Find Your Purpose in FQHC Executive Leadership
Connect with mission-driven healthcare leadership opportunities at Community Health Centers and FQHCs nationwide
Leadership Roles That Make a Difference
Are you a healthcare executive seeking more than just a position? You're looking for purpose. FQHC executive jobs offer the unique opportunity to lead organizations that transform communities, serving those who need healthcare most.
Community Health Centers and Federally Qualified Health Centers provide essential care to underserved populations, and they need experienced leaders like you to guide their mission forward. Whether you're a seasoned CEO looking for your next challenge, a CFO passionate about healthcare finance, or a Controller ready to step into leadership at an organization making real impact, these roles combine professional excellence with meaningful community service.
At Community Link Consulting, we've spent over 25 years building relationships with FQHCs and Community Health Centers nationwide. Our specialized recruitment services connect exceptional healthcare leaders with organizations where they can truly thrive. We understand what makes these roles unique, and we know how to match your skills and aspirations with the right opportunity.
Current FQHC Positions
-
Staff Accountant
Organization: La Familia Health
Location: Santa Fe, New Mexico
Salary Range: $51,000 - $65,000
Join a cornerstone of Santa Fe healthcare serving the community since 1972. La Familia Health operates four state-of-the-art locations providing comprehensive medical, dental, and behavioral health services to over 15,000 individuals annually. Support the finance team in delivering high-quality accounting and grant management for this mission-driven FQHC.
Key Highlights:
Full-cycle accounting support including daily cash receipts, general ledger, and month-end/year-end close
Grant accounting and compliance management, including invoicing, reporting, and reconciliation
Collaborative role partnering with the Development team on grant tracking and financial reporting
Generous benefits including four weeks of annual leave, comprehensive insurance, and a 403(b) retirement plan
-
Chief Financial Officer
Organization: Horizon Health
Location: Howard, South Dakota
Salary Range: $150,000 – $170,000
Join a mission-driven FQHC serving rural communities across South Dakota with integrated medical, dental, and behavioral health services. As CFO, you will serve as a key executive advisor to the CEO and Board, leading financial strategy and ensuring the long-term sustainability of an organization committed to keeping communities well—regardless of patients’ ability to pay.
Key Highlights:
Executive financial leadership with direct partnership alongside the CEO and Board of Directors
Oversight of all financial operations including accounting, payroll, billing, revenue cycle, and grants compliance
Strategic role in budgeting, forecasting, and identifying new revenue and growth opportunities
Open to in-person, hybrid, or remote work arrangements with travel to clinic locations as needed
Comprehensive benefits including medical, dental, vision, 401(k) with employer match, and paid time off
-
Controller
Organization: La Familia Health
Location: Santa Fe, New Mexico
Salary Range: $80,000 - $95,000
La Familia Health has been a cornerstone of healthcare in Santa Fe since 1972, providing comprehensive medical, dental, behavioral health, and support services to over 15,000 individuals annually — regardless of income or insurance status. Operating four state-of-the-art locations, this mission-driven FQHC is committed to helping every patient lead a healthy, productive life through personalized and compassionate care.
Key Highlights:
Financial leadership role reporting to the CFO, overseeing accounting staff and ensuring compliance with GAAP, grant requirements, and FQHC regulatory standards
Strategic involvement in budget development, financial reporting, audit coordination, and support for the Medicare Cost Report and IRS Form 990
Collaborative work environment partnering with department leaders on operational and strategic planning across clinic sites
Generous benefits including four weeks annual leave, continuing education support, comprehensive medical/dental/vision insurance, and a 403(b) retirement plan
-
Chief Financial Officer
Organization: Tillamook County Community Health Center
Location: Tillamook, Oregon
Salary Range: $94,884 - $129,864
Lead financial operations for an integrated community health system serving Tillamook County across Primary Care, Behavioral Health, Dental, Public Health, and Environmental Health services. This high-impact executive role partners closely with the HHS Administrator and leadership team to drive financial sustainability, funding strategy, and long-term growth — all while enjoying coastal living and a strong sense of community.
Key Highlights:
Strategic financial leadership across a multi-program health and human services department, including budgeting, forecasting, and alignment with community health priorities
Oversight of grants, contracts, revenue cycle operations, and compliance with GAAP, GASB, and HRSA guidelines
Collaborative executive role presenting financial performance to leadership, the Health Council, and Board stakeholders
Comprehensive benefits including medical/dental/vision coverage, employer-paid life insurance, PERS retirement, and 12 paid holidays plus vacation and sick time
Why Healthcare Leaders Choose FQHC Executive Positions
-
Lead with Mission and Purpose
FQHC leadership roles allow you to guide organizations serving underserved and vulnerable populations, including low-income individuals, the uninsured, and those in rural or medically underserved areas. Your leadership directly translates to increased healthcare access and improved community health outcomes.
-
Build Integrated, Collaborative Teams
FQHCs emphasize holistic, team-based care that integrates medical, dental, behavioral health, and social services. As a leader, you'll foster collaborative environments where providers work together to address the whole person, creating innovative care models that truly work.
