Finance Director

Job Summary:

The Finance Director is responsible for planning, directing, and managing the financial operations of the organization. This position provides leadership for accounting, financial reporting, budgeting, forecasting, financial analysis, provider compensation, cash management, payroll administration, supply chain management, procurement, and financial planning while ensuring compliance with Generally Accepted Accounting Principles (GAAP), applicable regulatory requirements, and organizational policies.

The Finance Director is expected to operate as both a strategic leader and a hands‑on contributor, balancing strategic financial planning with active involvement in the day‑to‑day financial operations of the organization.

The Finance Director serves as a member of the senior leadership team and partners with the Chief Executive Officer, physician shareholders and leadership, department managers, the Finance Committee and the Board of Directors to support strategic decision‑making, organizational performance, and operational efficiency. The position is responsible for developing and maintaining sound financial and business practices that support the organization's mission, strategic objectives, and long‑term financial sustainability.

The Finance Director facilitates the Finance Committee process, partnering with the Finance Committee Chair and physician leadership to provide timely financial reporting, analysis, and recommendations that support effective governance and oversight.

• Direct and oversee the organization's accounting and financial operations.
• Ensure the accuracy, integrity, timeliness, and usefulness of financial records, reporting, and analysis.
• Oversee monthly, quarterly, and annual financial close processes.
• Ensure compliance with Generally Accepted Accounting Principles (GAAP), internal controls, and applicable regulatory requirements.
• Develop, implement, and maintain effective financial policies, procedures, and control processes.
• Manage banking relationships, cash flow, and treasury functions.
• Coordinate annual financial audits and tax reporting in partnership with external advisors.

• Lead the development and administration of annual operating and capital budgets.
• Develop financial forecasts, long‑range projections, and financial models to support organizational planning.
• Monitor financial performance against budget, forecast, and strategic objectives.
• Analyze financial trends, risks, and opportunities and provide actionable recommendations to executive leadership.
• Provide financial analysis to support operational decisions, resource allocation, investments, and strategic initiatives.
• Partner with leaders across the organization to evaluate financial implications of programs, staffing models, and operational changes.

• Administer physician compensation methodologies consistent with organizational policies, shareholder agreements, and strategic objectives.
• Ensure accurate calculation, reporting, and communication of provider compensation, productivity incentives, and distributions.
• Analyze provider productivity, panel size, scheduling utilization, and financial performance.
• Prepare physician compensation reports and financial analyses for executive leadership, physician shareholders, Finance Committee, and Board review.
• Recommend improvements to compensation methodologies based on organizational goals, provider performance, market considerations, and financial sustainability.
• Ensure physician compensation processes are transparent, documented, consistently applied, and appropriately governed.

• Partner with Revenue Cycle leadership to evaluate revenue cycle performance, including collections, denial trends, payer reimbursement, accounts receivable, and revenue integrity.
• Analyze the financial impact of coding, documentation, payer mix, contract terms, and operational workflows.
• Evaluate financial performance by clinic location, service line, and organizational program.
• Develop financial reports…