Finance Director

Job Description

Job Description

Job Summary:

The Finance Director is responsible for planning, directing, and managing the financial operations of the organization. This position provides leadership for accounting, financial reporting, budgeting, forecasting, financial analysis, provider compensation, cash management, payroll administration, supply chain management, procurement, and financial planning while ensuring compliance with Generally Accepted Accounting Principles (GAAP), applicable regulatory requirements, and organizational policies.

The Finance Director is expected to operate as both a strategic leader and a hands-on contributor, balancing strategic financial planning with active involvement in the day-to-day financial operations of the organization.

The Finance Director serves as a member of the senior leadership team and partners with the Chief Executive Officer, physician shareholders and leadership, department managers, the Finance Committee and the Board of Directors to support strategic decision-making, organizational performance, and operational efficiency. The position is responsible for developing and maintaining sound financial and business practices that support the organization's mission, strategic objectives, and long-term financial sustainability.

The Finance Director facilitates the Finance Committee process, partnering with the Finance Committee Chair and physician leadership to provide timely financial reporting, analysis, and recommendations that support effective governance and oversight.

Essential Functions

Financial Leadership & Accounting

• Direct and oversee the organization's accounting and financial operations.
• Ensure the accuracy, integrity, timeliness, and usefulness of financial records, reporting, and analysis.
• Oversee monthly, quarterly, and annual financial close processes.
• Ensure compliance with Generally Accepted Accounting Principles (GAAP), internal controls, and applicable regulatory requirements.
• Develop, implement, and maintain effective financial policies, procedures, and control processes.
• Manage banking relationships, cash flow, and treasury functions.
• Coordinate annual financial audits and tax reporting in partnership with external advisors.

Financial Planning, Analysis & Decision Support

• Lead the development and administration of annual operating and capital budgets.
• Develop financial forecasts, long-range projections, and financial models to support organizational planning.
• Monitor financial performance against budget, forecast, and strategic objectives.
• Analyze financial trends, risks, and opportunities and provide actionable recommendations to executive leadership.
• Provide financial analysis to support operational decisions, resource allocation, investments, and strategic initiatives.
• Partner with leaders across the organization to evaluate financial implications of programs, staffing models, and operational changes.

Physician Compensation & Provider Financial Analytics

• Administer physician compensation methodologies consistent with organizational policies, shareholder agreements, and strategic objectives.
• Ensure accurate calculation, reporting, and communication of provider compensation, productivity incentives, and distributions.
• Analyze provider productivity, panel size, scheduling utilization, and financial performance.
• Prepare physician compensation reports and financial analyses for executive leadership, physician shareholders, Finance Committee, and Board review.
• Recommend improvements to compensation methodologies based on organizational goals, provider performance, market considerations, and financial sustainability.
• Ensure physician compensation processes are transparent, documented, consistently applied, and appropriately governed.

Healthcare Financial Operations & Revenue Analytics

• Partner with Revenue Cycle leadership to evaluate revenue cycle performance, including collections, denial trends, payer reimbursement, accounts receivable, and revenue integrity.
• Analyze the financial impact of coding, documentation, payer mix, contract terms, and operational workflows.
• Evaluate financial performance by clinic location, service line, and organizational program.
• Develop financial reports and dashboards that provide insight into organizational performance.
• Partner with clinical and operational leaders to identify opportunities to improve efficiency, financial performance, and sustainability.

Financial Systems, Reporting & Business Intelligence

• Provide strategic oversight of financial management systems and related technologies.
• Partner with Information Technology, Revenue Cycle, and operational leaders to optimize financial reporting, system integration, and data integrity.
• Develop and maintain financial dashboards, key performance indicators (KPIs), and business intelligence tools.
• Ensure accuracy, consistency, and reliability of financial and operational data used for decision-making.
• Identify opportunities to improve financial processes through automation, system enhancements, and technology solutions.
• Oversee optimization of financial software and reporting platforms, including ERP, payroll, and business intelligence systems.

Payroll, Procurement & Resource Management

• Oversee payroll administration to ensure accurate, timely, and compliant payroll processing.
• Ensure appropriate payroll controls, reconciliations, reporting, and documentation.
• Partner with Human Resources to support accurate compensation, benefits, and leave administration.
• Provide financial oversight of purchasing, procurement, and inventory management processes.
• Develop and maintain purchasing policies, procedures, and internal controls.
• Evaluate vendor performance, purchasing trends, and resource utilization to identify opportunities for cost management and operational improvement.

Leadership, Governance & Executive Support

• Supervise, mentor, and develop Finance Department personnel.
• Establish departmental goals, priorities, performance expectations, and continuous improvement initiatives.
• Develop and maintain finance policies, procedures, and workflow documentation.
• Coordinate activities with external auditors, consultants, financial institutions, and other business partners.
• Prepare and present financial reports and analyses for executive leadership, the Finance Committee, and Board of Directors.
• Facilitate Finance Committee meetings, including agenda development, preparation of financial materials, presentation of financial analyses, and follow-up on action items.
• Partner with the Finance Committee Chair and physician leadership to support effective financial governance, oversight, and strategic decision-making.
• Provide timely, accurate, and meaningful financial information to support evaluation of organizational performance, risks, opportunities, and financial strategy.
• Participate as a member of the senior leadership team in organizational planning and initiatives.
• Support strategic projects through financial analysis, planning, and evaluation.
• Perform other duties as assigned consistent with the responsibilities of the position.

Job Requirements

Location:

This role provides support across all TCC locations in SW Portland, Tualatin, and Newberg, Oregon. Travel between clinic locations may be required based on operational needs.

Education:

Minimum: Bachelor's degree in Accounting, Finance, Business Administration, or related field required.

Preferred: Advanced degree (MBA, MHA, or similar) or professional certification (CPA, CMA).

Work Experience:

Minimum:

• Ten (10) years of progressively responsible financial management experience.
• Five (5) years of experience in a senior financial leadership role with responsibility for accounting, budgeting, forecasting, financial reporting, and team leadership.
• Five (5) years of healthcare finance experience, preferably within a physician practice, ambulatory care organization, or multi-site healthcare environment.
• Experience administering, analyzing, or supporting physician/provider compensation models, productivity metrics, or incentive structures.
• Demonstrated experience managing and developing finance/accounting personnel.

Preferred:

• Experience working in a physician-owned medical group.
• Experience supporting physician governance, shareholder decision-making, and Board reporting.
• Experience implementing or optimizing ERP and financial reporting systems (e.g., Sage Intacct).
• Experience utilizing Epic reporting and healthcare analytics.
• Experience leading organizational process improvement or financial transformation initiatives.
• Experience overseeing payroll, purchasing, procurement, and inventory management functions.

Licenses & Certifications:

Preferred: Certified Public Accountant (CPA) or Certified Management Accountant (CMA).

Immunizations are a requirement for employment to help ensure a safe and healthy workplace by reducing the risk of communicable diseases. TCC requires proof of vaccination including MMR, Hepatitis B, Tdap, Varicella, Influenza, and TB Screening.

Note: The job description is intended to provide guidelines for job expectations and the team member's ability to perform the position as described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. This document does not represent a contract of employment, and TCC reserves the right to change this job description and assign tasks for the team member to perform as TCC may deem appropriate.