Financial Controller (ABA Healthcare)

Autism & Behavioral Spectrum; St. Louis (MO); On-site; USD 110,000 - 145,000; Full time

Job summary

AB Spectrum in St. Louis, MO seeks a Financial Controller to own the financial performance and strategic clarity of the organization.

You’ll partner with the CEO, Clinical Leadership, and Operations to ensure profitability, revenue accuracy, and budgeting that supports sustainable growth. Key duties include managing P&Ls across clinics, cash flow forecasting, RCM oversight, cost control, and real-time dashboards to reveal true profit and opportunities.

Qualifications

• CPA certification is required.
• 5+ years in progressive accounting/finance roles, healthcare experience preferred (ABA or multi-site).
• Experience building and interpreting data dashboards for financial decision-making.

Responsibilities

• Own company-wide P&Ls and clinic-level profitability.
• Oversee budgeting, forecasting, and cash flow planning.
• Manage Revenue Cycle Management and collections targets (≥97%).
• Ensure revenue accuracy and drive cost control without impacting care quality.
• Build real-time financial dashboards for leadership visibility.

Skills

RCM familiarity

Financial analysis

Cross-functional leadership

Education

Bachelor’s Degree in Accounting or Finance

Tools

Lightdash

Data dashboards

Job description

Join a Top Workplace in Specialized Therapy

Enhance your clinical career with AB Spectrum, a team proudly named a Top Workplace by the St. Louis Post-Dispatch. We earned this recognition, which is based entirely on employee feedback, because we foster a culture where people feel valued, supported, and inspired to grow.

AB Spectrum provides specialized Reggio ABA™ (Applied Behavior Analysis) therapy for young children (ages 1-6). Our foundation is ABA, an evidence-based therapy focused on developing communication, social, and adaptive living skills.

• Our Model: Our centers utilize a unique Therapy Through Play model. We embrace the principles of Reggio Emilia by devising a Natural Environment Teaching (NET), child-led learning environment to deliver individualized, high-quality early intervention services in settings that replicate a natural preschool.
• Our Team: Join our collaborative team of BCBAs, RBTs, SLPs, and Administration. You'll benefit from cross-disciplinary collaboration and unique special visits, including music facilitators, pet interactions, and other partnerships.

Financial Controller (ABA Healthcare)

Location:

St. Louis, MO

Compensation:

$110,000-$145,000

About The Role

As our Financial Controller, you are the vital link between our clinical excellence and our organization's financial health. You don’t just report on the numbers; you own the full financial performance and strategic clarity of the organization.

In this role, you will have ultimate ownership over our profitability, revenue accuracy, and budget performance. By partnering closely with our CEO, Clinical Leadership, and Operations teams, you will ensure our growth is sustainable, intentional, and backed by high-level financial decision-making. Your mission is to provide the "cash clarity" and data-driven insights needed to scale our impact with confidence.

Key Responsibilities

• Financial Leadership & P&L Ownership
• Own company-wide and clinic-level P&Ls
• Provide real-time visibility into revenue, expenses, and profitability
• Identify risks, inefficiencies, and opportunities across clinics
• ABA Revenue & BCBA Performance Alignment
• Track and analyze:
  • BCBA billable hours vs. expectations
  • Utilization (authorized vs. delivered hours)
  • Caseload vs. revenue output
• Partner with CCO + Clinical Leadership to:
  • Align clinical expectations with financial targets
  • Ensure billing practices support both compliance and profitability
• Flag underperformance early and provide solutions
• RCM & Collections Oversight
• Partner with RCM VP to ensure:
  • Accurate billing and clean claims
  • Strong collections (≥97%)
  • Reduced AR aging
• Identify and resolve:
  • Revenue leakage
  • Delays in billing or collections
  • Payer-specific issues
• Budgeting, Forecasting & Growth Planning
• Own department and clinic-level budgeting
• Reallocate resources (“move money”) to ensure budgets work in real time
• Build budgets tied to:
  • Staffing (BCBAs, RBTs)
  • Client demand and authorizations
  • Clinic expansion plans
• Work with COO + Operations on:
  • Supply vs. demand planning
  • Hiring timelines tied to revenue
• Cash Flow & Owner-Level Financial Clarity
• Manage and forecast cash flow with visibility into:
  • Insurance payment cycles
  • Payroll and major expenses
• Create clear views of:
  • True profit (pre vs. post tax strategy)
  • Owner expenses and adjustments
• Provide clarity on cash available for:
  • Expansion
  • Raises and incentives
  • Capital projects
• Ensure financials are aligned for banking, lending, and investments
• Expense Management & Cost Control
• Analyze major cost drivers:
  • Labor (BCBA/RBT)
  • Facilities and maintenance
  • Admin and overhead
• Partner with leadership to:
  • Set cost targets
  • Improve margins
  • Reduce inefficiencies without impacting care
• Systems, Reporting & Visibility
• Build dashboards (Lightdash or similar) showing:
  • Revenue (billed vs. collected)
  • Clinic performance
  • Cash flow
• Ensure leadership has simple, real-time financial visibility
• Improve speed and accuracy of reporting
• Cross-Functional Leadership
• With CCO (Clinical):
  • Align billable expectations, caseloads, and clinical quality
• With COO (Operations):
  • Align staffing, scheduling, and clinic performance
• With RCM:
  • Ensure revenue integrity and collections
• With HR/People Ops:
  • Support compensation and workforce planning
• Financial Decision-Making & Ownership
• Drive financial recommendations and decision-making, with final approval by ownership
• Ensure budgets are not just created, but actively managed and adjusted in real time
• Provide leadership with clear financial direction for decision-making
• Compensation, Incentives & Leader Support
• Design and model bonus and incentive structures
• Provide visibility into what is financially feasible for:
  • Raises
  • Bonuses
  • Incentives
• Align incentives with:
  • Profitability
  • Revenue performance
  • Clinical and operational outcomes
• Help leaders understand their financial impact and opportunities
• Compliance & Risk
• Ensure alignment with:
  • Healthcare billing standards
  • Insurance compliance
• Maintain clean, audit-ready financials

Top Requirements

• Education: Bachelor’s Degree in Accounting or Finance.
• Certification: CPA
• Experience: 5+ years of progressive accounting/finance experience preferred. Healthcare experience (specifically ABA or multi-site clinics) is a massive plus.
• Skillset: You must be comfortable with RCM (Revenue Cycle Management) and building data dashboard

Our Commitment to Diversity

Autism and Behavioral Spectrum is an Equal Opportunity Employer.

Autism and Behavioral Spectrum is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. We intend to maintain a work environment that is free of harassment, discrimination, or retaliation based on the following protected classes: age, race, color, national origin, ancestry, religion, sex, sexual orientation (including transgender status, gender identity or expression), sexual stereotyping, pregnancy (including childbirth, lactation, and related medical conditions), marital status, physical or mental disability, genetic information (including testing and characteristics), association with anyone who is a member of a protected class, AIDS/HIV status, veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The Company is dedicated to the fulfillment of this policy regarding all aspects of employment, including, but not limited to, recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.