Director, Finance (30523)

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Posted Oct 25, 2026

Remote · Connecticut · Massachusetts · New York · Vermont · New Hampshire · Maine · Pennsylvania · Maryland Full Time
Est. $115K – $155K/yr

Overview

This position directs the financial operations of an assigned area, providing strategic and tactical support to key stakeholders. The role serves as a trusted advisor to physician and operations partners, including physician compensation, accounting, and financial planning and analysis. Responsibilities include reviewing and approving financial results, analysis and reporting, and supporting the acquisition and integration of new practices.

Location

Candidates should be within the Northeast (CT, MA, NY, VT, NH, ME, PA, MD).

Responsibilities

  • Budget & Forecast: Create annual budgets and ongoing forecasts to support operational planning and decision-making for the assigned area. Collaborate with key stakeholders on budget and forecast assumptions. Identify risks and opportunities and recommend countermeasures to achieve targets.
  • Operational Efficiency: Identify and track key performance metrics. Monitor and communicate practice and physician productivity. Track and communicate progress toward cost efficiency targets. Communicate and collaborate with stakeholders to realize opportunities.
  • Financial Compliance: Monitor compliance with regulatory requirements, financial policies, and internal controls.
  • Financial Reporting & Analysis: Prepare and present actionable financial and operational reports, analysis, and commentary for key audiences (including physicians and senior management). Conduct ad hoc modeling of the financial impact of operational decisions as needed. Lead forecast and actual results analysis to anticipate short- and long-term business trends and recommend improvements.
  • Financial Results Review: Partner with the accounting team for month, quarter, and year-end close review to drive process improvement and ensure results are accurately stated. Drive enhancements to reporting and variance analysis. Perform general ledger and data validation to ensure accuracy and completeness for financial reporting. Conduct monthly variance analysis in collaboration with FP&A and Accounting.
  • Management & Supervision: Select, train, and performance-manage support staff to ensure successful delivery of financial operations functions.
  • Financial Operations: Review and approve invoices and other payables to ensure compliance with budget and appropriate general ledger classification. Review and analyze employee rosters to ensure proper designation of personnel expenses. Review and analyze contract service arrangements (hospital call, contract physician services, shared services agreements, etc.). Implement and monitor controls to ensure business activities meet targeted performance goals.
  • Relationship Management: Serve as the point person for physician and operations partners within the assigned territory for finance, accounting, physician compensation, MSO, and related inquiries and issues. Develop and maintain trusted-advisor relationships with key stakeholders.
  • M&A / Integrations: Support M&A analysis and assumptions for potential acquisitions within the assigned territory. Manage and serve as point person for integration of finance and accounting activities for new practices. Perform income repair analysis and monitor ongoing performance versus expectations.
  • Other: Travel as needed. Manage special projects and perform other duties as assigned.

Qualifications

  • Education: Bachelor’s in Finance, Business, Accounting, or related field required.
  • Experience:
    • Two to five (2–5) years’ experience in a healthcare-related industry.
    • Five to ten (5–10) years’ experience in a Finance or Accounting role.
    • Experience with physicians services consulting in a multi-location physician’s practice preferred.

Performance Requirements

  • Excellent communication skills to distill information into a digestible presentation for senior management with recommended corrective actions.
  • Demonstrated ability to build strong cross-functional relationships to achieve common goals.
  • Comfortable managing multiple projects with tight or overlapping deadlines.
  • Ability to motivate others and hold them accountable by monitoring progress/results and providing effective feedback in a timely manner.
  • Excellent presentation, interpersonal, and communication skills, including the ability to interface effectively with various departments, management levels, and stakeholders.
  • Process-oriented approach with ability to put plans into action.
  • Excellent problem-solving and analytical skills.
  • Collaborative communication style, clearly and precisely addressing technical and operational issues verbally and in writing.
  • Ability to elicit/provide information effectively to appropriate individuals (including supervisors, co-workers, physicians, and staff) through strong communication.
  • Solid understanding of finance and accounting.
  • Strong Microsoft Office Suite proficiency, including intermediate Excel skills and ability to create PowerPoint presentations.
  • Ability to prioritize and handle multiple tasks.
  • Ability to maintain the highest level of confidentiality.
  • Ability to work with a high degree of autonomy as well as part of a team.

Work Environment & Physical Requirements

  • Work requires hand dexterity for office machine operation, stooping and bending to files and supplies, mobility to complete errands, or sitting for extended periods.
  • Occasionally lifts files or paper up to 20 pounds.
  • Work environment may occasionally be very stressful.
  • Normal office environment; may view computer screens for long periods.
  • Occasional evening or weekend work.

Additional Information

  • Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • Offers are contingent on successful completion of a pre-employment criminal history check.
  • Equal Opportunity Employer.

Compensation & Benefits

Compensation and benefits information is not provided in the posting.