Director Of Finance Jobs

About The Position

Requirements

• Bachelor's degree in Accounting, Finance, or a related field.
• At least 8 years of progressive accounting or finance experience, including financial management or leadership responsibilities.
• Strong foundation in accounting principles, financial reporting, budgeting, forecasting, cash flow management, and financial controls.
• Demonstrated experience overseeing accounts payable, accounts receivable, collections, payroll, and month-end close.
• Experience partnering with executive leadership to provide financial analysis and strategic recommendations.
• Proven ability to improve financial processes, reporting accuracy, and operational efficiency.
• Experience managing or overseeing accounting and finance personnel.
• Demonstrated experience using AI, automation, or financial technology to improve finance and accounting workflows.
• Strong analytical, problem-solving, communication, and organizational skills.
• Ability to work independently, take ownership of outcomes, and thrive in a fast-paced, growth-stage environment.
• Ability to work onsite at the Austin clinic several days per week and travel to the San Antonio office.

Nice To Haves

• Experience with accounting and financial management systems; QuickBooks and Bill.com experience preferred.
• Experience with multi-entity financial operations, recurring revenue, memberships, subscriptions, or healthcare billing.
• CPA, MBA, or similar professional qualification.

Responsibilities

• Oversee accounting and financial operations across multiple Medici entities and affiliated businesses, including Health by Design.
• Partner with the CEO and executive leadership on financial strategy, budgeting, forecasting, cash flow, and business planning.
• Prepare and analyze financial statements, budgets, forecasts, and performance reports to support strategic decision-making.
• Monitor profitability, operating expenses, revenue trends, and financial performance across business entities.
• Manage accounts receivable, including membership billing, service invoicing, payment reconciliation, collections, and account maintenance.
• Develop and maintain scalable billing and collections processes to improve cash flow and reduce outstanding receivables.
• Oversee accounts payable, vendor and contractor payments, employee reimbursements, and Bill.com workflows and approvals.
• Maintain accurate financial records and oversee accounting activity within QuickBooks.
• Lead month-end and year-end close processes, ensuring timely reconciliations, accurate reporting, and strong financial controls.
• Develop cash flow forecasts, monitor financial obligations, and identify opportunities to improve financial performance.
• Use AI, automation, and modern financial technology to streamline accounting workflows, improve reporting, and reduce manual processes.
• Evaluate and implement financial systems, tools, and process improvements to support operational efficiency and scalability.
• Oversee payroll coordination and ensure timely, accurate payments for employees and international contractors.
• Provide leadership and oversight to accounting personnel and improve communication between U.S.-based operations and international accounting teams.
• Partner with external accountants, auditors, and tax advisors as needed.
• Collaborate with Operations, Care Concierge, and leadership teams to improve billing accuracy, expense management, and financial reporting.
• Identify financial risks, operational inefficiencies, and opportunities to improve profitability and support company growth.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off
• Discounts on IV therapy and M-Sculpt sessions
• Free onsite yoga
• Catered healthy lunches