Finance Manager

Northeast Orthopaedic Alliance PLLC•Concord, NH

9h•Onsite

About The Position

The Finance Manager for Concord Orthopaedics, PA, a division of Northeast Orthopaedic Alliance, serves as the principal steward of the organization’s financial integrity. This position is accountable for the comprehensive management of the practice’s financial operations, including but not limited to strategic planning, budget formulation and oversight, detailed financial reporting, and strict regulatory compliance. An essential aspect of this role encompasses the oversight of all real estate investment activities. The Finance Manager will work collaboratively with executive leadership to ensure fiscal stability, operational efficiency, and support for sustainable organizational growth.

Requirements

Bachelor’s degree in finance, Accounting, Business Administration, or related field required.
5 to 10 years of progressive financial leadership experience, preferably in a medical practice, healthcare organization, or professional services environment.
Demonstrated experience with budgeting, financial reporting, and compensation administration.
Strong financial analysis, modeling, and reporting skills.
Knowledge of healthcare finance principles and physician compensation structures.
High level of integrity, discretion, and professionalism.
Excellent communication and relationship management skills.
Ability to translate complex financial information into clear, actionable insights.
Proficiency with accounting systems: QuickBooks, financial software, and Microsoft Excel.

Nice To Haves

MBA, MHA, CPA, or similar professional credential preferred.
Experience with real estate or lease management is strongly preferred.

Responsibilities

Lead the practice’s overall financial strategy, ensuring alignment with organizational objectives.
Advise executive leadership and physician partners on financial performance, risks and opportunities.
Develop financial models and analysis to support strategic initiatives, growth, and capital investments.
Formulate, manage, and monitor the annual operating and capital budgets, present periodic variance analyses and recommendations for corrective action.
Prepare and deliver comprehensive monthly, quarterly, and annual financial statements, including income, cash flow, and balance sheet analysis for review by executive management and board members.
Administer and maintain physician compensation models and prepare related compensation calculations, distributions and related financial reporting.
Complete responsibility for the oversight of accounts payable, processing payables and receivables, ensuring strong internal controls. Manage the general ledger to include bank reconciliations, fixed asset details and depreciation records, and support for loans payable. Maintain and reconcile Balance Sheets.
Oversee daily cash receipt reconciliation process.
Prepare monthly cash flow statements. Process month-end and year-end close. 1099 Preparation.
Maintain monthly financial statements for related real estate entities.
Maintain oversight of the practice’s real estate portfolio, including the evaluation, acquisition, leasing, maintenance, and disposition of properties. Monitor occupancy costs and ensure alignment with operational and financial objectives.
Provide oversight and maintenance of contracts for financial transactions including real estate agreements, medical equipment leases/agreements and professional service contracts with other service providers.
Establish and enforce robust quality internal controls, policies, and procedures to safeguard assets and ensure accurate financial reporting.
Coordinate and manage annual external audits, serving as the primary liaison with auditors and responding promptly to audit findings and recommendations.
Actively participates in the selection of products/services required by the organization.
Oversee compliance with all applicable healthcare regulations, accounting principles, and tax laws relevant to the practice and its real estate investments.
Manage the business insurance for the practice and real estate entities.
Support, review, and approval of payroll processes. Maintain cost analysis of employee benefits. Participate in annual 401k audits.
Collaborate with senior leadership to assess and execute new business initiatives, joint ventures, expansion opportunities, providing expert financial analysis and risk evaluation. Provide quarterly budgetary reviews with the leadership team.
Prepare and present AD HOC financial reports and in-depth analyses as requested by executive management, physicians, or the board of Managers.
Lead, mentor, and evaluate finance department staff, fostering professional development and accountability.
Serve as a key liaison with banks, vendors, consultants, and other external partners.