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Chief Financial Officer (CFO)

ACG Cares

Position Title: Chief Financial Officer (CFO) Reports To: Chief Executive Officer Location: Corporate Headquarters FLSA Classification: Exempt The Chief Financial Officer (CFO) is a pivotal executive role responsible for overseeing financial strategy and operations across NPS Pharmacy and its affiliates within the HARTWINN GROUP (HWG), ensuring fiscal health while fueling aggressive national expansion. Reporting directly to the CEO, this position demands a leader who can navigate the complexities of a regulated healthcare environment, drive sustainable growth, foster a culture of financial excellence in a fast-paced, innovative setting, and serve as the top strategic and financial advisor to the CEO and the HWG Board.

SUPERVISORY RESPONSIBILITY

Finance Department The department currently consists of seven team members: a controller, a director of financial analytics and data strategy, a senior analyst, an accounting manager, an accounts payable manager, an accounts receivable manager, and an analyst (to be hired). Supervisory responsibilities are subject to change based on organizational needs.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Fiscal Viability, Forecasting, Planning, Control, and Early-Warning Insight Oversee comprehensive financial operations across NPS Pharmacy and Affiliates, including budgeting, multi-year forecasting, cash flow management, and timely financial reporting to ensure fiscal health and transparency. Oversee day-to-day financial operations, including accounting, treasury, tax compliance, and internal controls, while implementing scalable systems (e.g., ERP integrations) to support multi-entity growth in a high-velocity environment. Develop and implement robust financial models, pro forma analyses, and scenario planning to anticipate risks, identify early-warning indicators, and support data-driven decisions in a high-growth, multi-entity ecosystem. Manage cash flow, capital expenditures, and investment programs, including oversight of national financial systems where applicable, to sustain explosive growth while maintaining fiscal discipline. Implement KPIs and monitoring for financial visibility (e.g., payer shifts, AWP changes, discount erosion), operational insights (e.g., staffing, throughput, ROI), and proactive risk management. Support budgeting, reforecasting, long-range planning, and quantification of financial impacts from operational, contractual, and market changes through scenario-based analysis. Improve reconciliation between pharmacy transaction data, third-party administrator data, affiliate transaction data, and financial systems to enable accurate profitability analysis and risk mitigation. Ensure financial alignment of NPS Pharmacy and Affiliates with strategic goals for national expansion and operational efficiency across the HARTWINN GROUP. Governance and Risk Management Establish and maintain scalable financial systems, processes, and internal controls tailored for explosive national expansion, leveraging technology to enhance efficiency and accuracy in a regulated pharmacy and healthcare landscape. Ensure rigorous compliance and risk management in the pharmacy and healthcare sectors, including 340B program oversight, HIPAA adherence, and proactive strategies for reimbursement pressures, labor costs, and market volatility, as related to financial policies, procedures, and controls. Ensure rigorous compliance with federal, state, and industry regulations (including 340B program requirements, HIPAA, and tax strategies), while mitigating risks through proactive governance, audits, and strategic risk management, as related to financial policies, procedures, and controls. Growth and Strategy Drive financial efforts, investor relations, and strategic partnerships to secure capital for national scaling, mergers, acquisitions, and new company launches within the HARTWINN GROUP. Collaborate closely with executive leadership, including the CEO and HWG board members, to inform overall business strategy, evaluate investment opportunities, and optimize capital allocation for revenue growth and cost efficiencies. Provide analytical insights and financial guidance on strategic initiatives, such as pharmacy and 340B optimization, expanding clinic networks, and telehealth rollouts, viewing challenges through an entrepreneurial lens to uncover innovative opportunities. Infrastructure and Efficiency Implement and refine financial infrastructure to support rapid growth, including integration of BI tools (e.g., Power BI, Tableau), ERP systems, and analytics platforms for real-time decision-making across affiliates. Optimize revenue cycle management, reimbursement strategies, and operational efficiencies in pharmacy, clinics, telehealth, and consulting services, while addressing challenges like reimbursement pressures and labor costs. People Leadership and Accountability Lead, mentor, and develop a high-performing finance team, promoting a culture of efficiency, innovation, accountability, and collaboration in an inclusive environment that values diverse perspectives. Foster cross-functional partnerships with operations, compliance, IT, communications/marketing, and healthcare teams to align financial strategies with organizational goals, ensuring agility in a startup-like atmosphere amid established foundations. Establish financial processes that reduce key-person dependency and support future team growth across affiliated HARTWINN GROUP entities.

CONFERENCES & MEETINGS

Represent NPS Pharmacy, affiliates, or the HARTWINN GROUP at local, state, regional, and national meetings, conferences, and trainings related to finance, healthcare, 340B programs, and regulatory compliance. Serve as an official representative and/or spokesperson for financial matters, where appropriate and approved in advance by the CEO.

