Senior Director of Finance

Job Description Job Description

Position Summary

The Senior Director of Finance is responsible for leading the financial operations of a growing gastroenterology practice with approximately twenty-five providers. This position oversees budgeting, financial reporting, revenue cycle performance, forecasting, and financial analysis while partnering with executive leadership to support strategic growth, operational excellence, and long-term financial sustainability. The Senior Director of Finance serves as a key advisor to physician leadership and department managers by providing actionable financial insights and ensuring sound fiscal management.

Key Responsibilities

Financial Leadership

Serve as financial advisor to the CEO and Executive Committee and Board.

Assist executive leadership in developing and executing the organization's financial strategy.

Prepare and present monthly financial statements, key performance indicators (KPIs), and operational dashboards.

Analyze financial performance and recommend strategies to improve profitability and operational efficiency.

Support strategic initiatives including practice growth, acquisitions, new service lines, and capital investments.

Budgeting & Forecasting

Lead the annual budgeting process.

Develop monthly and quarterly financial forecasts.

Monitor departmental performance against budget and identify opportunities for cost management.

Provide variance analysis and recommendations to leadership.

Revenue Cycle Management

Collaborate with Revenue Cycle Management to optimize: Charge capture; Coding accuracy; Claims management; Accounts receivable; Collections; Denial management; Payment Delays.

Monitor reimbursement trends across Medicare, Medicaid, and commercial payers.

Track provider productivity and compensation metrics.

Financial Reporting & Analysis

Produce timely monthly, quarterly, and annual financial reports.

Develop physician productivity and profitability reports.

Perform service line and location profitability analyses.

Monitor cash flow and working capital.

Analyze payer mix, reimbursement trends, and operating margins.

ASC & Ancillary Analytics (Pathology, Anesthesia, Infusion, Manometry etc.).

Produce Daily & Monthly Executive Dashboard to include Operational, Financial and Clinical KPIs for all departments.

Physician Compensation modeling; FMV, Buy-Ins, Incentives, RVU performance etc.

Perform ROI and Payback periods for investments, expansion projects, and acquisitions.

Accounting & Compliance

Oversee general accounting functions.

Ensure accurate month-end and year-end close processes.

Coordinate annual financial audits and tax reporting.

Maintain compliance with GAAP and healthcare financial regulations.

Assist with internal controls and risk management initiatives.

Operational Collaboration

Partner with Operations, Clinical Leadership, Human Resources, and Revenue Cycle teams.

Support business planning and operational improvement initiatives.

Provide financial education and support to department managers.

Participate in executive leadership meetings.

Leadership Responsibilities

Supervise finance and accounting personnel.

Mentor and develop finance team members.

Foster a culture of accountability, continuous improvement, and customer service.

Participate in succession planning within the finance department.

Qualifications

Education

Bachelor’s degree in finance, Accounting, Business Administration, or related field required.

MBA, MHA, CPA, or CMA preferred.

Experience

7–10 years of progressive financial leadership experience.

Minimum 3–5 years in healthcare finance required.

Experience in physician practice management strongly preferred.

Gastroenterology or multi-specialty physician practice experience preferred.

Experience with budgeting, forecasting, and financial modeling.

Knowledge & Skills

Strong understanding of physician practice operations and healthcare reimbursement.

Knowledge of Medicare, commercial insurance, and physician compensation models.

Advanced financial modeling and analytical skills.

Experience with healthcare financial software, ERP systems, and Microsoft Excel.

Ability to communicate complex financia

#J-18808-Ljbffr