California & Washington | Mostly Remote
Salary Range: $120,000 – $145,000 (DOE)

Mysti’s Adult & Family Services is seeking a senior leader to oversee medically based programs across California and Washington. This role leads Program Directors and multidisciplinary medical teams, ensures compliance, and protects service quality in trauma-informed, harm-reduction models.

This is not a Medical Director role, but strong clinical leadership experience is required.

What You’ll Do
   •    Lead Program Directors and oversee medically based service delivery across two states
   •    Ensure programs are trauma-informed, harm-reduction focused, and grounded in individualized care planning
   •    Oversee program compliance with Medicaid, state, and contractual requirements
   •    Partner with Compliance, QA, and Medical Directors (no direct medical care)
   •    Operate in a mostly remote, multi-state environment with periodic travel

What We’re Looking For (Non-Negotiable)
   •    8+ years leading medically based programs with direct client care experience
   •    Deep experience with trauma-informed care, harm reduction, and care coordination
   •    Proven leadership of Program Directors and medical/clinical staff
   •    Clinical license required
   •    Nurse Practitioner (strongly preferred)
   •    RN or LCSW with significant medical program leadership considered
   •    Comfortable working remotely and leading through systems and technology

Why Mysti’s
   •    Senior leadership role with real authority and impact
   •    Medically driven programs serving high-acuity populations
   •    Mostly remote with intentional, mission-centered leadership

Salary: $120,000 – $145,000 annually (DOE)
Location: Remote (West Coast preferred) | Travel required

Position Overview

 

The Director of Finance oversees financial operations across two state-based healthcare entities (California and Washington). This role is responsible for financial oversight, budgeting, reporting, cash flow management, and compliance support, while maintaining clear separation of entity-level financials.

 

This is a hands-on, director-level role ideal for a finance professional who can manage day-to-day financial operations today and grow into a more strategic leadership role as the organization scales.

 

The Director of Finance supports approximately $4M+ in combined annual revenue, including government contracts and grant funding, and works closely with executive leadership to stabilize and strengthen financial systems.

 

This position reports directly to the Chief Executive Officer.

 

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Key Responsibilities

 

Financial Operations & Oversight

• Oversee day-to-day financial operations for both CA and WA entities

• Ensure accurate, timely bookkeeping and reconciliations (in coordination with accounting support)

• Maintain separate books and financial records for each legal entity

• Monitor cash flow, burn rate, and financial health of each entity

 

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Budgeting & Forecasting

• Develop and manage entity-specific annual budgets

• Prepare cash flow forecasts and financial projections

• Support financial planning related to program changes, restructuring, and growth

• Track actuals vs. budget and identify risks or variances

 

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Grants, Contracts & Lending Support

• Support financial compliance for:

• Government contracts

• Grant-funded programs

• Lender reporting (e.g., PCR Business Finance)

• Track restricted vs. unrestricted funds

• Assist with grant reporting and financial documentation

• Prepare financial narratives and schedules for lenders, auditors, and funders

 

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Compliance & Controls

• Ensure financial practices comply with:

• GAAP (as applicable)

• State and federal funding requirements

• Internal controls and segregation of duties

• Support audits, reviews, and financial due diligence

• Establish clear approval and documentation processes

 

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Systems & Process Improvement

• Oversee accounting systems (e.g., QuickBooks or equivalent)

• Improve financial workflows to reduce errors and inefficiencies

• Reduce reliance on manual tracking and spreadsheets where possible

• Partner with HR and leadership on payroll, benefits, and staffing cost controls

 

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Leadership & Advisory Role

• Serve as a financial advisor to the CEO and leadership team

• Translate financial data into clear, actionable insights

• Support decision-making related to staffing, programs, and expansion

• Help build scalable finance processes for future growth

 

⸻

 

Reporting Structure

• Reports to: Chief Executive Officer

• Works closely with:

• Director of Human Resources

 

⸻

 

Required Qualifications

• 5–8+ years of progressive finance or accounting experience

• Experience managing multi-entity financials

• Strong budgeting and cash flow management skills

• Experience with grants, contracts, or government-funded programs

• Working knowledge of GAAP and internal controls

• High attention to detail and accuracy

• Ability to work independently in a remote environment

 

⸻

 

Preferred Qualifications

• Healthcare, social services, or regulated industry experience

• Experience supporting organizations with $3M–$10M in annual revenue

• CPA, CMA, or MBA (preferred but not required)

• Experience preparing financials for lenders or audits

 

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Location

• Remote (United States)

• Must support Pacific Time business hours

 

⸻

 

Compensation

 

$95,000 – $130,000 base salary, depending on experience

 

• Benefits package

 

 

Qualifications

 

• Leadership and team management skills, with experience in supervising and mentoring staff

• Strong strategic planning and decision-making abilities

• Proficiency in budget management and financial planning

• Excellent verbal and written communication skills for stakeholder engagement

• Experience with regulatory compliance and organizational policies

• Ability to foster relationships and collaborate with diverse teams

• Proven problem-solving and conflict resolution skills

• Bachelor’s degree in Business Administration, Management, or related field (Master's preferred)

• Previous experience in a director-level or similar role, particularly in the adult and family services sector

​As we step into the new year, we’re looking for a Regional Director of Programs & Compliance (Remote) to help lead and strengthen services that change lives and support communities across Washington and California.

