Operational Director of Finance

Orthodontic Experts Management LLC•Des Plaines, IL

10d•Onsite

About The Position

The Operational Director of Finance is a strategic and hands-on leader responsible for overseeing all financial operations across the Dental Service Organization. This role ensures efficient revenue cycle management, strong financial controls, timely financial reporting, budgeting, and financial projections for multi-location orthodontic practices. The Director of Finance will lead the Billing Manager, Bookkeeping, Accounts Payable, and Procurement teams to drive consistency, accuracy, and operational excellence while working closely with the VP of Operations and HR and President to support organizational growth and performance.

Requirements

Bachelor’s degree in Finance, Accounting, or Business Administration and CPA required; MBA preferred.
7+ years of progressive financial leadership experience, preferably in orthodontic, dental, or healthcare finance.
Experience managing billing teams and accounting staff in multi-site organizations.
Strong understanding of orthodontic billing processes, insurance verification, payment plans, and practice management systems.
Advanced Excel and financial modeling skills.
Strong leadership, communication, and problem-solving abilities.

Responsibilities

Financial Operations & Oversight
Oversee day-to-day accounting functions, including accounts payable/receivable, general ledger, payroll coordination, and month-end close.
Ensure accurate and compliant financial recordkeeping aligned with GAAP and healthcare/orthodontic-specific guidelines.
Develop, monitor, and maintain internal controls to support organizational financial health and audit readiness.
Orthodontic Billing & Revenue Cycle Management
Directly supervise the Billing Manager who oversees claims processing, payment posting, and collections processes unique to orthodontics (e.g., global fees, payment plans, auto-drafting).
Optimize billing workflows for new patient contracts, insurance verification, treatment start documentation, and financial agreements.
Monitor revenue cycle KPIs to reduce denials and improve cash flow.
Reporting & Financial Analysis
Deliver accurate monthly, quarterly, and annual financial reports to executive leadership and outside CPA firm.
Analyze financial performance trends across locations, identifying opportunities for cost savings, revenue enhancement, and operational improvements.
Develop clear dashboards for key financial and operational metrics, tailored to orthodontic practice workflows (production, starts, collections, AR aging).
Budgeting & Forecasting
Lead the annual budgeting process in collaboration with practice operations and leadership.
Prepare forecasts for production, collections, operational expenses, and cash flow.
Support financial modeling for new clinic openings, acquisitions, and integration planning.
Team Leadership
Manage, mentor, and develop the Billing Manager, bookkeepers, and A/P to ensure accuracy, productivity, and continuous improvement.
Implement cross-training and establish standardized procedures to support scale across multiple practices.
Set performance goals and conduct regular evaluations for finance team members.
Cross-Functional Collaboration
Partner closely with the VP of Operations and HR and President to support strategy execution, operational efficiency, and financial performance.
Act as a financial resource for regional managers, practice leaders, and clinical directors.
Support onboarding of newly affiliated orthodontic practices or de novos (financial processes, systems training, reporting alignment).