Director of Finance and Internal Control (Senior)

Job Responsibilities

This role will serve as the internal owner of the practices financial

operations and reporting. This role is responsible for ensuring

financial accuracy, visibility, and operational readiness to support

sustainable growth.

Oversee and manage day-to-day accounting operations

using QuickBooks Online

Reconcile financial data across EMR, banking platforms, and

accounting systems

Ensure accuracy of accounts receivable and accounts payable,

including oversight of third-party billing or accounting vendors

Analyze insurance-based and cash-based cases to determine

profitability by procedure and payer

Develop and maintain financial reports, dashboards, and

summaries for leadership decision-making

Identify and resolve discrepancies between collections,

payments, and reported revenue

Assist in developing pricing estimates and financial models

where no formal chargemaster exists

Establish and document financial SOPs and workflows

Support practice-wide operational SOP development, including

front desk and administrative processes

Partner with leadership to identify financial risks, inefficiencies,

and growth opportunities

Prepare the practice for scalability through improved financial

structure and controls

Qualifications

Strong working knowledge of accounting principles and

financial analysis

Proficiency with EMR/EHR financial modules, payment

processors, online banking platforms, payroll systems, and

workflow/documentation tools in addition to QuickBooks

Online, Excel, and Power BI.

Ability to analyze financial data and translate it into

actionable insights

Comfortable working in multi-system environments (EMR,

accounting software, bank platforms)

Strong documentation and Financial Standard Operating

Procedure (SOP) - building skills

Ability to work independently and manage complex,

evolving systems in a fast-moving, evolving environment

High attention to detail with strong organizational skills

Competencies/Personality Traits

Highly analytical and detail-oriented

Process-driven with strong internal control instincts

Proactive problem-solver who follows issues to resolution

Comfortable building systems where none previously

existed

Strong sense of ownership and accountability

Clear communicator across clinical and non-clinical teams

Growth-minded and improvement-focused

Prior Experience

5+ years of experience in accounting, financial analysis, or

financial operations

Previous experience in healthcare, medical practices, or

revenue cycle environments preferred

Experience reconciling financial data across multiple

systems

Experience supporting small to mid-sized businesses or

professional practices

Prior involvement in scaling or stabilizing fast-growing

organizations is a strong plus