This role is for someone who believes that strong programs + strong compliance = real impact. If you’re ready to bring fresh ideas, support trauma-informed teams, and ensure services are delivered with integrity, accountability, and heart—this may be your next chapter.

🌱 Why This Role Matters

Our teams support individuals and families navigating housing instability, crisis response, and complex life transitions. The Programs & Compliance Director plays a critical role in ensuring those services are high-quality, contract-compliant, and ethically delivered, while supporting staff to succeed in demanding, meaningful work.

You’ll partner closely with executive leadership to strengthen programs, protect funding, and build systems that last.

💼 What You’ll Be Doing
   •    Overseeing programs across both entities (WA & CA)
   •    Ensuring compliance with contracts, policies, and state regulations
   •    Supporting trauma-informed service delivery and staff accountability
   •    Monitoring documentation, performance, and quality assurance
   •    Leading program improvement, audits, and corrective action plans
   •    Supporting managers with program oversight and compliance guidance

🎯 Who Thrives Here
   •    Leaders with 5+ years in program management, compliance, or regulated services
   •    Experience in housing, social services, healthcare, or government-funded programs
   •    Strong understanding of audits, contracts, and regulatory requirements
   •    Collaborative, detail-driven, and mission-oriented professionals
   •    People who balance structure, compassion, and accountability

💰 Compensation

$95,000 – $130,000 annually
(Full-time, exempt | Remote | U.S.-based)

📍 Supports programs across Washington & California
🕒 Pacific Time preferred

👉 How to Apply
Please apply directly through Indeed.
Applications submitted via LinkedIn messages will not be reviewed.

⸻

🌟 Start the year doing work that truly matters.
If you’re ready to strengthen programs, protect services, and support teams doing life-changing work, we’d love to hear from you.

California & Washington | Mostly Remote
Salary Range: $120,000 – $145,000 (DOE)

Mysti’s Adult & Family Services is seeking a senior leader to oversee medically based programs across California and Washington. This role leads Program Directors and multidisciplinary medical teams, ensures compliance, and protects service quality in trauma-informed, harm-reduction models.

This is not a Medical Director role, but strong clinical leadership experience is required.

What You’ll Do
   •    Lead Program Directors and oversee medically based service delivery across two states
   •    Ensure programs are trauma-informed, harm-reduction focused, and grounded in individualized care planning
   •    Oversee program compliance with Medicaid, state, and contractual requirements
   •    Partner with Compliance, QA, and Medical Directors (no direct medical care)
   •    Operate in a mostly remote, multi-state environment with periodic travel

What We’re Looking For (Non-Negotiable)
   •    8+ years leading medically based programs with direct client care experience
   •    Deep experience with trauma-informed care, harm reduction, and care coordination
   •    Proven leadership of Program Directors and medical/clinical staff
   •    Clinical license required
   •    Nurse Practitioner (strongly preferred)
   •    RN or LCSW with significant medical program leadership considered
   •    Comfortable working remotely and leading through systems and technology

Why Mysti’s
   •    Senior leadership role with real authority and impact
   •    Medically driven programs serving high-acuity populations
   •    Mostly remote with intentional, mission-centered leadership

Salary: $120,000 – $145,000 annually (DOE)
Location: Remote (West Coast preferred) | Travel required

California & Washington | Mostly Remote
Salary Range: $120,000 – $145,000 (DOE)

Mysti’s Adult & Family Services is seeking a senior leader to oversee medically based programs across California and Washington. This role leads Program Directors and multidisciplinary medical teams, ensures compliance, and protects service quality in trauma-informed, harm-reduction models.

This is not a Medical Director role, but strong clinical leadership experience is required.

What You’ll Do
   •    Lead Program Directors and oversee medically based service delivery across two states
   •    Ensure programs are trauma-informed, harm-reduction focused, and grounded in individualized care planning
   •    Oversee program compliance with Medicaid, state, and contractual requirements
   •    Partner with Compliance, QA, and Medical Directors (no direct medical care)
   •    Operate in a mostly remote, multi-state environment with periodic travel

What We’re Looking For (Non-Negotiable)
   •    8+ years leading medically based programs with direct client care experience
   •    Deep experience with trauma-informed care, harm reduction, and care coordination
   •    Proven leadership of Program Directors and medical/clinical staff
   •    Clinical license required
   •    Nurse Practitioner (strongly preferred)
   •    RN or LCSW with significant medical program leadership considered
   •    Comfortable working remotely and leading through systems and technology

Why Mysti’s
   •    Senior leadership role with real authority and impact
   •    Medically driven programs serving high-acuity populations
   •    Mostly remote with intentional, mission-centered leadership

Salary: $120,000 – $145,000 annually (DOE)
Location: Remote (West Coast preferred) | Travel required