CFO Finance & Accounting

The Director of Finance is a strategic and operational leader responsible for overseeing the financial health, planning, reporting, and reimbursement performance of the organization. This position provides leadership for all finance and accounting functions, including budgeting, forecasting, financial reporting, cash management, revenue cycle oversight, payer reimbursement analysis, compliance, and strategic financial planning.

The Director of Finance serves as a key business partner to executive leadership, providing financial insights and recommendations that support organizational growth, operational efficiency, profitability, and long-term sustainability. The ideal candidate possesses deep healthcare finance expertise, including health insurance reimbursement models, payer contracting analysis, and revenue cycle optimization.

Financial Leadership & Strategy

Lead the organization's financial planning, budgeting, forecasting, and long-range financial strategy.

Develop and present monthly, quarterly, and annual financial reports to executive leadership.

Provide financial analysis and recommendations to support strategic business decisions.

Monitor organizational performance against financial goals and key performance indicators.

Evaluate new business opportunities, service lines, acquisitions, and expansion initiatives.

Accounting & Financial Reporting

Oversee all accounting operations, including:

General Ledger

Accounts Payable

Accounts Receivable

Payroll

Fixed Assets

Financial Reporting

Maintain compliance with Generally Accepted Accounting Principles (GAAP).

Oversee annual audits and preparation of required financial documentation.

Develop and maintain accounting policies and procedures.

Healthcare Reimbursement & Revenue Cycle Management

Lead financial oversight of healthcare reimbursement programs and payer revenue performance.

Analyze and monitor reimbursement trends from:

Commercial insurance carriers

Evaluate payer contracts and reimbursement methodologies.

Monitor denial rates, collection performance, reimbursement accuracy, and net revenue realization.

Partner with billing and revenue cycle teams to improve collections and reduce reimbursement leakage.

Develop financial models related to reimbursement forecasting and payer mix analysis.

Identify opportunities to maximize reimbursement and improve revenue cycle efficiency.

Develop financial projections and cash flow models.

Compliance, Internal Controls & Risk Management

Establish and maintain strong internal controls and financial governance.

Coordinate tax filings, audits, and financial reviews.

Manage relationships with external auditors, financial institutions, and advisors.

Assess financial risks and implement mitigation strategies.

Cash Management & Operational Finance

Oversee cash flow forecasting and working capital management.

Monitor liquidity, banking relationships, and treasury functions.

Analyze operational performance and identify opportunities for cost containment.

Recommend process improvements and automation opportunities.

Lead, mentor, and develop finance and accounting staff.

Establish performance expectations and accountability measures.

Bachelor's Degree in Accounting, Finance, Business Administration, or related field required.

Master's Degree (MBA, MHA, or related discipline) preferred.

Minimum 8–10 years of progressive finance and accounting experience.

Minimum 5 years of leadership experience managing finance and accounting teams.

Experience within physician practices, behavioral health organizations, ambulatory healthcare, or multi-site healthcare organizations strongly preferred.

Strong knowledge of GAAP and financial reporting requirements.

Demonstrated expertise in health insurance reimbursement methodologies, payer contracting, reimbursement analysis.

Knowledge of commercial insurance, and value-based reimbursement models.

Experience developing budgets, forecasts, and financial models.

Strong analytical and financial planning skills.

Advanced proficiency in Microsoft Excel and financial reporting tools.

Ability to translate complex financial data into actionable business insights.

Experience supporting mergers, acquisitions, or organizational growth initiatives.

Familiarity with healthcare compliance regulations and reimbursement audits.

Key Performance Indicators (KPIs)

Days Cash on Hand

Budget-to-Actual Performance

Revenue Cycle Performance

Days in Accounts Receivable

Net Collection Rate

Reimbursement Yield by Payer

Timeliness of Financial Reporting

Audit Findings and Compliance Metrics

Prolonged periods of sitting and computer work.

Ability to travel occasionally between office locations.