Chief Financial Officer

OrthoArizona•Phoenix, AZ

7d•Hybrid

About The Position

The Chief Financial Officer (CFO) is OrthoArizona’s senior finance executive and a member of the executive leadership team. Reporting to the CEO and working closely with the physician Board, the CFO leads all financial strategy, planning, accounting, treasury, and financial reporting for a multi-specialty orthopedic practice operating nearly 30 clinic locations across the Phoenix metro area, two licensed ambulatory surgery centers, and ancillary services including MRI/CT imaging, physical therapy, pain management, and InstantOrtho urgent orthopedic care. The CFO translates the practice’s clinical and growth strategy into a sound financial plan, gives physician owners clear and timely insight into performance, and builds the finance function, controls, and systems needed to support continued growth.

Requirements

Bachelor’s degree in Accounting, Finance, or a related field.
10+ years of progressive finance and accounting experience, including 5+ years in a senior finance leadership role (CFO, VP Finance, or Controller) in a healthcare organization.
Experience in a multi-site physician group, ambulatory surgery center, or comparable outpatient healthcare setting.
Working knowledge of physician compensation models, payer reimbursement, and healthcare revenue cycle metrics.
Strong command of GAAP, financial statement preparation, budgeting, and internal controls.
Advanced financial modeling and Excel skills; experience with GL/ERP and BI reporting tools.
Demonstrated ability to communicate complex financial information clearly to physicians, boards, and non-financial leaders.
Proven leadership of finance teams and a track record of building processes that scale.
Ability to travel locally to clinic and surgery center locations across the Phoenix metro area.

Nice To Haves

CPA and/or MBA.
Orthopedic or musculoskeletal practice experience.
Financial oversight of ASC, imaging, and therapy ancillaries, including joint ventures.
Experience with practice acquisitions, private equity or MSO transactions, or physician group mergers.
Familiarity with Stark Law and Anti-Kickback Statute considerations in physician compensation.

Responsibilities

Provide strategic financial leadership, partnering with the CEO and Board to set long-range financial strategy, evaluate growth options, and align capital allocation with clinical and operational priorities.
Prepare and present monthly and quarterly financial results, forecasts, and key performance indicators to the CEO, Board, and physician shareholders in a clear, decision-ready format.
Lead financial evaluation of de novo sites, practice acquisitions, provider recruitment, joint ventures, and strategic partnerships (including private equity or MSO proposals); direct due diligence, deal modeling, and post-close integration.
Lead, develop, and hold accountable the finance and accounting team (e.g., Controller, accounting, and FP&A staff); build a scalable finance function as the practice grows.
Own the annual operating and capital budgets and rolling forecasts, including service-line, site-level, and provider-level P&Ls.
Deliver analysis of provider productivity (wRVUs, visits, cases), payer mix, cost per encounter, staffing ratios, and site profitability to inform operational decisions.
Oversee general ledger, accounts payable, fixed assets, and month-end close; ensure accurate, timely financial statements consistent with GAAP and the practice’s reporting basis.
Manage the annual audit or review and tax compliance across all practice entities in coordination with outside CPA firms; advise on entity structure and tax planning.
Administer and model physician and APP compensation plans, shareholder distributions, buy-ins/buy-outs, and associated reporting, in partnership with legal counsel to ensure consistency with the Stark Law and Anti-Kickback Statute.
Partner with the Chief of Revenue Cycle Management on revenue integrity, collections, and KPIs such as days in A/R, net collection rate, and denial rate; ensure revenue is accurately forecast and recognized.
Model fee schedules and contract proposals, support payer negotiations, and evaluate value-based, bundled-payment, and direct-to-employer arrangements.
Oversee financial performance of the ambulatory surgery centers, imaging, therapy, and other ancillaries, including joint venture accounting and distributions.
Manage cash flow, banking relationships, credit facilities, debt covenants, and investment of reserves; lead capital planning for equipment, technology, and facility projects.
Maintain strong internal controls, segregation of duties, and financial policies; partner with Compliance on audits, regulatory requirements, and fraud prevention.
Partner with the practice’s broker and leadership on property/casualty, malpractice, and other insurance programs, and on financial risk management.
Partner with Human Resources on payroll accounting, compensation budgets, and benefit plan cost and funding decisions.
Oversee financial systems (GL/ERP, budgeting, and BI tools) and data integrity; partner with IT and operations to deliver reliable financial dashboards and reporting.