-
Competitive Compensation and Loan Forgiveness
Many FQHC executive positions qualify for federal loan repayment programs including National Health Service Corps (NHSC) and Public Service Loan Forgiveness (PSLF). Combined with competitive executive compensation packages, these financial benefits can significantly reduce student loan burdens while rewarding your leadership expertise.
-
Professional Growth and Strategic Leadership Opportunities
FQHCs operate within complex funding environments including federal grants, Medicaid/Medicare reimbursement, and diverse revenue streams. FQHC executives develop sophisticated skills navigating policy changes, diversifying funding sources, and building organizational resilience. These challenges create versatile, highly valued leadership expertise applicable throughout healthcare.
-
Deep Community Connection
FQHC leaders build lasting relationships within the communities they serve, creating a profound sense of belonging and cultural understanding. Your leadership shapes not just an organization, but the health and vitality of entire communities for generations.
-
Diverse Clinical and Operational Experience
Leading an FQHC means overseeing diverse service lines and patient populations, from primary care to dental to behavioral health. This broad scope develops versatile leadership skills and comprehensive healthcare management expertise that's invaluable throughout your career.
-
Sustainable Work-Life Integration
Many FQHC leadership positions offer reasonable schedules and supportive organizational cultures that value work-life balance. Unlike high-pressure hospital systems or demanding private practices, FQHC leadership often provides the flexibility to lead effectively while maintaining personal wellbeing.
-
Measurable Impact on Health Equity
Every leadership decision you make, from strategic planning to operational improvements to financial management, directly advances health equity. FQHC executive jobs put you at the forefront of addressing healthcare disparities and creating systemic change in communities that need it most.
Join Our FQHC Talent Network
The best FQHC leadership opportunities often don't make it to public job boards. By joining our executive and leadership talent network, you'll receive early access to unadvertised positions at Community Health Centers and FQHCs nationwide.
Community Link Consulting has built relationships with hundreds of health centers throughout our 25-year history of FQHC consulting. These established connections, combined with our recruitment services, position us uniquely to match exceptional healthcare leaders with organizations seeking their expertise. We'll get to know your unique skills, career aspirations, and ideal role, then connect you with opportunities that truly align.
What to expect when you join:
Early notification of FQHC executive openings before public posting
Personalized matching based on your experience and preferences
Industry insights on compensation trends and leadership opportunities
Confidential career guidance from healthcare recruitment specialists
No obligation—we only reach out with relevant opportunities
Whether you're actively searching or exploring future possibilities, we'd be honored to include you in our network of healthcare leaders committed to community health.
FQHC Leadership Positions We Recruit For
-
Chief Executive Officer / Executive Director
Lead the strategic vision and overall operations of Community Health Centers serving thousands of patients. CEO and Executive Director roles require proven leadership in healthcare management, financial sustainability, and mission-driven organizational growth.
Typical Qualifications:
7+ years healthcare leadership experience
Track record of organizational development and strategic planning
Financial management expertise
Strong community engagement and partnership building
Master's degree in Healthcare Administration, Business, or related field preferred
-
Chief Financial Officer
Oversee all financial operations, grant management, and fiscal sustainability for FQHCs navigating complex funding streams including federal grants, Medicaid, Medicare, and private insurance. CFO positions require specialized knowledge of FQHC financial models and regulatory compliance.
Typical Qualifications:
5+ years healthcare finance leadership
Experience with FQHC/CHC financial management or similar complex funding models
Expertise in Medicare/Medicaid cost reporting and grant compliance
CPA or MBA preferred
Strong analytical and strategic financial planning skills
-
Controller / Finance Director / Senior Level Accounting
Manage financial operations, accounting systems, and reporting requirements essential to FQHC compliance and sustainability. These positions range from senior-level accounting roles handling grant accounting and financial reporting to finance directors bridging operational finance and strategic leadership.
Typical Qualifications:
2-5+ years healthcare accounting or finance management experience
Knowledge of fund accounting and grant financial management
Experience with financial reporting and regulatory compliance
CPA or relevant certification preferred
Proficiency with healthcare financial systems and EHR platforms
Why Work with Community Link Consulting
Since 1999, Community Link Consulting has been the trusted partner for FQHCs and Community Health Centers nationwide. Having worked with hundreds of health centers throughout our history, our recruitment services focus exclusively on healthcare leadership positions in mission-driven organizations. This combination of deep FQHC expertise and specialized recruitment focus makes us uniquely qualified to match exceptional leaders with meaningful opportunities.
Unlike general healthcare recruiters, we specialize in the FQHC and community health space. We understand the unique challenges these organizations face, the special qualities that make leaders successful in this environment, and the distinct rewards of FQHC executive work. Our long-standing relationships with health centers across the country give us insight into organizational cultures, leadership needs, and opportunities before they're publicly announced.
