Senior Director, Finance (ruralMED)

Ovation Healthcare

24d • Remote

About The Position

The Senior Director, Finance serves as a senior financial advisor and fractional/interim CFO-level resource, providing strategic financial leadership, operational oversight, and executive-level counsel. The role partners with executive leadership to strengthen financial performance, cash flow, forecasting, budgeting, capital planning, financial controls, and long-term sustainability. The Finance Consultant evaluates financial and operational results, identifies risks and opportunities, develops actionable recommendations, and helps lead financial initiatives that support organizational strategy and informed decision-making.

Requirements

• Executive-level financial acumen with the ability to connect financial results to operational and strategic decisions.
• Strong knowledge of GAAP, financial reporting, budgeting, forecasting, cash management, internal controls, audit coordination, and financial analysis.
• Ability to communicate complex financial information clearly to executives, board members, operational leaders, and other stakeholders.
• Strong analytical thinking, attention to detail, judgment, and problem-solving skills.
• Demonstrated ability to identify financial risk and develop practical, sustainable solutions.
• Ability to influence and advise leaders while maintaining an objective, consultative approach.
• Strong project management skills with the ability to prioritize competing initiatives and meet established deadlines.
• Commitment to collaboration, accountability, continuous improvement, service excellence, and ethical financial practices.
• Advanced proficiency with financial systems, spreadsheets, reporting platforms, and business intelligence tools.
• Bachelor's degree in Accounting, Finance, Business Administration, or a related field required.
• 7-10 years of progressively responsible financial leadership experience, including senior finance, controller, VP Finance, or CFO-level responsibilities.
• Demonstrated ability to advise executive teams and boards, lead financial strategy, manage complex financial operations, and translate financial information into clear business recommendations.
• Prolonged sitting; frequent computer and keyboard use; reading and interpreting detailed financial information; effective verbal and written communication; sustained concentration; analytical thinking; memory; attention to detail; sound judgment; and decision-making.
• Occasional standing, walking, reaching, and lifting of typical office materials may be required.

Nice To Haves

• Master's degree in Business Administration, Finance, Accounting, or a related discipline preferred.
• CPA, CMA, or other advanced financial credential preferred.
• Healthcare finance experience is strongly preferred.

Responsibilities

• Serve as a strategic financial advisor to executive leadership, providing CFO-level guidance on financial performance, organizational priorities, growth opportunities, risk, and long-term financial sustainability.
• Lead the preparation, review, and analysis of internal and external financial statements in accordance with generally accepted accounting principles (GAAP), ensuring accurate and timely reporting of financial results.
• Develop and oversee annual operating and capital budgets, long-range financial plans, rolling forecasts, and financial models. Analyze performance against budget and forecast and recommend corrective actions when needed.
• Evaluate revenue, expense, margin, productivity, and service-line performance; identify financial trends, risks, and opportunities; and provide actionable recommendations to leadership.
• Oversee cash flow and liquidity planning, including cash forecasting, banking relationships, debt obligations, working capital, and investment performance. Recommend strategies to optimize liquidity and financial returns.
• Advise leadership on capital allocation and major financial commitments. Develop business cases, return-on-investment analyses, sensitivity analyses, and financial projections for strategic initiatives and capital expenditures.
• Assess the effectiveness of financial systems, reporting tools, accounting processes, and internal controls. Recommend and lead improvements that increase accuracy, efficiency, transparency, and scalability.
• Provide executive oversight and guidance for accounting operations, including general ledger, accounts payable, payroll, financial reporting, reconciliations, and related financial controls.
• Provide strategic oversight of reimbursement and payer-related financial matters, including Medicare, Medicaid, and other payer cost reporting, reimbursement analysis, regulatory reporting, and coordination with external consultants as appropriate.
• Partner with operational leaders to improve financial literacy, establish meaningful financial and operational metrics, and strengthen accountability for budget and performance results.
• Lead or coordinate annual financial audits and other external reviews. Serve as a primary financial liaison with independent auditors, actuaries, tax advisors, banks, consultants, and other external financial partners.
• Ensure appropriate oversight of federal, state, and local financial and tax reporting requirements, including applicable payroll and information reporting obligations.
• Evaluate financial policies, procedures, and internal controls and recommend updates to support compliance, safeguard assets, reduce risk, and promote sound financial governance.
• Support executive and board reporting by preparing concise financial presentations, dashboards, forecasts, and recommendations that clearly communicate organizational financial position and performance.
• Provide financial due diligence and integration support for acquisitions, affiliations, new service lines, restructuring, or other strategic transactions, as requested.
• Coach and develop finance leaders and staff, clarify roles and accountabilities, and recommend organizational structure or staffing changes needed to strengthen the finance function.
• Assist with turnaround, stabilization, cost-reduction, revenue enhancement, and performance-improvement initiatives when financial or operational results require intervention.
• Maintain confidentiality and exercise sound professional judgment when handling sensitive financial, strategic, employee, and organizational information.
• Perform other CFO-level financial consulting and strategic assignments as requested.

Benefits

• Work from home and remote location with a stable internet connection, a quiet and dedicated workspace free of distractions, and access to necessary office equipment.
• The ability to have daily communication with team members, management, and clients through email, phone calls, video meetings and other collaborative tools.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior