Finance Director

Current engagements

TPF’s work is funded by state services contracts, federally funded programs, cooperative purchasing agreements, and the Foundation’s own initiatives. The principal current engagement is a prime service contract with the Nebraska Department of Health and Human Services, Division of Public Health, supporting the state’s community paramedicine and regional EMS technical assistance program. Under 2 CFR Part 200 the agency has designated TPF a Contractor and not a Subrecipient. TPF also holds engagements with other state and regional clients and pursues new work each year.

This role serves all of it. Time is billed to the engagement or the TPF activity it serves, and the Scope of Work states the mix expected at the start.

About The Paramedic Foundation

The Paramedic Foundation (TPF) is a Minnesota nonprofit corporation, incorporated in 2013 and tax-exempt under Section 501(c)(3) of the Internal Revenue Code. The Paramedic Foundation advances the professionalization of paramedicine as a recognized, autonomous, and trusted health profession, and builds the capacity of emergency medical services systems to deliver high-quality, sustainable care in the communities they serve. TPF provides policy consulting, workforce development, governance design, program implementation support, and applied research to state agencies, regional EMS organizations, and federal program partners.

TPF’s work is grounded in direct clinical and operational expertise, a national professional network, and its principals’ more than two decades of engagement with federal rural health policy. TPF principals have served on the National EMS Advisory Council (NEMSAC), including as an appointed member representing data managers. They have also served on the HRSA Federal Office of Rural Health Policy Rural EMS Advisory Committee, the National Quality Forum, and the International Roundtable on Community Paramedicine. The Paramedic Network holds copyright ownership of the international Community Paramedic curriculum (5th edition). TPF’s role is custodial. The curriculum is in active use across training programs in the United States, Canada, Australia, the United Kingdom, and Ireland.

Essential duties and responsibilities

Supervisory responsibility and authority

The Finance Director leads a function rather than a staff. The role directs and reviews the accounting work TPF’s personnel perform, sets the standard that work is held to, and decides how the Foundation’s financial information is organized and presented. Each of those people holds a separate agreement with TPF, and direction of the work does not alter it. The role has no direct reports.

TPF’s accounting personnel keep the books and process transactions. TPF’s external accounting firm prepares the financial statements and the Internal Revenue Service (IRS) Form 990 returns. The Finance Director supports that preparation, explains the results to the Board, and does not issue statements or returns.

The role’s influence is advisory and substantial. Budgets, rate schedules, forecasts, and financial policy reach the Board through it, and the Board relies on its analysis. Signature authority rests with others:

TPF’s financial statements, the audit, and the tax returns are the work of the Foundation’s external accounting firm. The Finance Director supports that work and does not supplant it.

Minimum qualifications

• A bachelor’s degree in accounting, finance, business administration, or a related field, or equivalent knowledge gained through demonstrated professional experience.
• Seven or more years of progressively responsible accounting or financial management experience, including nonprofit fund accounting.
• Direct experience with the financial administration of federal awards or federally funded state contracts under 2 CFR Part 200, including allowable costs, documentation, and reporting.
• Experience preparing financial reporting for a board of directors or an equivalent governing body.
• Willingness and demonstrated ability to learn the operational context of the work, including how EMS agencies, regional organizations, and state programs are organized and funded. Clinical certification is not required.
• Clear, authoritative writing for a board and a state agency: financial narratives, board materials, and engagement documentation.
• Skill with Microsoft 365, including SharePoint, Teams, Excel, and Word, and with QuickBooks Online or a comparable nonprofit accounting system.
• Able to travel a few times a year for Board meetings, engagement meetings, and stakeholder sessions.

Preferred qualifications

None of these is required. Each one strengthens an application.

• Certified public accountant (CPA) credential (highly desired): active or inactive CPA licensure, or a comparable credential such as certified government financial manager (CGFM).
• EMS or rural health knowledge: prior work with EMS agencies, rural health programs, or the governments that fund them, or EMS certification or leadership experience.
• Financial platforms: experience with Ramp or another spend management platform, and with AI tools such as Claude applied to financial analysis under review controls.
• Treasury management: experience reconciling and reporting multiple bank and investment accounts, including fair-value measurement of investments.
• Graduate education: a master of business administration (MBA) or a master’s degree in accounting or finance is one acceptable path among several. Equivalent professional experience carries equal weight.
• Experience supporting or preparing for a Single Audit under 2 CFR Part 200, Subpart F.
• Experience with the financial administration of a state services contract funded by a federal program.
• Experience with Medicaid reimbursement, EMS billing and cost reporting, or rural health finance.

