Job opportunity: CFO, Last Mile Health

Founded by the survivors of Liberia’s civil war, Last Mile Health (LMH) saves lives in the world’s most remote villages. The organization specializes in the development and management of professionalized Community Health Workers whobridge the gap between the health system and remote villages, bringing critical services to the doorsteps of people living in the last mile. LMH’s programs are implemented hand-in-hand with community members, local government officials, national policy makers, and global partners to ensure sustainable impact.

Last Mile Health is a registered 501(c)3 non-profit organization with offices in Liberia, Boston and New York. For more information, visit

Chief Financial Officer 


Reporting to the Executive Managing Director, the Chief Financial Officer (CFO) is responsible for developing and monitoring LMH’s financial strategy and management of the organization’s financial resources. As a member of the Executive Team, the CFO will oversee all fiscal and fiduciary responsibilities for the organization in conjunction with the CEO, Executive Managing Director, and the Finance Committee of the Board of Directors. In addition to financial strategy, the CFO is responsible for accounting, budgeting, grants management, cash management, investments, audit, compliance, financial risk management, and financial reporting. The CFO will have direct supervisory responsibility for the Director of Finance and Director of Budgeting & Reporting.


Strategy & Leadership (30%) 

  • In partnership with the Executive Managing Director, assess organizational performance against the annual budget and LMH’s long-term strategy. Provide strategic recommendations to leadership (EMD and CEO) based on financial analysis and projections, cost identification and allocation, and revenue/expense analysis.
  • Oversee long-term budgetary planning and cost management in alignment with LMH’s strategic plan, and identify trends, opportunities, and areas for further efficiency in the organization’s operating model.
  • Communicate the organization’s financial strategy with partners, funders, auditors, and internal team members.
  • Collaborate closely with Country Directors to ensure proper alignment and integration of financial strategy, tools, and processes between the US and international offices.

Financial Management (50%) 

  • Oversee all accounts, ledgers, and reporting systems, ensuring compliance with appropriate Generally Accepted Accounting Principles, regulatory requirements, and audit requirements. Maintain internal control safeguards and coordinate all audit activities.
  • Manage cash flow and forecasting. Develop a reliable cash flow projection process and reporting mechanism that includes minimum cash threshold to meet operating needs.
  • Optimize the handling of banking relationships and initiate appropriate strategies to enhance cash positions.
  • Collaborate closely with the Chief Development Officer to ensure fully accurate view of cash flow and tracking of restricted versus unrestricted funds.
  • Oversee budgeting and the implementation of budgets so as to monitor progress and present financial metrics both internally and externally.
  • Develop and utilize forward-looking, predictive models and activity-based financial analyses to provide insight into the organization’s operations and business plans.
  • Select and manage finance consultants and vendors (i.e., audit, banks).

Team Management (20%) 

  • Establish annual objectives and targets for Finance Team, and provide regular updates to Executive Managing Director on progress.
  • Mentor and develop Finance team, managing work allocation, training, problem resolution, performance evaluation, and the building of an effective team dynamic and cross-team collaboration.


Reports directly to: Executive Managing Director

Supervisory responsibilities: Director of Finance, Director of Budgeting & Reporting

Works directly with: CEO, Board Finance Committee, Country Director, Chief Development Officer



The CFO will be a seasoned and mature leader with a minimum of six years of broad finance experience, ideally beginning in accounting followed by experience gathering and evaluating financial information and making actionable recommendations to senior leadership. The right candidate for this position should be a dynamic individual with a demonstrated ability to achieve results in a demanding and fast-paced environment. In addition, s/he should possess the following:


  •  A minimum of a BS; a CPA and/or MBA would be preferred.
  • At least 6-8 years of experience as CFO or equivalent, preferably in a nonprofit organization with a budget of at least $5 million.
  • Experience in a senior financial management role, partnering with executive staff, resulting in the development and implementation of creative financial management strategies.
  • Strong analytical skills and experience interpreting a strategic vision into an operational model.
  • Significant experience in or knowledge of nonprofit accounting, including fund and grant accounting, compliance, and reporting.
  •  An effective communicator with strong written and oral communication skills.
  •  Demonstrated leadership ability, team management, and interpersonal skills with ability to build relationships in a multicultural environment.
  • Excellent organization skills, solutions-focused, and with the ability to multi-task and deliver results in a timely manner.
  • Ability to thrive in a fast-paced and demanding environment.
  • Availability to travel to international offices (currently Liberia) (30% travel).

Apply:  Please submit a resume, letter of interest, and three professional references. Materials can be submitted through our online application platform.

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