Chief Financial Officer (CFO)


Posted: 5/15/2019

Position Type: Full-Time (Paid)

Function: Finance/Accounting

Primary domain: Healthcare

City: San Francisco

Postal code: 94110

State: California

Country: United States

Organization Information:


$3M - $10M


Mission statement:

Muso is a rapidly growing global health organization, committed to the idea that no one should die waiting for health care. We build health systems to save lives by reaching patients faster, within hours of the moment they become sick. Muso has spent more than a decade designing our Proactive Care approach, and preparing it for scale. Muso partners with governments to design, build, test, and scale proactive health care systems. Today, Muso provides health care to 350,000 people across two regions of Mali, in West Africa.


We have documented rapid health improvements across the populations we serve: a 2018 study found that communities we serve in Mali, which previously had some of the world’s highest child mortality rates, achieved and sustained child mortality rates lower than any country in sub-Saharan Africa for five years, and ultimately reached a rate on par with that of the United States.


These are outlier, extraordinary changes. But they shouldn’t be. The death of a child should be rare everywhere. To make this kind of change the new normal, Muso will grow our service over the next five years, through direct health care delivery, research to drive forward the global effort for child survival and universal health coverage, and technical assistance to governments and their partners, within and beyond Mali. We’re now partnering with the Malian government to support a national health care reform, to improve access to health care for Mali’s 18 million people. Preparations are underway to expand our service in partnership with government partners beyond Mali. Learn more about Muso’s work at

Position Details:

Job Description:

Within Muso’s small and rapidly growing team, Muso’s CFO will provide critical strategic leadership, and also roll up her/his sleeves to play a hands-on role in the organization’s financial management and development. Muso’s CFO will lead the financial, administrative, and risk management operations of the organization and strengthen the systems needed to support the organization’s rapid growth. This includes the development of a financial and operational strategy, metrics tied to that strategy, and the ongoing development and monitoring of control systems designed to steward organizational assets and report accurate financial results.


The CFO will build the financial systems to drive Muso’s growth, as the team works to deliver health care to hundreds of thousands of people who otherwise would not have access, and to change health policy and practice for millions of patients. Muso is in the process of building and strengthening a unified financial management system, as we expand our service across and eventually beyond Mali. The CFO will support this growth by improving, designing, and building a first-rate integrated, transparent, and scalable financial platform that Muso can then continue to use as we expand to other countries. Many partnerships will be key to this growth, and the CFO will play a major role supporting Muso’s development team, managing the financial aspects of these partnerships. The CFO will also ensure that new systems and processes can be integrated into day-to-day operations by generating the reports needed for informed management, governance, and compliance. Muso’s CFO will build the systems of transparency and efficiency, that enable Muso to be accountable stewards of our patients’ resources.


This position is preferably based in San Francisco, CA, though location may be flexible. The position will require at least one international trip to West Africa per year. The role reports to the CEO and will supervise the Accounting and Administration Associate as well as the Director of Finance based in Mali.


This is an extraordinary opportunity to apply finance, accounting, and nonprofit leadership skills to save lives, change policy, and build more just and equitable health care systems.



Strategy and Planning (25%)

  • Participate in guiding the organization’s future direction and supporting strategic initiatives
  • Monitor and guide the implementation of the organization’s five-year strategic plan
  • Manage the capital request and budgeting processes
  • Develop performance measures and monitoring systems that support the organization’s strategic direction. Determine and develop the financial management systems needed to support the organization’s growth
  • Offer leadership and engagement with Muso’s Board of Directors, including staffing and supporting meetings with Muso’s Board of Directors and Finance Committee 

Revenue and Cash Management (35%)

  • Support the development team by overseeing budget and financial report creation for Muso’s more than 40 current funding partners as well as potential funding partners. Ensure budgets proposed align with Muso’s values, strategy, annual operating budget, and strategic priorities
  • Build and improve systems for monitoring restricted and unrestricted portions of the budget, determining funding gaps that could be filled by different partnership opportunities, and monitoring spend-down of restricted grants
  • Monitor, oversee, and improve cash flow analyses, cash balances, and cash forecasts
  • Meet with external partners in coordination with the development team as needed 

Systems and Operations (25%)

  • Provide coaching, mentorship, and supervision to the Director of Finance as well as the Accounting and Administration Associate through weekly 1:1s and ongoing support
  • Organize and facilitate weekly finance team meetings
  • Build and improve systems for tracking spending against budget, and for tracking spending against restricted grant funding. Design and create tools to help each department track their own spending, and to support the development department to identify funding gaps to close
  • Manage and improve the organization’s transaction processing systems
  • Implement operational best practices and strengthen internal controls
  • Lead the accounting, US human resources, legal, tax, and treasury functions
  • Manage the financial operations in the US, Mali and future countries
  • Lead the annual global audit process
  • Oversee employee benefit plans, with particular emphasis on maximizing a cost-effective benefits package, in collaboration with the Department of Human Resources
  • Maintain banking relationships 

Financial Information and Risk Management (15%)

  • Oversee the issuance of financial information
  • Report financial results to the Board of Directors and the Board’s Finance and Audit Committees
  • Understand and mitigate key elements of the company's risk profile
  • Monitor all open legal issues involving the company, and legal issues affecting the industry
  • Construct and monitor reliable control systems
  • Maintain appropriate insurance coverage
  • Ensure that the organization complies with all legal and regulatory requirements, and support the development team to ensure the organization complies with all contractual funder requirements
  • Ensure that record keeping meets the requirements of auditors, government agencies, and funders
  • Report risk issues to the Finance Committee of the Board of Directors
  • Maintain relations with external auditors and investigate their findings and recommendations


Key Requirements

  • Integrity, honesty, and commitment to Muso’s core mission, vision, and values in pursuit of health care for all
  • Proven experience in financial leadership
  • In-depth knowledge of finance and accounting principles, laws, and best practices
  • Solid knowledge of financial analysis and forecasting
  • Proficient in the use of MS Office and financial management software
  • Analytical and strategic ability
  • Ability to deliver with rigor and on time, in a fast-growing, deadline-driven environment
  • Excellent organizational and leadership skills
  • Experience in partnering with an executive team
  • High level of written and oral communication skills, and outstanding interpersonal abilities
  • Able to work effectively, sensitively, and equitably across cultures, geographies, and languages
  • Preferably at least 10 years of senior financial management experience and at least 3 years of non-profit experience preferred
  • French language skill a big plus

Required Qualifications

  • Master's degree in accounting or business administration, or equivalent business or nonprofit experience
  • Preference will be given to candidates with an MBA in Finance and the Certified Public Accountant or Chartered Financial Analyst designation


Compensation will be commensurate with experience. A health insurance package will be included. This position will receive up to 20 days of vacation annually and one sick day per month based on date of hire, as well as major U.S. holidays. This role will also receive support for professional development opportunities. Muso is an equal opportunity employer.


Commensurate with Experience

Posting Expiration Date:


How to Apply:

To apply, please submit a resume and cover letter to [email protected] with Chief Financial Officer Application in the subject line. Only shortlisted candidates will be contacted. The application deadline is rolling, but interested applicants are strongly encouraged to apply as soon as possible.


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