Finance Manager

AMOpportunities is looking for a Finance Manager to own the reporting, controls, and financial operations that carry our finance team from startup to a foundation built to scale. This is a hands‑on role at the center of our finance function — you will own the numbers that reach our board and lenders, build the day‑to‑day infrastructure and controls that make those numbers trustworthy, and use AI‑enabled processes to run it all faster and more accurately than a traditional finance team would.

You will join at a pivotal moment: following a 2025 acquisition, our first external audit, and the buildout of institutional‑grade reporting for investors and lenders. We need someone who can operate with autonomy, raise the bar on how finance runs, and build the systems, controls, and processes that a scaling business depends on.

This role reports directly to the VP Finance and collaborates closely with external auditors, tax advisors, lenders, PE investors, and cross‑functional business partners. The role has no direct reports today, with the expectation of building and leading a team as the finance function scales.

Must be local to Chicago and be available to come into the River North office one to two days per week

• Own the month‑end close process end to end, ensuring accurate and timely financial records
• Own and run core financial operations — accounts receivable, accounts payable, cash management, and bank reconciliations
• Manage specialized payment runs, including weekly preceptor and physician stipend payments, affiliate and commission payments, and expense reimbursements
• Maintain cash position visibility and support liquidity and cash flow forecasting
• Support the acquisition integration of Preceptor Link as we move from Quickbooks to Xero

• Own monthly board reporting, including the financial package, key metrics, and supporting commentary
• Own external lender reporting across monthly, quarterly, and annual cycles, including covenant compliance calculations and supporting schedules
• Deliver the monthly, quarterly, and annual financial reporting cycle end to end — accurate, on time, and decision‑ready
• Own the external audit and the preparation of the year‑end financial statements, partnering with auditors from readiness through sign‑off
• Build reporting that scales — repeatable, well‑documented, and resilient as the business grows

• Design and maintain sufficient internal controls, including segregation of duties and review and approval workflows
• Safeguard data integrity, accuracy, and completeness across financial systems and reporting
• Leverage AI tools (including Claude) and data to streamline processes, drive efficiency, and strengthen controls
• Build and document the day‑to‑day finance infrastructure – standard operating procedures, workflows, and systems, that takes AMO from startup finance to a foundation ready to scale
• Identify manual, error‑prone, or slow processes and redesign them for speed and reliability
• Build the control and data foundation that stands up to audit and investor scrutiny

• Serve as the go‑to finance person and first point of contact for operational teams on day‑to‑day financial operations
• Develop strong working relationships with operational leaders to embed finance in day‑to‑day operations
• Support operational teams on invoicing, host payments, vendor set up, expense reimbursements and process questions, and help resolve issues quickly

• Required Bachelor's degree in accounting, finance, or a related field
• Four to seven years of progressive experience in accounting or finance, including ownership of month‑end close and…