Chief Financial Officer

Council Capital • Nashville, TN

7d • Hybrid

About The Position

The organization is seeking a Chief Financial Officer to lead the finance team for its behavioral health division. This is a build-and-lead role with a mandate to construct the team, systems, and processes necessary to support a $100 million and growing healthcare services platform. This is not a maintenance role. The ideal candidate is a technically hands-on accounting leader who manages the close and the audit, builds robust controls, and develops a high-performing team. The CFO will work closely with the CEO, the private equity sponsor, and operational leadership to drive financial performance, enable strategic transactions, and position the company for long-term value creation.

Requirements

• Senior accounting leadership experience as a CFO, Controller, Chief Accounting Officer, or VP of Accounting, with direct ownership of the monthly close, the external audit relationship, and the accounting team.
• 10+ years of healthcare accounting experience.
• Controllership foundation: held a Controller or Chief Accounting Officer role, or directly owned the close, the audit relationship, and the accounting team as CFO.
• Demonstrated experience building or rebuilding a finance function, including controls implementation, close discipline, and team development.
• Familiarity with Medicare and Medicaid reimbursement, revenue cycle management, and multi-site healthcare operations.
• Technically hands-on by preference: reviews the work, not just the people who do it.
• Warm, steady, and trust-building; leads with listening and earns credibility with teams quickly.
• Direct communicator with the candor to deliver difficult messages and the data to back them.
• Collaborative with operational leadership, clinical teams, and a peer CFO, while maintaining financial discipline.
• High integrity, intellectual honesty, and sound judgment under pressure.

Nice To Haves

• Prior CFO title preferred.
• CPA strongly preferred.
• Public accounting foundation, ideally with audit experience at a national firm.
• Experience in private equity-backed or institutionally owned businesses, including lender management and board-level reporting.
• Exposure to financially challenging environments: turnarounds, post-diligence cleanup, or organizations in transition.

Responsibilities

• Own the monthly close and deliver accurate, timely GAAP financial statements, with a disciplined close of under 20 days established within the first quarter.
• Design and implement robust internal controls, including segregation of duties, disbursement controls, and delegation of authority.
• Establish documented accounting policies, accrual methodology, and reconciliation cadence.
• Manage the external audit relationship and drive audit readiness across the organization.
• Lead and develop the finance organization across accounting, FP&A, and revenue cycle management.
• Complete a structured review of the accounting team and establish the path for the Controller function.
• Assess the revenue cycle management function, understand its strengths and gaps, and provide active financial oversight.
• Serve as a strategic partner to the CEO and executive team on all financial matters.
• Partner with the IDD Division CFO to implement joint best practices across the system.
• Drive cost-to-serve transparency, margin analysis by location, and financial support for new market growth.
• Provide clear, data-driven insights for decision-making and resource allocation.
• Manage the lender relationship, covenant compliance, and financial reporting obligations.
• Ensure accurate and timely reporting for the board, the sponsor, and external stakeholders.
• Prepare the finance organization to support future capital events and withstand rigorous financial scrutiny from lenders, buyers, and auditors.

Benefits

• Competitive executive compensation package, including base salary, a performance-based annual bonus, and long-term incentive participation tied to value creation.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed