Chief Financial Officer

Northeast Orthopaedic Alliance PLLC•Concord, NH

2d•$150,000

About The Position

The Chief Financial Officer (CFO) serves as the principal steward of the organization’s financial integrity and performance. This executive leadership role is responsible for the comprehensive management of all financial operations, including strategic planning, budgeting, financial reporting, regulatory compliance, and risk management. The CFO partners closely with leadership and physician stakeholders to ensure fiscal stability, operational efficiency, and long-term, sustainable growth across the organization and its affiliated entities.

Requirements

Bachelor’s degree in Finance, Accounting, or related field required; advanced degree preferred
Minimum of 5+ years in financial leadership, ideally within healthcare or physician practice management
Strong financial modeling, analysis, and strategic planning expertise
Deep knowledge of accounting principles, tax regulations, and healthcare finance
Experience with budgeting, forecasting, and operational finance
Proven ability to lead teams, drive performance, and manage complex financial operations
Excellent interpersonal and communication skills; able to effectively engage with executives and physician partners

Responsibilities

Lead the organization’s overall financial strategy in alignment with business objectives
Advise executive leadership and physician partners on financial performance, risks, and opportunities
Develop financial models to support growth initiatives, acquisitions, new service lines, and capital investments
Provide ongoing financial analysis across physicians, locations, and subspecialties
Develop, manage, and monitor annual operating and capital budgets
Prepare monthly, quarterly, and annual financial statements, including income statements, balance sheets, and cash flow analysis
Present variance analyses with actionable recommendations
Produce ad hoc financial reports and in-depth analyses as needed
Oversee all accounting functions, including accounts payable/receivable, general ledger, and payroll processes
Ensure accurate month-end and year-end close processes
Maintain fixed asset records, depreciation schedules, and loan documentation
Oversee cash management, bank reconciliations, and cash flow reporting
Manage 1099 preparation and related filings
Oversee tax strategy and compliance, including federal, state, and local tax requirements
Manage preparation of annual tax filings in coordination with external accounting firms
Ensure compliance with healthcare regulations, accounting standards, and applicable laws
Lead external audits and serve as primary liaison with auditors
Support Form 5500 preparation and 401(k) audits
Provide oversight of billing and collections to ensure efficient revenue cycle management
Monitor claims processing, collections, and reimbursement activities
Administer physician compensation models, including bonuses, profit-sharing, and distributions
Oversee the organization’s real estate portfolio, including acquisition, leasing, and property management
Evaluate occupancy costs and align real estate strategy with operational goals
Manage financial aspects of contracts, including real estate agreements, equipment leases, and service contracts
Establish and maintain strong internal controls to safeguard assets and ensure accurate reporting
Oversee corporate insurance programs (property, casualty, and liability)
Participate in enterprise risk management and compliance initiatives
Maintain relationships with banks, lenders, and external partners
Oversee corporate debt, including compliance with covenants and negotiation of financing arrangements
Lead, mentor, and develop finance and accounting staff
Collaborate with leadership across HR, IT, clinical operations, and business development
Participate in strategic planning and execution of new business initiatives and partnerships
Serve as liaison with vendors, consultants, and professional organizations