Position Summary
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.
Key Responsibilities
Financial Leadership
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Serve as financial advisor to the CEO and Executive Committee and Board.
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Assist executive leadership in developing and executing the organization's financial strategy.
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Prepare and present monthly financial statements, key performance indicators (KPIs), and operational dashboards.
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Analyze financial performance and recommend strategies to improve profitability and operational efficiency.
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Support strategic initiatives including practice growth, acquisitions, new service lines, and capital investments.
Budgeting & Forecasting
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Lead the annual budgeting process.
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Develop monthly and quarterly financial forecasts.
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Monitor departmental performance against budget and identify opportunities for cost management.
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Provide variance analysis and recommendations to leadership.
Revenue Cycle Management
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Collaborate with Revenue Cycle Management to optimize:
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Charge capture; Coding accuracy; Claims management; Accounts receivable; Collections; Denial management; Payment Delays.
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Monitor reimbursement trends across Medicare, Medicaid, and commercial payers.
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Track provider productivity and compensation metrics.
Financial Reporting & Analysis
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Produce timely monthly, quarterly, and annual financial reports.
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Develop physician productivity and profitability reports.
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Perform service line and location profitability analyses.
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Monitor cash flow and working capital.
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Analyze payer mix, reimbursement trends, and operating margins.
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ASC & Ancillary Analytics (Pathology, Anesthesia, Infusion, Manometry etc.).
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Produce Daily & Monthly Executive Dashboard to include Operational, Financial and Clinical KPIs for all departments.
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Physician Compensation modeling; FMV, Buy-Ins, Incentives, RVU performance etc.
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Perform ROI and Payback periods for investments, expansion projects, and acquisitions.
Accounting & Compliance
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Oversee general accounting functions.
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Ensure accurate month-end and year-end close processes.
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Coordinate annual financial audits and tax reporting.
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Maintain compliance with GAAP and healthcare financial regulations.
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Assist with internal controls and risk management initiatives.
Operational Collaboration
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Partner with Operations, Clinical Leadership, Human Resources, and Revenue Cycle teams.
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Support business planning and operational improvement initiatives.
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Provide financial education and support to department managers.
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Participate in executive leadership meetings.
Leadership Responsibilities
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Supervise finance and accounting personnel.
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Mentor and develop finance team members.
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Foster a culture of accountability, continuous improvement, and customer service.
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Participate in succession planning within the finance department.
Qualifications
Education
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Bachelor’s degree in finance, Accounting, Business Administration, or related field required.
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MBA, MHA, CPA, or CMA preferred.
Experience
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7–10 years of progressive financial leadership experience.
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Minimum 3–5 years in healthcare finance required.
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Experience in physician practice management strongly preferred.
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Gastroenterology or multi-specialty physician practice experience preferred.
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Experience with budgeting, forecasting, and financial modeling.
Knowledge & Skills
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Strong understanding of physician practice operations and healthcare reimbursement.
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Knowledge of Medicare, commercial insurance, and physician compensation models.
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Advanced financial modeling and analytical skills.
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Experience with healthcare financial software, ERP systems, and Microsoft Excel.
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Ability to communicate complex financial information to physicians and non-financial leaders.
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Excellent leadership, organizational, and project management skills.
Key Performance Indicators (KPIs)
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Budget performance
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EBITDA and operating margin
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Revenue cycle metrics (Days in A/R, collection rate, denial rate)
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Cash flow management
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Financial reporting accuracy and timeliness
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Provider productivity reporting
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Cost reduction and efficiency initiatives
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Audit compliance
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Employee engagement and finance team development
Physical Requirements
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Ability to work in a standard office environment.
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Occasional travel between practice locations may be required.
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Prolonged periods of sitting and computer work.
Compensation
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Competitive executive salary
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Annual performance incentive/bonus
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Comprehensive benefits package.
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401(k) with employer contribution
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Paid time off and continuing education support
