Director of Practice Finance - Operations Controller

Job Description

Job Description

Bienville Orthopaedic Specialists, Mississippi’s leading orthopaedic care provider, is seeking an experienced and motivated Director of Practice Finance-Operations Controller to join our team. We are looking for a strategic, results-driven professional who is passionate about financial excellence, operational efficiency, and supporting our mission of delivering exceptional patient care. Join a team dedicated to excellence, service, and making a meaningful difference in the lives of those we serve.

  Responsibilities include, but are not limited to, the following:

• Produces and reviews monthly productivity, revenue, and overhead for physician and extenders.
• Develops ad hoc analysis, pro forma and ROI analysis, and recurring analysis to help optimize operations.
• Formally presents reports to management and board members.
• Maintains and reviews leases, contracts, and regulatory reporting.
• Assists in maintaining cost control and purchasing controls.
• Prepares detailed surgical case, physical therapy, imaging and other ancillary analysis.
• Assists in preparation of tax returns.
• Maintains general ledger, journal entries, chart of accounts and other related financial statement infrastructure.
• Reconciles cash to accrual basis.
• Facilitates efficient accurate closing on monthly accounting records/books.
• Maintains banking records, reconciles bank statements.
• Oversees administration of physician compensation formula.
• Maintains solid relationships with outside financial advisors – i.e., accounting firm and bank.
• Maintains and oversees system of internal controls and all aspects of financial and governmental compliance.
• Directs and oversees the facilitation of accounts payable.
• Generates internal financial statements monthly, and facilitates financial reviews with department heads.
• Assists in optimizing performance of billing, receivables, and collection functions.
• Develops the annual budget and monitors the monthly financial results to ensure budget is adhered to.
• Manages all internal requests for special bonuses when needed.
• Position is onsite-full time, some weekend and evening work required as needed.

Qualifications

Skills and Abilities:

• Extremely strong Excel skills required.
• Must be able to communicate effectively in a very professional, courteous and respectful manner.
• Must have strong interpersonal skills.
• Word processing/administrative skills, including written and verbal communication.
• Ability to exercise initiative, problem-solving, and decision making. Must perform all job duties in an accurate, professional and expedient manner.
• Experience managing and maximizing the profitability of a medical practice with multiple service lines (clinic, surgery, MRI, PT, etc.).
• Comfortable performing quantitative and analytical duties.
• Ability to handle many projects at one time.
• Excellent presentation skills
• Comfortable presenting complex financial data to a broad audience

Educational & Experience Requirements:

• Bachelor’s degree in Accounting, Economics, or related field preferred.
• Graduate degree preferred, though significant related experience may be substituted for graduate degree.
• Five to eight years’ management experience in healthcare accounting and high-level Excel skills required.

Typical Physical Demands & Working Conditions:

• Fast paced, deadline driven. Working in an office environment.
• Occasional evening or weekend work.

Work Environment and Schedule  

This is a full-time, onsite position within a fast-paced, collaborative medical practice environment. The role requires the ability to manage time-sensitive financial responsibilities, meet reporting deadlines, and adapt to evolving organizational priorities.

Occasional evening or weekend work may be required to support financial reporting deadlines, leadership meetings, or other business needs.

Why Join Bienville Orthopaedic Specialists?

At Bienville Orthopaedic Specialists, we are committed to excellence in both patient care and our workplace culture. Since 1981, we have proudly served our community by providing comprehensive orthopaedic care across five clinic locations, including two urgent care facilities, along with advanced surgical, imaging, and rehabilitation services.

We foster a collaborative, supportive environment built on integrity, accountability, and continuous improvement. Joining our team means becoming part of an established, respected healthcare organization where your contributions make a meaningful impact on our financial strength, operational success, and ability to deliver exceptional patient care.

Be part of a team committed to exceptional care, operational excellence, and the continued success of Bienville Orthopaedic Specialists.