies. 
  • Oversees (is accountable for) the Finance Committee meetings of the three companies in compliance with relevant company bylaws and operating agreements. 
  • Oversees (is accountable for) the CFO work group and other ad hoc committees, including maintenance of the charters, ensuring achievement of strategic and operational goals. 
  • Oversees development of Finance policies and continually educates employees to ensure compliance. 

Human Resources and Organizational Culture 

  • Works with the Leadership Team and Human Resources Team Lead to strategically plan HR initiatives that will benefit company and encourage a culture in alignment with organizational values. 
  • Promotes a positive, inclusive, and supportive work environment. 
  • With the Human Resources Team Lead designs compensation philosophy and employee total compensation packages for approval by Leadership.  Oversees relationship with Professional Employer Organization, including selection of employee benefits. 
  • Provides leadership on hiring and dismissal of employees, following all HR policies. 
  • With the Human Resources Team Lead assesses training needs and develops learning and growth initiatives for all employees.   
  • Oversees (accountable for) development of HR policies and continually educates employees to ensure compliance. 
  • Oversees (accountable for) development of all performance review procedures (i.e. quarterly/annual) and annual employee engagement and satisfaction survey to stay abreast on company culture, ensuring it stays positive and productive. 
  • Oversees (accountable for) grievance process and ensures conflicts are resolved. 


  • Oversees administrative and office management functions as well as facilities to ensure efficient and consistent operations. 
  • Oversees vendor relationships and management of office contracts and agreements. 

Expected Values and Behaviors:  

The person in this position will be expected to model our workplace values which are:  

  • Collaborative – We are one team. Celebrate success together. Learn from failure together.  Willing to embrace change and responsive to each other. We can and should depend on each other. Share your work and ask questions. Offer to help, offer to learn, and offer solutions to problems. 
  • Accountable – We work for health centers and we work with each other.  Tell the truth, keep your word, listen, and make it better. Expect excellence from yourself and others. 
  • Respectful – Approach every interaction with thoughts of equity, inclusion, and humility. We are one organization, and we are many people. We understand our differences and are better for it. Welcome feedback of all kinds. We are all learning something. 
  • Deliberate – Always understand the problem before trying to solve it. Nothing should be done without a purpose. Unite around common goals, visions, and strategies. 
  • Proactive – We seek opportunities to learn and prepare for future challenges. Everyone is responsible, expected and empowered to prepare us for the future. Train and plan for what comes next and who comes after us. 
  • Transformative – We empower systems change with a lens of excellent healthcare, health equity and compassion. Or health centers lead the way; we will clear the way. Adapt to changing circumstances and improve through adversity. 

This position supervises the Director of Accounting, the Lead Human Resources Consultant, and the Administrative Assistant. The following leadership expectations are required:  

Model the Way 

  • Align your words, decisions and actions with the organization’s mission, vision, and values. 
  • Hold yourself to a standard that is above the organization’s minimum expectations. 
  • When you make mistakes lead by bringing it to light, taking responsibility, and making it right.  

Establish a Safe Environment 

  • Recognize your negative emotions and be proactive in communicating or modifying as the situation requires.  Do not extend your bad day onto others.  
  • Express how each team member is valuable and important to the team’s and organization’s success.  
  • Create a team environment that supports and appreciates one another.    

Set Expectations and Hold People Accountable 

  • Set and clearly communicate task and behavioral expectations. 
  • Have the tough-love conversation with any team member who is not meeting expectations. 
  • Empowering team members and holding them accountable for modeling our values and for:
  • Meeting minimum behavioral and task expectations  
  • Completing work tasks on time and doing quality work 
  • Working well with and getting along with people 
  • Finding value in others 
  • Embracing change  
  • Welcoming feedback and continuing to learn and grow 
  • Having a point of view and speaking up respectfully 
  • Listening, asking questions, and considering other points of view 
  • Finding ways to continually add value to their team, the organization, and the health centers we serve 

Grow People for Improved Performance 

  • Be faithful about having weekly 1:1’s with each member of your team. 
  • Use 1:1’s to build the relationship necessary to truly know one another, understand the employee’s professional goals, support the individual and address questions and concerns. 
  • Deliberately identify and improve the task and behavioral skill sets of your team.  Every employee reporting to you should grow and be better because of your leadership.  

Deliver Results 

  • Establish team, departmental, and/or business unit goals and a plan to meet those goals. 
  • Ensure the team operates efficiently and effectively to meet those goals and deliver results. 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Education and/or Experience: 

  • This is an extraordinary opportunity for a mature leader with ten to fifteen years of progressive accounting and finance leadership experience in a professional service, consulting or technology organization. 
  • Ideally beginning in accounting and audit, followed by experience gathering, evaluating, presenting and reporting financial information to executive teams and external stakeholders. 
  • Minimum of a BA in Accounting or Finance; CPA and/or MBA preferred.  
  • Experience successfully modeling and supporting deployment of new lines of business, service or product offerings. 
  • Solid experience coordinating audit activities and managing reporting, budget development and analysis, cash flow and all aspects of the accounting cycle.  
  • Commitment to recruiting, mentoring, training, and retaining a diverse team; the foresight and ability to delegate accordingly. 
  • Strong interpersonal and communication skills; experience in effectively communicating key data, including presentations to senior management, board or other outside partners. 
  • Ability and desire to translate complex financial concepts to individuals at all levels including finance and non-finance managers. 
  • Keen analytic, organization and problem-solving skills which allows for strategic data interpretation versus simple reporting.  
  • Technology savvy with experience selecting and overseeing software installations and managing relationships with software vendors; advanced knowledge of accounting and reporting software. 
  • Experience in a complex nonprofit that has multiple programs, preferred. 
  • Personal qualities of integrity, credibility, and unwavering commitment to Iowa Primary Care Association’s mission; a proactive, hands-on strategic thinker who will own the responsibility for finance, human resources and administration. 
  • A track record in grants management as it relates to compliance and reporting of government, corporate and foundation grants is preferred. 

Language Skills:
Ability to read and interpret documents, contracts, and operating and procedure manuals.  Ability to write reports and correspondence.  Ability to speak effectively before groups. 

Mathematical Skills: 
Ability to calculate figures and amounts such as discounts, interest, proportions, percentages, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry. 

Reasoning Ability: 
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.  Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. 

Computer Skills: 
To perform this job successfully, an individual should have knowledge of Microsoft Office programs, including spreadsheets, word processing, and databases. 

Physical Demands: 
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  While performing the duties of this job, the employee is regularly required to sit and talk or hear.  The employee is occasionally required to sit and use hands to handle or feel.  The employee must occasionally lift and/or move up to 10 pounds.  Specific vision abilities required by this job include close vision. 

Work Environment: 
The work environment characteristics described here are representative of those an employee encounter while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Professional business office work setting.   

Additional Info

  • Specialty: Iowa Primary Care Association
  • Position Type: Full Time
  • Location: Des Moines

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