Fractional CFO

About McCracken Alliance McCracken Alliance partners with CEOs, owners, boards, and investors to elevate the Office of the CFO—bringing hands-on strategic finance leadership to growth, transition, and special project environments. We’re building an evergreen bench of experienced Fractional and Interim CFOs with deep exposure to SaaS, healthcare services, biotech/life sciences, medical device/medtech, manufacturing, and professional services across the Southeast region. What you’ll do You will step in as the senior finance leader for clients who need a true strategic partner—often in PE-backed, VC-backed, founder-led, or operationally complex environments.

• Serve as a strategic partner to CEOs/owners and leadership teams on growth, profitability, and capital allocation.
• Lead cash flow strategy, runway planning (where relevant), working capital optimization, and margin/profitability initiatives.
• Build and improve forecasting, budgeting, and KPI dashboards that drive decisions—not just reports.
• Deliver board-/lender-/investor-ready reporting and decision support.
• Support diligence readiness, recapitalizations, financings, and M&A / transaction work as needed.
• Strengthen finance operations (close cadence, controls, systems/process improvements).
• Partner with Controllers and finance teams to build durable processes and performance beyond the engagement. Sector-specific examples you may own (depending on client):
• Healthcare: service line/site profitability, payer mix & reimbursement analytics, labor productivity, RCM/denials visibility, growth strategy support.
• Biotech/Life Sciences: runway & burn management, program/portfolio spend visibility, grant or collaboration accounting support, investor reporting.
• Medical Device/Med Tech: COGS and gross margin improvement, inventory visibility, demand planning inputs, ops KPI alignment, scaling finance for growth.
• Professional Services: utilization and realization metrics, project margin improvement, delivery/finance alignment, revenue recognition support, pricing and packaging analytics. Scope, cadence, and on-site expectations vary by client and engagement.
• Who you are This network is designed for senior finance leaders who operate at the CFO level and want to structure their careers around fractional/interim work.
• 8+ years of progressive finance experience with senior leadership responsibility.
• Experience as CFO / VP Finance / Head of Finance (or equivalent).
• Strong modeling/FP&A capabilities; able to translate data into decisions for non-finance stakeholders.
• Solid accounting fluency (GAAP) and a practical, controls-oriented mindset.
• Executive presence; clear, concise communicator with operators and boards/lenders/investors.
• Healthcare: provider/services finance, multi-site operations, RCM familiarity, payer/reimbursement drivers, labor economics, compliance-minded operations.
• Biotech/Life Sciences: VC/PE environments, budget ownership in R&D-heavy orgs, cash discipline, runway planning, readiness for scaling.
• Medical Device/Med Tech: product economics, inventory/COGS, cost accounting fundamentals, operational KPI leadership, scaling processes.
• Professional Services: project economics, utilization/realization, delivery operations partnership, pricing/margin work. Bonus points if you have experience with fundraising or M&A, leading a turnaround, implementing systems like ERP or BI/FP&A tools, or holding a CPA or MBA. Familiarity with the relevant regulatory landscape is also a big plus.
• Why McCracken Alliance’s network is different No long-term commitment required—keep freedom to pursue other opportunities.
• Flexible work aligned to your availability, preferred cadence, and strengths.
• Variety of clients and engagement types (discrete projects to ongoing fractional…