Vice President of Finance

Vice President Of Finance

Clarity Clinic is an interdisciplinary group private practice of Psychiatrists, Psychiatric Advanced Practice Providers (PAs, NPs), Psychologists, and Therapists. Our mission is to thoughtfully guide the whole person on their journey to find clarity and mental wellness by providing exceptional holistic care across multiple locations and service lines, including outpatient psychiatry and therapy, PHP/IOP, TMS, esketamine, and psychological testing.

Clarity Clinic is seeking a mission-oriented, strategic finance leader to serve as Vice President of Finance in a period of rapid multi-site growth. Reporting to the CEO and partnering closely with the COO and leadership team, the VP of Finance owns the organization's financial strategy, planning, reporting, and controls. As Clarity scales, the role carries the additional expectation of building and maintaining institutional-grade financial infrastructure that supports future growth, financing, and expansion and withstands external diligence.

The VP of Finance is the senior-most finance seat at Clarity Clinic. The role reports directly to the CEO, maintains a close cross-functional (dotted-line) working relationship with the COO, and directly supervises the Director of Finance and assigned finance and accounting staff. The VP sets financial strategy and standards; the Director of Finance owns day-to-day execution of close, reporting, budgeting, controls, and cash operations under the VP's direction.

Duties/Responsibilities:

• Own the organization's financial strategy, annual budget, and rolling forecast across all entities, sites, and service lines, in partnership with the CEO and COO.
• Produce accurate, timely, institutional-grade financial reporting and analysis for leadership, ownership, and external stakeholders, including monthly reporting packages, board-quality materials, and variance analysis.
• Build and maintain clean, well-documented financial records and reporting, including adjusted EBITDA and normalized earnings (add-back) analysis, that withstand lender, audit, or investor review.
• Model and monitor the financial impact of new clinic openings and expansion, including ramp economics, site-level P&L, capital planning, and return analysis to inform go/no-go and pacing decisions.
• Manage capital structure, banking relationships, and debt, including covenant compliance, reporting, and forecasting; serve as the primary finance contact for lenders and financing partners.
• Establish and maintain internal controls, accounting policies, and audit-readiness across the organization; own the integrity of the general ledger and the monthly close.
• Partner with the revenue cycle and billing functions to reconcile financial reporting against Electronic Health Record (EHR) as the system of record, and to improve the accuracy and predictability of net revenue, cash collections, and payor performance.
• Oversee cash flow and treasury, including forecasting, working capital management, and liquidity planning.
• Oversee risk management and finance-related legal activities, including business insurance, contracts, leases, and agreements; ensure compliance with applicable laws and regulations, notably Illinois privacy and data security laws.
• Lead, develop, and grow the finance team; set standards, coach staff, and build a function that scales with the organization.

Qualifications and Minimum Requirements:

• BS/BA in Accounting, Finance, or a related field required; advanced degree (MBA/MSF) preferred. CPA strongly preferred.
• Minimum of 7 years of progressive finance leadership experience, including ownership of budgeting, forecasting, reporting, and controls in a high-growth organization.
• Healthcare finance experience required, ideally in a multi-site services setting.
• Demonstrated ability to build and operate institutional-grade financial reporting and controls, including adjusted EBITDA and add-back analysis, covenant management, and audit and diligence readiness, at the standard expected by lenders, auditors, and boards.
• Advanced Excel and financial modeling skills; experience with modern reporting and BI tools (e.g., Power BI) and integrating data from clinical/billing systems of record.
• Finance leadership within a high-growth, multi-site healthcare organization operating with external financing preferred.
• Multi-site or multi-entity healthcare finance experience, with site-level P&L ownership and consolidation, preferred.
• M&A and transaction diligence experience (buy-side or sell-side), including quality-of-earnings and add-back analysis, preferred.
• Lender and covenant management experience, including debt reporting and refinancing, preferred.

Role Competencies:

The competencies below define the standards against which performance in this role is assessed. They are grouped into technical and behavioral competencies and written in observable, measurable terms.

Technical Competencies

Competency - Observable / Measurable Standard - Assessment Point(s)

Financial Planning & Analysis - Builds and maintains the annual budget and rolling forecast across entities and sites; explains variances and drivers to leadership accurately and on schedule. - Interview; 90-day; Annual

Institutional-Grade Reporting - Produces reporting packages and board-quality materials that are accurate, timely, and structured to withstand external diligence, including adjusted EBITDA / add-back analysis. - Interview; 90-day; Annual

Controls & Close - Maintains internal controls, accounting policies, and a reliable monthly close; general ledger integrity is auditable with no material deficiencies. - 90-day; 6-month; Annual

Capital & Covenant Management - Manages debt reporting and covenant compliance; produces lender reporting on time and models the impact of financing decisions. - 90-day; 6-month; Annual

Growth & New-Site Economics - Models ramp economics and site-level P&L for expansion; provides analysis that informs go/no-go and pacing decisions. - 90-day; Annual

Revenue Cycle & Systems - Reconciles financial reporting against AdvancedMD as system of record; leverages BI tools to improve net revenue and cash forecasting accuracy. - 90-day; 6-month; Annual

Behavioral Competencies

Competency - Observable / Measurable Standard - Assessment Point(s)

Strategic Vision - Connects financial execution to broader organizational strategy; anticipates the financial implications of growth decisions and advises leadership proactively. - Interview; Annual

Communication - Communicates financial findings clearly to executive, clinical, and ownership audiences; translates numbers into decisions; handles questions with confidence. - Interview; 30-day; 90-day; Annual

Action Orientation - Operates effectively in a fast-paced, entrepreneurial environment; sets priorities, executes multiple work streams, and delivers on commitments. - 30-day; 90-day; Annual

Leadership & Team Development - Sets clear standards, coaches and develops finance staff, and builds a function that scales with the organization. - 90-day; 6-month; Annual

Integrity & Accountability - Owns the accuracy of the numbers; raises issues early; maintains confidentiality and sound judgment with sensitive financial and organizational information. - 30-day; 90-day; Annual

Competency Assessment:

Competency for this role is assessed at hire (during the interview process), at 30 days, 90 days, and 6 months of employment, and annually thereafter. The Chief Executive Officer serves as the evaluator of record, in coordination with Human Resources. Assessment methods include structured interview, direct review of work products (reporting packages, models, close output, lender/covenant reporting), and observation. Results are documented and retained in the employee's personnel record in accordance with Joint Commission standard HR.01.06.01 and Clarity Clinic policy CC_HRM_D_HRM.01.07.01.

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others and to sit and use a keyboard. The employee is frequently required to stand and walk, and must occasionally lift and/or move up to 25 pounds.

Other duties:

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions and perform related duties, as assigned by their supervisor.

Benefits:

• Medical coverage through BCBSIL with a choice of PPO, HMO, and high deductible plans, including company HSA contributions
• Dental and vision coverage