Our commitment to candidates:
Confidential career guidance tailored to healthcare leadership
Deep organizational insight beyond the job description
Holistic evaluation that looks beyond years of experience to assess the full range of skills that create successful FQHC leaders
Transparent communication throughout the placement process
Long-term relationship building where your career success is our success
Mission alignment because we only work with organizations we'd be proud to join ourselves
We typically recruit for senior-level positions including CEOs, CFOs, Controllers, COOs, and other leadership roles. Our evaluation approach considers the complete picture of what makes leaders thrive in community health settings, recognizing that success comes from balanced strengths across multiple dimensions. If you're a healthcare leader seeking purpose-driven work that makes a measurable difference, we'd love to connect.
The Balanced Leader: What Makes FQHC Executives Thrive
After supporting hundreds of health centers over 25 years, we've identified a framework for evaluating healthcare leadership that goes far beyond credentials and years of experience. We call it the "six-legged stool," a model that recognizes successful FQHC leaders need balanced strengths across multiple dimensions. While we originally developed this for CFO recruitment, the principles apply across all executive roles.
-
The ability to translate complex information into language that drives understanding and alignment is essential. FQHC leaders must communicate effectively with their teams, the CEO and board, community partners, and across departments. Technical expertise means little without the ability to share insights that move the organization forward.
-
FQHCs operate in environments of competing priorities, shifting regulations, and constant deadlines. Successful leaders maintain discipline to focus on what matters most, ensuring critical initiatives don't get lost in daily demands. This ability to prioritize and execute separates good leaders from great ones.
-
Effective FQHC executives rise above day-to-day operations to provide forward-looking insight. Where is the organization now? Where is it going? How can leadership decisions support long-term sustainability? The ability to analyze trends, frame options, and guide strategic decision-making makes leaders true partners to the organization.
-
While vision is essential, FQHC leaders must also understand the technical details of their domains. Whether it's accounting theory for CFOs, healthcare operations for COOs, or compliance requirements for all executives, deep technical knowledge ensures credibility and sound decision-making.
-
FQHC leadership demands more than standard business hours. From extensive compliance requirements to complex operational challenges, success requires dedication, stamina, and willingness to lean in when the work gets demanding. The mission-driven nature of the work makes this commitment deeply rewarding.
-
Industry knowledge helps. Familiarity with healthcare terminology, regulatory deadlines, and FQHC-specific systems makes the learning curve shorter and decision-making faster. But while this experience is valuable, it's just one dimension of successful leadership, not the whole picture. We've seen exceptional leaders transition from other healthcare settings and thrive.
-
The key to successful FQHC leadership isn't excelling in just one or two areas. It's the balance across all dimensions. When evaluating opportunities or developing your leadership skills, consider how you can strengthen each leg of your own stool. Organizations seeking the right leader should look beyond single credentials to assess the complete picture of balanced leadership strengths.
Frequently Asked Questions About FQHC Careers
-
FQHC leadership positions combine traditional healthcare executive responsibilities with mission-driven community service. You'll lead organizations serving vulnerable populations while managing complex federal funding, regulatory compliance, and integrated care models. These roles offer unique professional fulfillment through measurable community impact, stable federal funding, and the opportunity to advance health equity. The work requires both strong business acumen and deep commitment to the safety-net healthcare mission.
-
Yes, many FQHC leadership positions qualify for federal loan forgiveness programs including Public Service Loan Forgiveness (PSLF) for eligible federal student loans. As nonprofit 501(c)(3) organizations, FQHCs are qualifying employers under PSLF requirements. Some clinical executive positions may also qualify for National Health Service Corps (NHSC) loan repayment programs. We recommend discussing specific eligibility with each organization during the interview process and confirming with your loan servicer.
-
Requirements vary by position and organization size. CEO/Executive Director roles typically require 7+ years of healthcare leadership experience with demonstrated success in organizational strategy, financial management, and community engagement. CFO positions generally require 5+ years of healthcare finance leadership with understanding of complex funding models. Controller and Senior Accountants roles typically need 3-5 years of healthcare accounting or finance management. Prior FQHC or community health experience is beneficial but not always required—many successful leaders transition from other healthcare settings bringing valuable perspectives and skills.
-
When you join our talent network or apply for a specific position, we'll conduct an initial conversation to understand your background, skills, and experiences. Our screening process includes structured interviews focused on leadership experience, strategic thinking, regulatory knowledge, and mission alignment. We administer comprehensive skills assessments to evaluate candidates' proficiency in Executive Leadership, Financial Management, and other role-specific competencies critical for healthcare environments. Following that, candidates go through interviews, assessments, and reference checks. Our goal is to ensure both you and the organization find the right long-term fit, so we maintain transparent communication and realistic expectations at every stage.
-
Compensation varies based on organization size, geographic location, position level, and candidate experience. Most positions include comprehensive benefits packages. We provide detailed compensation information for specific opportunities and can offer guidance on market rates for your experience level and preferred locations.
Ready to Lead with Purpose?
Join the healthcare leaders transforming communities through FQHC executive leadership. Whether you're exploring your next career move or actively seeking a mission-driven role, Community Link Consulting can connect you with opportunities where your expertise creates lasting impact.
Community Link Consulting is an equal opportunity employer committed to diversity, equity, and inclusion in healthcare leadership. We encourage applications from candidates of all backgrounds who share our commitment to community health and health equity.