Head of Finance & Strategy

Mai Placement•Lakewood, NJ

1d•$150,000 - $200,000•Onsite

About The Position

A rapidly growing, multi-state healthcare organization is seeking a hands-on, strategic finance leader to bring all financial operations fully in-house and serve as a key partner to ownership on growth, profitability, and expansion decisions. This role is intentionally designed as both strategic and operational . While the long-term scope is executive-level financial leadership, the initial phase of the role requires humility, ownership, and a willingness to work in the details. For at least the first six months, this individual will personally manage and execute bookkeeping and accounting functions as they are transitioned from outsourced providers into an internal operation. Success in this role depends on the ability to balance high-level financial thinking with hands-on execution. The Ideal Candidate Strategic finance leader with a roll-up-your-sleeves mindset Comfortable working in the weeds during early stages Humble, accountable, and ownership-oriented Confident decision-maker with strong business judgment Able to partner closely with ownership on growth strategy Ambitious, thoughtful, and execution-driven Healthcare experience a plus, not required

Requirements

Willingness and ability to personally handle bookkeeping during the first 6 months
Strong hands-on accounting and financial operations background
Proven experience with budgeting, forecasting, and financial planning
Comfortable making and standing behind financial decisions
Track record of accountability and follow-through
Experience bringing structure to fast-growing organizations

Nice To Haves

Experience in healthcare, ABA, or multi-location service businesses
Background scaling organizations or supporting expansion
Experience growing from Controller-level responsibilities into a CFO role

Responsibilities

Personally bring all bookkeeping and accounting functions in-house from outsourced providers
Ensure accuracy, continuity, and structure during the transition
Own day-to-day financial operations, reconciliations, and reporting
Establish strong internal controls and financial discipline
Oversee all spending, budgets, and financial performance across multiple locations
Lead FP&A, including cost per client, clinic-level profitability, and margin analysis
Support executive decision-making around: State expansion and market entry Clinic performance and sustainability ROI and long-term investment decisions
Build financial models, forecasts, and dashboards for leadership
Hold teams, vendors, and processes accountable
Build and scale an internal finance function over time (Controller/bookkeeping team)
Develop systems and processes that support long-term growth
Transition from hands-on execution to full CFO-level oversight as the organization scales