Chief Financial Officer

THOMAS EYE GROUP PC•Sandy Springs, GA

21h•Hybrid

About The Position

Thomas Eye Group is a physician-owned regional eye care practice with multiple clinic locations throughout greater Atlanta. The organization delivers a broad range of eye care services — from routine optometry and general ophthalmology to advanced subspecialty care in retina, cornea, glaucoma, and refractive surgery. As a closely held enterprise owned by its physician partners, Thomas Eye Group is built around clinical excellence, patient-centered care, and sustainable long-term growth. The organization places a premium on sound financial stewardship, disciplined capital allocation, and strong lender relationships. The incoming CFO will join an experienced leadership team at a meaningful point in the organization's development, with genuine opportunity to shape strategic financial planning, optimize the capital structure, and build the financial infrastructure to support continued expansion. The Chief Financial Officer is a newly created executive role, established in direct response to the organization’s growth and the increasing complexity of its financial operations. Reporting to the Chief Executive Officer, the CFO will serve as a key advisor to the leadership team and Board of Directors — the most senior financial executive in the organization and a full member of the executive team. This is a strong fit for an experienced healthcare finance leader who brings both the technical grounding of a career in finance and the judgment to serve as a trusted advisor in a physician-owned governance structure. The right person will be comfortable operating in a complex, multi-site environment and genuinely connected to the mission of a leading physician-owned practice.

Requirements

Minimum of 20 years of progressive finance and accounting experience, with at least 3 years in a CFO or equivalent senior financial leadership role
Healthcare sector experience required; background in a multi-site physician practice, ambulatory surgery center, or comparable outpatient setting strongly preferred
Demonstrated experience working with a board of directors or equivalent governing body, including preparation and presentation of financial reporting packages
Experience managing finance in a leveraged capital structure, including credit facility management and debt covenant compliance
Working knowledge of healthcare revenue cycle management, payor contracting, and healthcare-specific financial reporting requirements
Strong analytical skills combined with the ability to translate complex financial information clearly for a physician-owner audience
High ethical standards and a demonstrated commitment to transparency, confidentiality, and fiduciary responsibility
Bachelor’s degree in Accounting or Finance required
CPA designation or MBA from an accredited institution a strong differentiator
Candidates holding both credentials are particularly competitive

Nice To Haves

Experience in ophthalmology, optometry, or related healthcare services
Background in physician-owned or closely held healthcare enterprises
Familiarity with physician compensation structures and partnership buy-in/buy-out arrangements
Experience navigating Stark Law, Anti-Kickback Statute, and healthcare compliance frameworks relevant to the finance function
Prior experience with de novo practice development, practice acquisitions, or ambulatory surgery center joint ventures
Strategic acumen — ability to connect financial analysis to long-term organizational goals and the priorities of physician partners
Executive presence — confidence and credibility in engaging physician partners, board members, lenders, and external advisors
Governance orientation — understanding of the responsibilities and dynamics of a physician-owned governance structure
Operational rigor — disciplined approach to process, controls, and financial infrastructure in a complex multi-site environment
Team leadership — ability to attract, develop, and retain finance professionals at multiple levels
Integrity — personal and professional conduct that reflects the highest ethical standards and the responsibilities of a fiduciary role

Responsibilities

Serve as the primary financial advisor to the CEO and physician Board of Directors, providing clear, actionable analysis to support sound decision-making
Lead the development of multi-year financial plans, annual operating budgets, and capital expenditure programs aligned with the organization’s growth strategy
Drive financial modeling and due diligence for de novo clinic development, practice acquisitions, joint ventures, and ancillary service expansion
Evaluate and optimize the organization’s capital structure, including management of existing credit facilities and assessment of additional financing options
Identify and communicate financial risks and opportunities with clarity and appropriate urgency to executive and board leadership
Prepare and present financial reporting packages to the physician Board of Directors, including income statements, balance sheets, cash flow statements, and key performance indicators
Support governance best practices through the development of financial policies, internal controls, and board-level oversight frameworks suited to a physician-owned enterprise
Partner with outside legal counsel and advisors on governance matters, partnership agreements, buy-in/buy-out structures, and equity transactions involving physician partners
Maintain strong relationships with banking partners, lenders, and external auditors, representing the organization with professionalism and transparency
Oversee all accounting operations, including general ledger, accounts payable and receivable, payroll, and month-end/year-end close processes across all locations
Ensure timely and accurate preparation of financial statements in accordance with GAAP and applicable healthcare standards
Manage the annual audit process and coordinate with external auditors; ensure all tax filings and regulatory reporting are completed on schedule
Design and maintain a sound internal control environment and assess financial risks across the enterprise
Ensure compliance with applicable healthcare financial regulations, including those related to physician compensation models, Anti-Kickback and Stark Law considerations, and third-party payor contracting
Provide strategic oversight of the revenue cycle, partnering with clinical and operational leadership to optimize payor contracting, billing efficiency, and collections performance
Develop and monitor operational finance KPIs, including clinic-level contribution margins, provider productivity metrics, and cost-per-encounter benchmarks
Evaluate opportunities to improve profitability through cost structure improvements, ancillary revenue streams, and service line optimization
Oversee financial aspects of managed care contracting negotiations and payor mix management
Manage existing credit facilities and banking relationships; ensure compliance with all financial covenants
Develop cash flow forecasting models and liquidity management strategies to support operations and debt service obligations
Provide analysis and recommendations on capital allocation, including debt reduction, reinvestment, and physician distributions
Lead periodic refinancing or credit facility restructuring processes as the organization’s financial position and growth plans warrant
Build and retain a high-performing finance and accounting team; set clear performance expectations and create meaningful development opportunities
Assess and evolve the organization’s financial systems and technology infrastructure, including EHR-integrated financial reporting and practice management platforms
Partner cross-functionally with clinical operations, human resources, IT, and legal to advance enterprise-wide initiatives