Chief Financial Officer (Atlanta)

ABOUT THE ORGANIZATIONThomas Eye Group is a physician-owned regional eye care practice with multiple clinic locations throughout greater Atlanta. The organization delivers a broad range of eye care services — from routine optometry and general ophthalmology to advanced subspecialty care in retina, cornea, glaucoma, and refractive surgery.As a closely held enterprise owned by its physician partners, Thomas Eye Group is built around clinical excellence, patient-centered care, and sustainable long-term growth. The organization places a premium on sound financial stewardship, disciplined capital allocation, and strong lender relationships.The incoming CFO will join an experienced leadership team at a meaningful point in the organization's development, with genuine opportunity to shape strategic financial planning, optimize the capital structure, and build the financial infrastructure to support continued expansion.THE OPPORTUNITYThe Chief Financial Officer is a newly created executive role, established in direct response to the organization’s growth and the increasing complexity of its financial operations. Reporting to the Chief Executive Officer, the CFO will serve as a key advisor to the leadership team and Board of Directors — the most senior financial executive in the organization and a full member of the executive team.This is a strong fit for an experienced healthcare finance leader who brings both the technical grounding of a career in finance and the judgment to serve as a trusted advisor in a physician-owned governance structure. The right person will be comfortable operating in a complex, multi-site environment and genuinely connected to the mission of a leading physician-owned practice.KEY RESPONSIBILITIESFinancial Leadership & StrategyServe as the primary financial advisor to the CEO and physician Board of Directors, providing clear, actionable analysis to support sound decision-makingLead the development of multi-year financial plans, annual operating budgets, and capital expenditure programs aligned with the organization’s growth strategyDrive financial modeling and due diligence for de novo clinic development, practice acquisitions, joint ventures, and ancillary service expansionEvaluate and optimize the organization’s capital structure, including management of existing credit facilities and assessment of additional financing optionsIdentify and communicate financial risks and opportunities with clarity and appropriate urgency to executive and board leadershipGovernance & Board RelationsPrepare and present financial reporting packages to the physician Board of Directors, including income statements, balance sheets, cash flow statements, and key performance indicatorsSupport governance best practices through the development of financial policies, internal controls, and board-level oversight frameworks suited to a physician-owned enterprisePartner with outside legal counsel and advisors on governance matters, partnership agreements, buy-in/buy-out structures, and equity transactions involving physician partnersMaintain strong relationships with banking partners, lenders, and external auditors, representing the organization with professionalism and transparencyAccounting, Controls & ComplianceOversee all accounting operations, including general ledger, accounts payable and receivable, payroll, and month-end/year-end close processes across all locationsEnsure timely and accurate preparation of financial statements in accordance with GAAP and applicable healthcare standardsManage the annual audit process and coordinate with external auditors; ensure all tax filings and regulatory reporting are completed on scheduleDesign and maintain a sound internal control environment and assess financial risks across the enterpriseEnsure compliance with applicable healthcare financial regulations, including those related to physician compensation models, Anti-Kickback and Stark Law considerations, and third-party payor contractingRevenue Cycle & Operational FinanceProvide strategic oversight of the revenue cycle, partnering with clinical and operational leadership to optimize payor contracting, billing efficiency, and collections performanceDevelop and monitor operational finance KPIs, including clinic-level contribution margins, provider productivity metrics, and cost-per-encounter benchmarksEvaluate opportunities to improve profitability through cost structure improvements, ancillary revenue streams, and service line optimizationOversee financial aspects of managed care contracting negotiations and payor mix managementBanking and FinanceManage existing credit facilities and banking relationships; ensure compliance with all financial covenantsDevelop cash flow forecasting models and liquidity management strategies to support operations and debt service obligationsProvide analysis and recommendations on capital allocation, including debt reduction, reinvestment, and physician distributionsLead periodic refinancing or credit facility restructuring processes as the organization’s financial position and growth plans warrantTeam & Systems LeadershipBuild and retain a high-performing finance and accounting team; set clear performance expectations and create meaningful development opportunitiesAssess and evolve the organization’s financial systems and technology infrastructure, including EHR-integrated financial reporting and practice management platformsPartner cross-functionally with clinical operations, human resources, IT, and legal to advance enterprise-wide initiativesCOMPENSATION & BENEFITSThomas Eye Group offers a competitive executive compensation package. Total compensation includes:Base salary competitive with market benchmarks for CFOs of comparable healthcare organizationsAnnual performance bonus tied to financial and organizational objectivesComprehensive benefits, including medical, dental, vision, and life insurance401(k) retirement plan with employer contributionPaid time off consistent with an executive-level positionQUALIFICATIONS & EXPERIENCERequiredMinimum of 20 years of progressive finance and accounting experience, with at least 3 years in a CFO or equivalent senior financial leadership roleHealthcare sector experience required; background in a multi-site physician practice, ambulatory surgery center, or comparable outpatient setting strongly preferredDemonstrated experience working with a board of directors or equivalent governing body, including preparation and presentation of financial reporting packagesExperience managing finance in a leveraged capital structure, including credit facility management and debt covenant complianceWorking knowledge of healthcare revenue cycle management, payor contracting, and healthcare-specific financial reporting requirementsStrong analytical skills combined with the ability to translate complex financial information clearly for a physician-owner audienceHigh ethical standards and a demonstrated commitment to transparency, confidentiality, and fiduciary responsibilityEducation & CredentialsBachelor’s degree in Accounting or Finance requiredCPA designation or MBA from an accredited institution a strong differentiatorCandidates holding both credentials are particularly competitivePreferredExperience in ophthalmology, optometry, or related healthcare servicesBackground in physician-owned or closely held healthcare enterprisesFamiliarity with physician compensation structures and partnership buy-in/buy-out arrangementsExperience navigating Stark Law, Anti-Kickback Statute, and healthcare compliance frameworks relevant to the finance functionPrior experience with de novo practice development, practice acquisitions, or ambulatory surgery center joint venturesLEADERSHIP COMPETENCIESStrategic acumen — ability to connect financial analysis to long-term organizational goals and the priorities of physician partnersExecutive presence — confidence and credibility in engaging physician partners, board members, lenders, and external advisorsGovernance orientation — understanding of the responsibilities and dynamics of a physician-owned governance structureOperational rigor — disciplined approach to process, controls, and financial infrastructure in a complex multi-site environmentTeam leadership — ability to attract, develop, and retain finance professionals at multiple levelsIntegrity — personal and professional conduct that reflects the highest ethical standards and the responsibilities of a fiduciary role
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