Chief Financial Officer

OrthoArizona; Chicago (IL); On-site; USD 250,000 - 380,000; Full time

Job summary

OrthoArizona is seeking a Chief Financial Officer to lead all financial strategy, planning, accounting, treasury, and reporting for our multi-site orthopedic practice. You will partner with the CEO and Board, translating clinical and growth strategy into sound financial plans and clear performance insights.

You will build a scalable finance function as the practice grows across nearly 30 clinics, two ambulatory surgery centers, imaging, therapy, and urgent care services, while ensuring GAAP

Qualifications

• Bachelor's degree in Accounting, Finance, or related field.
• 10+ years of progressive finance and accounting experience, including 5+ years in a senior finance leadership role in healthcare.
• Experience in a multi-site physician group, ambulatory surgery center, or comparable outpatient healthcare setting.
• Working knowledge of physician compensation models, payer reimbursement, and healthcare revenue cycle metrics.
• Strong command of GAAP, financial statement preparation, budgeting, and internal controls.
• Advanced financial modeling and Excel skills; experience with GL/ERP and BI reporting tools.
• Demonstrated ability to communicate complex financial information clearly to physicians, boards, and non-financial leaders.
• Proven leadership of finance teams and a track record of building processes that scale.
• Ability to travel locally to clinic and surgery center locations across the Phoenix metro area.

Responsibilities

• Strategic financial leadership: Partner with the CEO and Board to set long-range financial strategy and align capital allocation with priorities.
• Board and owner reporting: Prepare and present monthly and quarterly results, forecasts, and KPIs to leadership and shareholders.
• Growth and transactions: Lead due diligence, deal modeling, and post-close integration for de novo sites and acquisitions.
• Team leadership: Build and develop the finance function and ensure scalable processes.
• Planning, accounting, and reporting: Own budgets, rolling forecasts, P&L analysis, and GAAP-compliant reporting.
• Audit, tax, and controls: Oversee audits, tax compliance, and internal controls across entity structure.

Skills

Finance leadership

GAAP knowledge

Financial modeling

Excel skills

Communication

Multi-site

Team leadership

Travel ability

Education

Bachelor's degree

Tools

ERP systems

BI tools

BI dashboards

Job description

Our mission is to provide excellent, compassionate care to our patients. The Chief Financial Officer is OrthoArizona’s senior finance executive and a member of the executive leadership team. Reporting to the CEO and working closely with the physician Board, the CFO leads all financial strategy, planning, accounting, treasury, and financial reporting for a multi-specialty orthopedic practice operating nearly 30 clinic locations across the Phoenix metro area, two licensed ambulatory surgery centers, and ancillary services including MRI/CT imaging, physical therapy, pain management, and InstantOrtho urgent orthopedic care.

The CFO translates the practice’s clinical and growth strategy into a sound financial plan, gives physician owners clear and timely insight into performance, and builds the finance function, controls, and systems needed to support continued growth.

DUTIES AND RESPONSIBILITIES

Strategy and Leadership

• Strategic financial leadership: Partner with the CEO and Board to set long-range financial strategy, evaluate growth options, and align capital allocation with clinical and operational priorities.
• Board and owner reporting: Prepare and present monthly and quarterly financial results, forecasts, and key performance indicators to the CEO, Board, and physician shareholders in a clear, decision-ready format.
• Growth and transactions: Lead financial evaluation of de novo sites, practice acquisitions, provider recruitment, joint ventures, and strategic partnerships (including private equity or MSO proposals); direct due diligence, deal modeling, and post-close integration.
• Team leadership: Lead, develop, and hold accountable the finance and accounting team (e.g., Controller, accounting, and FP&A staff); build a scalable finance function as the practice grows.

Planning, Accounting, and Reporting

• Budgeting and forecasting: Own the annual operating and capital budgets and rolling forecasts, including service-line, site-level, and provider-level P&Ls.
• Financial analysis: Deliver analysis of provider productivity (wRVUs, visits, cases), payer mix, cost per encounter, staffing ratios, and site profitability to inform operational decisions.
• Accounting and close: Oversee general ledger, accounts payable, fixed assets, and month-end close; ensure accurate, timely financial statements consistent with GAAP and the practice’s reporting basis.
• Audit and tax: Manage the annual audit or review and tax compliance across all practice entities in coordination with outside CPA firms; advise on entity structure and tax planning.

Physician Economics and Revenue

• Physician compensation and distributions: Administer and model physician and APP compensation plans, shareholder distributions, buy-ins/buy-outs, and associated reporting, in partnership with legal counsel to ensure consistency with the Stark Law and Anti-Kickback Statute.
• Revenue cycle partnership: Partner with the Chief of Revenue Cycle Management on revenue integrity, collections, and KPIs such as days in A/R, net collection rate, and denial rate; ensure revenue is accurately forecast and recognized.
• Payer contracting and reimbursement: Model fee schedules and contract proposals, support payer negotiations, and evaluate value-based, bundled-payment, and direct-to-employer arrangements.
• Ancillary and ASC performance: Oversee financial performance of the ambulatory surgery centers, imaging, therapy, and other ancillaries, including joint venture accounting and distributions.

Treasury, Risk, and Controls

• Treasury and capital: Manage cash flow, banking relationships, credit facilities, debt covenants, and investment of reserves; lead capital planning for equipment, technology, and facility projects.
• Internal controls and compliance: Maintain strong internal controls, segregation of duties, and financial policies; partner with Compliance on audits, regulatory requirements, and fraud prevention.
• Insurance and risk: Partner with the practice’s broker and leadership on property/casualty, malpractice, and other insurance programs, and on financial risk management.
• Payroll and benefits costs: Partner with Human Resources on payroll accounting, compensation budgets, and benefit plan cost and funding decisions.
• Systems and data: Oversee financial systems (GL/ERP, budgeting, and BI tools) and data integrity; partner with IT and operations to deliver reliable financial dashboards and reporting.

QUALIFICATIONS

MINIMUM QUALIFICATIONS

• Bachelor’s degree in Accounting, Finance, or a related field.
• 10+ years of progressive finance and accounting experience, including 5+ years in a senior finance leadership role (CFO, VP Finance, or Controller) in a healthcare organization.
• Experience in a multi-site physician group, ambulatory surgery center, or comparable outpatient healthcare setting.
• Working knowledge of physician compensation models, payer reimbursement, and healthcare revenue cycle metrics.
• Strong command of GAAP, financial statement preparation, budgeting, and internal controls.
• Advanced financial modeling and Excel skills; experience with GL/ERP and BI reporting tools.
• Demonstrated ability to communicate complex financial information clearly to physicians, boards, and non-financial leaders.
• Proven leadership of finance teams and a track record of building processes that scale.
• Ability to travel locally to clinic and surgery center locations across the Phoenix metro area.

PREFERRED QUALIFICATIONS

• CPA and/or MBA.
• Orthopedic or musculoskeletal practice experience.
• Financial oversight of ASC, imaging, and therapy ancillaries, including joint ventures.
• Experience with practice acquisitions, private equity or MSO transactions, or physician group mergers.
• Familiarity with Stark Law and Anti-Kickback Statute considerations in physician compensation.