Senior Director of Finance

The Senior Director of Finance is responsible for leading the financial operations of a growing gastroenterology practice with approximately twenty-five providers. This position oversees budgeting, financial reporting, revenue cycle performance, forecasting, and financial analysis while partnering with executive leadership to support strategic growth, operational excellence, and long-term financial sustainability. The Senior Director of Finance serves as a key advisor to physician leadership and department managers by providing actionable financial insights and ensuring sound fiscal management.

• Serve as financial advisor to the CEO and Executive Committee and Board.
• Assist executive leadership in developing and executing the organization's financial strategy.
• Prepare and present monthly financial statements, key performance indicators (KPIs), and operational dashboards.
• Analyze financial performance and recommend strategies to improve profitability and operational efficiency.
• Support strategic initiatives including practice growth, acquisitions, new service lines, and capital investments.

• Lead the annual budgeting process.
• Develop monthly and quarterly financial forecasts.
• Monitor departmental performance against budget and identify opportunities for cost management.
• Provide variance analysis and recommendations to leadership.

• Collaborate with Revenue Cycle Management to optimize:
  • Charge capture;
    Coding accuracy;
    Claims management;
    Accounts receivable;
    Collections;
    Denial management;
    Payment Delays.
• Monitor reimbursement trends across Medicare, Medicaid, and commercial payers.
• Track provider productivity and compensation metrics.
• Produce timely monthly, quarterly, and annual financial reports.
• Develop physician productivity and profitability reports.
• Perform service line and location profitability analyses.
• Monitor cash flow and working capital.
• Analyze payer mix, reimbursement trends, and operating margins.
• ASC & Ancillary Analytics (Pathology, Anesthesia, Infusion, Manometry etc.).
• Produce Daily & Monthly Executive Dashboard to include Operational, Financial and Clinical KPIs for all departments.
• Perform ROI and Payback periods for investments, expansion projects, and acquisitions.

• Oversee general accounting functions.
• Ensure accurate month-end and year-end close processes.
• Coordinate annual financial audits and tax reporting.
• Maintain compliance with GAAP and healthcare financial regulations.
• Assist with internal controls and risk management initiatives.

• Partner with Operations, Clinical Leadership, Human Resources, and Revenue Cycle teams.
• Support business planning and operational improvement initiatives.
• Provide financial education and support to department managers.
• Participate in executive leadership meetings.

• Supervise finance and accounting personnel.
• Mentor and develop finance team members.
• Foster a culture of accountability, continuous improvement, and customer service.
• Participate in succession planning within the finance department.

• Bachelor’s degree in finance, Accounting, Business Administration, or related field required.
• MBA, MHA, CPA, or CMA preferred.

• 7–10 years of progressive financial leadership experience.
• Minimum 3–5 years in healthcare finance required.
• Experience in physician practice management strongly preferred.
• Gastroenterology or multi-specialty physician practice experience preferred.
• Experience with budgeting, forecasting, and financial modeling.

• Strong understanding of physician practice operations and healthcare reimbursement.
• Knowledge of Medicare, commercial insurance, and physician compensation models.
• Advanced financial modeling and analytical skills.
• Experience with healthcare financial software, ERP systems, and Microsoft Excel.
• Ability to communicate complex financial information to physicians and non-financial leaders.
• Excellent leadership, organizational, and project management skills.

• Budget performance
• EBITDA and operating margin
• Revenue cycle metrics (Days in A/R, collection rate, denial rate)
• Cash flow management
• Financial reporting accuracy and timeliness
• Provider productivity reporting
• Cost reduction and efficiency initiatives
• Audit compliance
• Employee engagement and finance team development

• Ability to work in a standard office environment.
• Occasional travel between practice locations may be required.
• Prolonged periods of sitting and computer work.

• Annual performance incentive/bonus
• 401(k) with employer contribution
• Paid time off and continuing education support