Chief Financial Officer (CFO)

Orthopedic Associates•Dayton, OH

26d

About The Position

The Chief Financial Officer (CFO) is a member of the executive leadership team and provides strategic financial leadership and oversight of the financial operations, revenue cycle, and fiscal performance of Orthopedic Associates of SW Ohio. Reporting directly to the OA Board, the CFO partners with physician leadership and the Chief Operating Officer to guide financial strategy, strengthen organizational performance, evaluate growth opportunities, and support long-term financial sustainability. The role provides executive oversight of the Controller and AVP, Revenue Cycle, ensuring financial accountability, operational efficiency, and alignment with organizational objectives. The CFO advises the Board, COO, and physician leadership; leads financial planning, budgeting, forecasting, and performance initiatives; and evaluates the financial implications of recruitment, expansion, partnerships, service lines, and new ventures. The position oversees accounting, reporting, cash management, payroll, tax compliance, payables and receivables, financial operations for affiliated entities, financial controls, banking and financing relationships, insurance programs, and significant financial commitments. The CFO oversees Revenue Cycle operations through the AVP, Revenue Cycle, monitoring key performance indicators and partnering with Revenue Cycle leadership to improve revenue realization, manage financial risks, address payer challenges, and assess payer contracts and reimbursement strategies. The role represents the organization with external financial and business partners, oversees financial aspects of agreements and ventures, evaluates expenditures and investments, coordinates audit and compliance activities, and identifies and mitigates financial, operational, and regulatory risks. The CFO leads and mentors the Controller and AVP, Revenue Cycle, promotes collaboration across Finance, Revenue Cycle, Operations, and physician leadership, and advances process improvement and organizational efficiency. The position requires executive-level leadership, financial stewardship, sound judgment, strict confidentiality, and the ability to manage competing priorities and support the organization's financial stability and strategic growth.

Requirements

Bachelor's degree in Accounting required.
Minimum of five years of experience in medical practice accounting or public accounting.
Demonstrated experience in financial management, reporting, compliance, and complex financial operations.
Experience managing multiple business entities and working with executive leadership and external financial partners.
Strong analytical, communication, leadership, and financial decision-making skills.

Nice To Haves

CPA designation.
Experience in a physician-owned medical practice or multi-site healthcare organization.
Experience with strategic financial planning, budgeting, revenue cycle oversight, and physician compensation arrangements.
Experience with banking relationships, healthcare reimbursement, and organizational growth initiatives.

Responsibilities

Advise the Board, COO, and physician leadership on financial matters and provide recommendations for organizational decisions.
Lead short- and long-term financial planning, budgeting, forecasting, and financial performance initiatives.
Evaluate financial implications of physician recruitment, practice expansion, hospital partnerships, service line development, and new business ventures.
Participate in Board meetings and present financial performance, organizational risks, and strategic recommendations.
Identify opportunities to improve profitability, optimize resources, and strengthen the organization's financial position.
Monitor healthcare industry trends, reimbursement changes, and economic factors affecting the practice.
Provide executive oversight of accounting, financial reporting, budgeting, cash management, payroll, tax compliance, accounts payable, and accounts receivable.
Ensure timely and accurate financial reporting and meaningful analysis of organizational and departmental performance.
Oversee financial operations and reporting for affiliated entities, including expense allocations and financial distributions.
Establish and maintain financial controls, regulatory compliance, and processes to safeguard organizational assets.
Direct financial planning and oversight of banking relationships, financing arrangements, insurance programs, and significant financial commitments.
Oversee Revenue Cycle operations through the AVP, Revenue Cycle, ensuring alignment with financial and organizational objectives.
Establish and monitor key performance indicators, including cash collections, accounts receivable, denial rates, net collection performance, and reimbursement trends.
Partner with Revenue Cycle leadership to identify financial risks, improve revenue realization, and address payer-related challenges.
Oversee financial evaluation of payer contracts, reimbursement strategies, and significant Revenue Cycle initiatives.
Coordinate Finance and Revenue Cycle activities to support accurate reconciliation, reporting, and financial performance.
Represent the organization in relationships with banking institutions, accountants, attorneys, insurance advisors, and other external business partners.
Provide financial oversight of hospital agreements, physician arrangements, real estate interests, and related business ventures.
Evaluate major expenditures, capital investments, financing opportunities, and contractual obligations.
Oversee financial compliance, audit coordination, insurance renewals, and retirement plan financial reporting.
Identify and mitigate financial, operational, and regulatory risks.
Lead and mentor the Controller and AVP, Revenue Cycle, establishing performance expectations and measurable objectives.
Promote collaboration among Finance, Revenue Cycle, Operations, and physician leadership.
Drive continuous improvement in financial processes, reporting capabilities, and organizational efficiency.
Foster a professional, accountable, and solutions-oriented leadership culture.
Exercise sound judgment, discretion, and confidentiality in financial and organizational matters.