Chief Financial Officer

Brevard Physician Associates, PLLC; Melbourne (FL); On-site; USD 180,000 - 260,000; Full time

Job summary

Brevard Physician Associates, PLLC is seeking a seasoned CFO to oversee financial strategy, revenue cycles, and governance for physician shareholders in Florida.

The role focuses on contracts, subsidy negotiations, capital allocation, and regulatory risk, partnering with the CEO and Board. The candidate should bring extensive healthcare finance experience and CPA credentials, with an MBA/MHA preferred.

Qualifications

• MBA/MHA in Finance or Accounting required; active CPA license highly desirable.
• Experience: 12+ years of progressive financial leadership within a physician-owned group or hospital-based medical group.

Responsibilities

• Strategic oversight of financials for a physician-owned group.
• Lead multi-year forecasting, capital allocation, and ROI analysis for growth initiatives.
• Negotiate subsidies, stipends, and managed care contracts to optimize payer mix.
• Oversee equity governance, distributions, and partner buy-ins/buy-outs.
• Provide Board-level reporting and communication of financial strategy and risk.

Skills

Healthcare finance

Forecasting

Payer negotiations

Governance

Capex planning

Stakeholder communication

Education

MBA/MHA in Finance

CPA

Tools

UKG Pro

Job description

Brevard Physician Associates (BPA) is a premier, privately owned multi-specialty physician group providing hospital-based services in Anesthesia, Emergency Medicine, Diagnostic Radiology, and Interventional Radiology throughout Brevard County Florida.

This role requires a seasoned healthcare financial executive with a proven track record of navigating complex revenue cycles, managed care negations, and physician-led governance. As an accomplished financial architect, the CFO will skillfully navigate the intricacies of healthcare contracting and partnership nuances, serving as a strategic partner to the CEO and Board if Directors to ensure long-term fiscal health and transparency for out physician-shareholders.

Key Responsibilities (Strategic Oversight)

• Advanced Forecasting: Utilize the financial data provided by the Finance Team to build multi-year growth strategies and capital allocation models.
• Subsidy & Stipend Negotiation: Serve as the lead financial advisor in stipend and subsidy negotiations, ensuring coverage agreements are pro-actively modeled for maximum viability.
• Corporate Development: Identify and model financial support needs and opportunities for service line expansion or joint ventures.
• Capital Allocation: Lead enterprise capital allocation strategy, including evaluation of ROI for growth initiatives, staffing models, technology investments, and service line expansion.
• Investment Discipline: Ensure investment decisions align with long-term physician shareholder value and risk tolerance.

High-Level RCM & Managed Care Strategy

• Contractual Oversight: While the Controller manages the daily billing vendor relationship, the CFO leads the strategy and contract negotiations with those vendors.
• Payer Negotiations: Lead the strategy for Managed Care contracting, leveraging billing trends to secure favorable reimbursement rates and payer mix optimization.
• Regulatory Risk: High-level monitoring of legislative impacts (e.g., No Surprises Act and annual Medicare cuts) on the group's revenue.

Physician Compensation & Equity Governance

• Plan Design: Design and refine specialized physician compensation models to ensure they drive clinical performance while maintaining FMV compliance.
• Shareholder Financials: Oversee the strategic management of partner distributions and equity buy-in/buy-out structures.

Fiduciary Leadership & Benefits Strategy

• Retirement Governance: Act as the primary fiduciary for BPA’s 401(k) Plan, ensuring ERISA compliance and optimal plan design.
• Benefit Sustainability: Collaborate with HR to ensure the overall cost of health and welfare benefits is sustainable and competitive.
• Financial Representative: Act as BPA’s primary financial representative to banks, auditors, legal counsel, benefit advisors, and other external partners.
• Relationship Management: Lead negotiations and relationship management with external financial stakeholders as required.
• Department Oversight: Provide mentorship and executive guidance to the Controller and the internal accounting/payroll team.
• Board Communication: Serve as the lead financial representative at Board meetings and Finance Committee meetings, translating tactical data into strategic narratives for physician-owners.

Financial Risk & Liquidity Management

• Financial Risk Management: Maintain oversight of BPA’s balance sheet, liquidity position, and reserves to ensure financial resilience under varying subsidy, reimbursement, and staffing scenarios.
• Alternative Financial Modeling: Develop downside, stress‑test, and contingency financial models to support executive and Board decision‑making.
• Compliance Oversight: Ensure strong internal financial controls, audit readiness, and compliance with applicable healthcare, tax, and regulatory requirements.

Financial Insights & Systems Leadership

• Systems Integration: Oversee the integrity, accuracy, and alignment of financial data across accounting, RCM, payroll, and operational systems.
• Financial Tools: Drive the development of financial dashboards, KPIs, and forecasting tools that support timely, data-driven executive and physician-owner decisions.
• Financial Systems Oversight: Lead selection, implementation, and optimization of enterprise financial systems as needed.

Qualifications

• Education: MBA/MHA in Finance or Accounting required; active CPA license highly desirable.
• Experience: 12+ years of progressive financial leadership, specifically within a physician-owned group, or hospital-based medical group.
• Specialized Expertise: Mastery of healthcare subsidy modeling, managed care negotiation, and partnership-style (PLLC) financial structures.
• Technical Proficiency: Experience with enterprise-level financial platforms and HRIS/Payroll systems (e.g., UKG Pro).

Qualifications

Education

Preferred

Masters or better in Accounting.

Equal Opportunity Employer
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