OTHER DUTIES

This job description is not designed to cover or contain a comprehensive listing of everything that is required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. This job operates in an office setting and requires frequent times of sitting, standing, repetitive motion, and talking. Ability to lift up to 40 pounds and move from place to place. Ensures compliance with policies and procedures related to a safe workplace. Willingness to travel (up to 15%) for meetings, site visits, or expansion-related activities. For more information or to submit your resume, email View email address on click.appcast.io View email address on click.appcast.io. Cover letters are optional. ATTN: Katy Hartman, SHRM-CP, CPhT, HR Manager. No phone calls will be accepted.

PREFERRED QUALIFICATIONS

Bachelor’s degree in Finance, Accounting, Business Administration, or related field. 7+ years of experience in finance leadership roles, preferably in healthcare, pharmacy, or multi-entity growth companies within regulated sectors. Proven track record in startup or high-growth environments, demonstrating hands-on involvement in scaling operations nationally. Strong expertise in financial modeling, forecasting, budgeting, and analytics, with experience using BI tools (e.g., SQL-based environments, Power BI, Tableau). Demonstrated success in fundraising, investor relations, mergers, acquisitions, and capital allocation for expansion. In-depth knowledge of healthcare pricing strategies, 340B Drug Pricing Program, audits (internal/external), compliance, and financial program optimization. 7+ years of experience in complex financial project management. 3+ years of experience working directly with federal 340B grantees (Ryan White, STD/STI, FQHC, disproportionate share hospitals (DSH), etc.), ambulatory care clinics, etc. 3+ years of experience working with the 340B Drug Pricing Program. Strong cross-functional collaboration skills with Finance, Operations, IT, and Compliance. Excellent communication, interpersonal, organization, and negotiation skills. Strategic thinking and the ability to align strategic initiatives with organizational goals. Experience working in an ethnically, culturally, and racially diverse environment. 3+ years of experience working with companies or nonprofit organizations (e.g., HIV-serving, public health, or LGBTQ+) that provide direct care or services to clients/patients living with the Human Immunodeficiency Virus (HIV) and/or to clients/patients who identify as part of the LGBTQ+ community . Currently has or is willing to acquire foundational knowledge about key concepts and terminologies relevant to the LGBTQ+ population, including but not limited to pronoun usage, sex, sexual orientation, gender, gender identities, and intersectionality of multiple identities. REAL ID-compliant Class D driver’s license (requirement).

HIGHLY PREFERRED QUALIFICATIONS

Master’s degree, such as a Master of Business Administration (MBA), Master of Accounting (MAcc), Master of Healthcare Administration (MHA), Master of Management in Health CARE (MMHC), Master of Public Health (MPH), or a similarly related degree. CPA certification is strongly preferred. Terminal degree (e.g., PhD, DrPH, DHA, DBA, PharmD, MD, DO) is a plus. 10+ years of progressive finance leadership, including 5+ years in senior roles overseeing multi-company structures in healthcare or pharmacy. Advanced experience in healthcare finance program management, 340B program management, financial analysis in regulated settings, and leading complex projects with multiple stakeholders. Demonstrated success in driving revenue growth, cost optimization, and performance improvement in high-growth, mission-driven organizations. Additional certifications, including but not limited to FACHE, PMP, 340B ACE (Apexus Certified Expert), AAHIVE/S/P (HIV Expert/Specialist/Pharmacist). 10+ years of experience in complex financial project management. 3+ years of experience working directly with federal 340B grantees (Ryan White, STD/STI, FQHC, disproportionate share hospitals (DSH), etc.), ambulatory care clinics, etc. 5+ years of experience working with the 340B Drug Pricing Program. Advanced cross-functional collaboration skills with Finance, Operations, IT, and Compliance. 5+ years of experience working with companies or nonprofit organizations (e.g., HIV-serving, public health, or LGBTQ+) that provide direct care or services to clients/patients living with the Human Immunodeficiency Virus (HIV) and/or to clients/patients who identify as part of the LGBTQ+ community . Bilingual in Spanish

LOCATION & REPORTING

This position’s primary location is based at the NPS corporate headquarters in Brentwood, Tennessee, with a hybrid/remote option (subject to CEO approval and business needs), and may include additional work-related travel (e.g., conferences, site visits, and covered entity visits). This position will report to the CEO. Reporting structure is subject to change with organizational needs.

EQUAL OPPORTUNITY EMPLOYMENT

NPS Pharmacy is an Equal Opportunity Employer. NPS Pharmacy does not discriminate in employment opportunities or practices because of race, color, religion (creed), sex, gender, gender identity and expression, age, national origin (ancestry), disability, HIV status, marital status, sexual orientation, pregnancy, protected military status, or any other reason prohibited by law. Black, Indigenous, and People of Color (BIPOC), Lesbian, Gay, Bisexual, Transgender, Gender Non-conforming people, and all individuals of diverse backgrounds and lived experiences are encouraged to apply. NPS Pharmacy will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship. Employment decisions at NPS Pharmacy will be based on merit, qualifications, and abilities to provide all individuals equal employment and advancement opportunities. #J-18808-Ljbffr ACG Cares

Vacancy posted 3 days ago
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