Senior of Director of Finance
Gastromed, LLC•Coral Gables, FL
•Onsite
About The Position
The Senior Director of Finance is responsible for leading the financial operations of a growing gastroenterology practice with approximately twenty-five providers. This position oversees budgeting, financial reporting, revenue cycle performance, forecasting, and financial analysis while partnering with executive leadership to support strategic growth, operational excellence, and long-term financial sustainability. The Senior Director of Finance serves as a key advisor to physician leadership and department managers by providing actionable financial insights and ensuring sound fiscal management.
Requirements
- Bachelor’s degree in finance, Accounting, Business Administration, or related field required.
- 7–10 years of progressive financial leadership experience.
- Minimum 3–5 years in healthcare finance required.
- Experience with budgeting, forecasting, and financial modeling.
- Strong understanding of physician practice operations and healthcare reimbursement.
- Knowledge of Medicare, commercial insurance, and physician compensation models.
- Advanced financial modeling and analytical skills.
- Experience with healthcare financial software, ERP systems, and Microsoft Excel.
- Ability to communicate complex financial information to physicians and non-financial leaders.
- Excellent leadership, organizational, and project management skills.
- Ability to work in a standard office environment.
- Prolonged periods of sitting and computer work.
Nice To Haves
- MBA, MHA, CPA, or CMA preferred.
- Experience in physician practice management strongly preferred.
- Gastroenterology or multi-specialty physician practice experience preferred.
- Occasional travel between practice locations may be required.
Responsibilities
- Serve as financial advisor to the CEO and Executive Committee and Board.
- Assist executive leadership in developing and executing the organization's financial strategy.
- Prepare and present monthly financial statements, key performance indicators (KPIs), and operational dashboards.
- Analyze financial performance and recommend strategies to improve profitability and operational efficiency.
- Support strategic initiatives including practice growth, acquisitions, new service lines, and capital investments.
- Lead the annual budgeting process.
- Develop monthly and quarterly financial forecasts.
- Monitor departmental performance against budget and identify opportunities for cost management.
- Provide variance analysis and recommendations to leadership.
- Collaborate with Revenue Cycle Management to optimize charge capture, coding accuracy, claims management, accounts receivable, collections, denial management, and payment delays.
- Monitor reimbursement trends across Medicare, Medicaid, and commercial payers.
- Track provider productivity and compensation metrics.
- Produce timely monthly, quarterly, and annual financial reports.
- Develop physician productivity and profitability reports.
- Perform service line and location profitability analyses.
- Monitor cash flow and working capital.
- Analyze payer mix, reimbursement trends, and operating margins.
- Conduct ASC & Ancillary Analytics (Pathology, Anesthesia, Infusion, Manometry etc.).
- Produce Daily & Monthly Executive Dashboard to include Operational, Financial and Clinical KPIs for all departments.
- Perform Physician Compensation modeling; FMV, Buy-Ins, Incentives, RVU performance etc.
- Perform ROI and Payback periods for investments, expansion projects, and acquisitions.
- Oversee general accounting functions.
- Ensure accurate month-end and year-end close processes.
- Coordinate annual financial audits and tax reporting.
- Maintain compliance with GAAP and healthcare financial regulations.
- Assist with internal controls and risk management initiatives.
- Partner with Operations, Clinical Leadership, Human Resources, and Revenue Cycle teams.
- Support business planning and operational improvement initiatives.
- Provide financial education and support to department managers.
- Participate in executive leadership meetings.
- Supervise finance and accounting personnel.
- Mentor and develop finance team members.
- Foster a culture of accountability, continuous improvement, and customer service.
- Participate in succession planning within the finance department.
Benefits
- Competitive executive salary
- Annual performance incentive/bonus
- Comprehensive benefits package.
- 401(k) with employer contribution
- Paid time off and continuing education support
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What This Job Offers
Job Type
Full-time
Career Level
Director