What the abbreviations mean

Each credential below is awarded by the body named. The Paramedic Foundation is not a certifying body and does not endorse any of them; the links go to each organization’s own page so an applicant can confirm current requirements at the source.

Knowledge, skills, and abilities

• Keeps records at the standard government-funded work requires, documenting each cost as it is incurred.
• Knows when to decide and when to bring a matter forward, in a structure where the Board and the officers hold final accountability and the external firm issues the statements and returns.
• Explains a financial position to people who do not work in finance, with its substance intact.
• Handles confidential financial information with discretion under TPF’s data classification standards.
• Responds promptly and raises risks early, because TPF’s clients are mostly governmental entities working to deadlines set by others.
• Works comfortably with a distributed team of practicing professionals across several time zones.
• Credibility with board members, external accountants and auditors, state agency fiscal staff, and funders.

Working conditions and physical requirements

• Setting: remote, within the United States.
• Hours: sustained availability. The load peaks around the monthly close, the monthly invoice cycle, the Board meeting calendar, and the fiscal year end.
• Travel: periodic trips for Board meetings, engagement meetings, and stakeholder sessions, by air or ground.
• Physical demands: seated computer work, phone and video calls, and long stretches of reading and preparing written material.
• Reasonable accommodation is available to enable a person with a disability to perform the essential functions of the position. If a disability makes any part of the application process inaccessible, write to [email protected] and TPF will arrange an alternative.

Terms of engagement

This position is offered as a fully remote independent contractor engagement. It is documented in TPF’s standard independent contractor agreement and one or more scopes of work that state the services, deliverables, schedule, fees, and availability. Before the engagement begins, TPF confirms from the facts of the working relationship that contractor status is correct. The term is the term the scope of work states, and it runs with TPF’s underlying contract with its client. Where that contract provides no renewal, any continuation depends on a further contract. Either party may end the engagement as the agreement provides.

TPF provides a Microsoft 365 account and access to its SharePoint, Teams, and related platforms, and all engagement work product is created and stored in TPF’s environment. Consultants answer TPF communications within one business day, treat client deadlines as binding commitments, and raise schedule risks early enough for them to be managed.

The engagement is priced at a single all-inclusive hourly rate that covers the contractor’s own taxes, insurance, equipment, workspace, licensure, and continuing education, and no part of the fee is an employee benefit. Where a time commitment matters, it is stated as availability, and the scope of work states the estimated hours. Where a monthly office expense allowance applies, it is stated and invoiced separately from the rate. Where compensation is charged to a federal award, a federal salary limitation may govern the amount charged to that source. It does not cap the fee. Travel is authorized in advance and reimbursed at actual cost for lodging, commercial transportation, rental vehicles, parking, and tolls; at the federal meals and incidentals rate for the destination or actual cost; and at the published mileage rate.

Checks before a contract is offered

Before an offer is made, TPF completes background screening covering identity, criminal record, credentials, education and employment, exclusion and sanctions, and authorization to work in the United States. The candidate is informed at each step, and engagement is conditional on satisfactory completion.

How to apply

1. Submit a letter of interest, a resume or CV, and three professional references to [email protected].
2. Use the subject line “Finance Director”. Applications will be reviewed on a rolling basis until the position is filled. Finalists may be asked to provide a writing sample demonstrating relevant work.
3. In the letter of interest, describe how artificial intelligence (AI) was used to prepare the application, and include the prompts. TPF reads that as work product. TPF uses AI in its own work, so the point is not whether a candidate used it. The point is how well they directed it, checked it, and stayed responsible for the result. An application that used no AI should say so.

Equal opportunity statement

The Paramedic Foundation is an equal opportunity organization. TPF does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law in its employment, contracting, engagement, or program activities.

Closing disclaimer

This description summarizes the general nature and level of work performed and is not an exhaustive list of all responsibilities, duties, and skills required. Engagement is contingent upon execution and continuation of the underlying agreement.