Financial Controller (ABA Healthcare)

Join a Top Workplace in Specialized Therapy Enhance your clinical career with AB Spectrum, a team proudly named a Top Workplace by the St. Louis Post-Dispatch. We earned this recognition, which is based entirely on employee feedback, because we foster a culture where people feel valued, supported, and inspired to grow. AB Spectrum provides specialized ReggioABA™ (Applied Behavior Analysis) therapy for young children (ages 1-6). Our foundation is ABA, an evidence-based therapy focused on developing communication, social, and adaptive living skills. Our Model: Our centers utilize a unique Therapy Through Play model. We embrace the principles of Reggio Emilia by devising a Natural Environment Teaching (NET), child‑led learning environment to deliver individualized, high‑quality early intervention services in settings that replicate a natural preschool. Our Team: Join our collaborative team of BCBAs, RBTs, SLPs, and Administration. You'll benefit from cross‑disciplinary collaboration and unique special visits, including music facilitators, pet interactions, and other partnerships. Financial Controller (ABA Healthcare) Location: St. Louis, MO Compensation: $80k – $100k + 20% Bonus Potential About the Role As our Financial Controller , you are the vital link between our clinical excellence and our organization's financial health. You don’t just report on the numbers; you own the full financial performance and strategic clarity of the organization. In this role, you will have ultimate ownership over our profitability, revenue accuracy, and budget performance. By partnering closely with our CEO, Clinical Leadership, and Operations teams, you will ensure our growth is sustainable, intentional, and backed by high‑level financial decision‑making. Your mission is to provide the “cash clarity” and data‑driven insights needed to scale our impact with confidence. Key Responsibilities Own company‑wide and clinic‑level P&Ls Provide real‑time visibility into revenue, expenses, and profitability Identify risks, inefficiencies, and opportunities across clinics 2. ABA Revenue & BCBA Performance Alignment Track and analyze BCBA billable hours vs. expectations Partner with CCO + Clinical Leadership to align clinical expectations with financial targets and ensure billing practices support both compliance and profitability Flag underperformance early and provide solutions 3. RCM & Collections Oversight Partner with RCM VP to ensure accurate billing and clean claims Reduce AR aging Identify and resolve revenue leakage, delays in billing or collections, and payer‑specific issues 4. Budgeting, Forecasting & Growth Planning Own department and clinic‑level budgeting and reallocate resources (“move money”) to ensure budgets work in real time Build budgets tied to staffing (BCBAs, RBTs), client demand and authorizations, clinic expansion plans Work with COO + Operations on supply vs. demand planning and hiring timelines tied to revenue 5. Cash Flow & Owner‑Level Financial Clarity Manage and forecast cash flow with visibility into insurance payment cycles, payroll and major expenses Create clear views of owner expenses and adjustments Provide clarity on cash available for expansion, raises and incentives, capital projects Ensure financials are aligned for banking, lending, and investments 6. Expense Management & Cost Control Labor (BCBA/RBT), facilities and maintenance, admin and overhead Partner with leadership to set cost targets, improve margins, reduce inefficiencies without impacting care 7. Systems, Reporting & Visibility Build dashboards (Lightdash or similar) showing revenue (billed vs. collected), clinic performance, cash flow Ensure leadership has simple, real‑time financial visibility and improve speed and accuracy of reporting 8. Cross‑Functional Leadership With CCO (Clinical) : align billable expectations, caseloads, and clinical quality With COO (Operations) : align staffing, scheduling, and clinic performance With RCM : ensure revenue integrity and collections With HR/People Ops : support compensation and workforce planning Drive financial recommendations and decision‑making, with final approval by ownership Ensure budgets are not only created but actively managed and adjusted in real time Provide leadership with clear financial direction for decision‑making Design and model bonus and incentive structures , provide visibility into what is financially feasible for incentives, align incentives with profitability, clinical and operational outcomes, and help leaders understand their financial impact and opportunities 11. Compliance & Risk Ensure alignment with healthcare billing standards and insurance compliance Top Requirements Education: Bachelor’s Degree in Accounting or Finance. Certification: CPA (Highly Preferred). Experience: 5+ years of progressive accounting/finance experience preferred. Healthcare experience (specifically ABA or multi‑site clinics) is a massive plus. Skillset: Comfortable with RCM (Revenue Cycle Management) and building data dashboards The pay range for this role is: 80,000 - 100,000 USD per year (St. Louis, MO) #J-18808-Ljbffr