Director Finance - Physician Practices

This is a hybrid position based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday.

Responsibilities

• Oversee accounting and financial support for multiple physician practices and anesthesia services of varying size and complexity
• Lead financial oversight of physician practices, including:
  • Practice-level profitability analysis
  • Provider productivity reporting
  • Physician compensation model support
  • Financial evaluation of new provider recruitment and service line expansion
• Perform monthly close in accordance with GAAP and SOX requirements
• Conduct monthly income statement reviews and operational trend analyses, with a focus on:
  • Provider productivity
  • Revenue cycle performance
  • Practice-level operating metrics
• Ensure integrity of the General Ledger and OneStream financial systems
• Develop and maintain practice-level dashboards and KPIs, including payer mix, case volume, expense benchmarking, and productivity metrics
• Lead physician practice budgeting, provider ramp modeling, and staffing forecasts as part of the annual budget process
• Perform financial diligence for physician practice acquisitions, including analysis of historical financials, productivity trends, revenue cycle metrics, and payer mix
• Build and maintain acquisition models and pro formas for potential partnerships or acquisitions
• Support integration planning for acquired practices in collaboration with operations, legal, and corporate development teams
• Serve as a key point of contact for internal and external auditors
• Act as a trusted financial advisor to operations leaders and physician leadership, identifying opportunities to improve financial and operational performance
• Drive continuous improvement across finance and accounting processes, with a focus on standardization, scalability, and automation
• Identify and implement best practices that can be scaled enterprise-wide

Education & Experience:

• Bachelor’s degree in Accounting (required)
• Healthcare finance experience required; physician practice or multi-site medical group experience strongly preferred
• Proven management experience leading multi-disciplinary teams
• Demonstrated success influencing operational and physician leaders through clear, actionable financial insights
• Experience analyzing physician productivity, practice performance, or provider compensation models preferred
• Experience with physician practice acquisitions, financial diligence, or healthcare transaction modeling preferred
• Experience managing up to 3 direct reports and 10 indirect reports
• Experience recruiting, onboarding, and developing finance talent

Knowledge & Skills:

• Strong working knowledge of GAAP and SOX compliance
• Proven ability to close financial statements within Day 8 or Day 9 timelines
• Experience identifying and resolving SOX control deficiencies
• Advanced data and financial systems expertise, including data warehouses and advanced Excel skills
• Preferred experience with OneStream and/or Solomon
• Ability to work effectively with JV partners and physician stakeholders
• Comfortable training, mentoring, and developing team members
• Self-starter who thrives in a fast-paced, collaborative environment
• Highly detail-oriented while maintaining a strong enterprise mindset
• Detail-Oriented: Consistently delivers accurate, high-quality work
• Leader: Inspires, mentors, and motivates teams to perform at a high level
• Strategic Thinker: Sees beyond the numbers to inform business decisions
• Change Agent: Eager to take on new challenges and drive performance improvement

Why Join Us?

• Partner closely with physician and operations leaders to shape the financial future of a growing healthcare platform
• Influence enterprise-wide strategy, acquisitions, and integration efforts
• Lead and develop talented finance professionals in a mission-driven environment
• Opportunity to make a meaningful impact on physician practice performance and patient care delivery
• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

ENVIRONMENTAL/WORKING CONDITIONS : Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please

Equal Opportunity Employer
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