Chief Financial Officer; CFO

We are a fast-growing, multi-site healthcare management organization supporting a network of MSOs and affiliated professional entities across multiple Texas markets. Since 2022, we have experienced significant year-over-year growth through new locations, expanding service lines, and continued development of our healthcare platform.

As we enter our next stage of growth, we are looking for a hands‑on Chief Financial Officer who can help us build the financial infrastructure, discipline, and strategy needed to scale. This is not a CFO role that operates only at the executive or board level. We need someone who is equally comfortable building a financial model, working through an accounting issue, digging into billing and revenue cycle performance, and sitting across the table from a bank, investor, or acquisition partner.

Reporting directly to the CEO and serving as a key member of the executive leadership team, the CFO will lead the full financial function across our multi‑location and multi‑entity healthcare organization. The CFO will be responsible for strengthening our accounting and financial operations, improving visibility into revenue and cash flow, supporting billing and revenue cycle performance, and building scalable financial systems and controls.

At the same time, this individual will serve as a strategic partner to the CEO and leadership team, helping evaluate growth opportunities, acquisitions, new service lines, capital needs, and long‑term financial strategy.

We are looking for a builder, not simply a maintainer.

• Build and strengthen the financial infrastructure necessary to support a growing, multi‑site healthcare organization.
• Establish scalable financial processes, controls, reporting, forecasting, and accountability across locations and entities.
• Provide the CEO and executive leadership team with clear financial analysis and actionable insight to support business decisions.
• Develop meaningful financial and operational KPIs and improve visibility into performance by location, entity, and service line.

• Maintain hands‑on oversight of accounting operations, including general ledger, accounts payable, accounts receivable, reconciliations, financial reporting, and month‑end close.
• Improve the accuracy, timeliness, and consistency of financial reporting.
• Ensure consolidated financial statements are accurate, audit‑ready, and appropriately reflect multiple entities and locations.
• Partner with outside CPAs and tax advisors on tax planning, compliance, and multi‑entity considerations.
• Establish appropriate internal controls and financial policies as the organization grows.
• Partner closely with billing and operational leaders to improve revenue cycle performance.
• Develop reliable cash flow forecasting across entities and locations.
• RCM leadership or significant revenue cycle management experience is a plus.
• Build and maintain financial models from the ground up to support forecasting, budgeting, scenario planning, and strategic decision‑making.
• Develop annual budgets and rolling forecasts and establish processes for measuring actual performance against expectations.
• Analyze profitability and contribution margin by location, provider, service line, and other meaningful business segments.
• Translate financial information into practical recommendations for operational and executive leaders.
• Evaluate the financial impact of new locations, service lines, acquisitions, and other growth opportunities.
• Lead or play a senior role in merger, acquisition, diligence, integration, or future transaction activities.
• Develop financial models and reporting that can withstand scrutiny from lenders, investors, private equity partners, and potential transaction…