Fractional CFO

McCracken Alliance Partners; United States; Remote; USD 180,000 - 300,000; Full time

Job summary

McCracken Alliance is building an evergreen bench of senior CFOs to lead client finance functions on an interim or fractional basis across healthcare, biotech, medtech, manufacturing, and professional services in the United States.

You will work as a strategic partner to CEOs and leadership teams, guiding cash flow, forecasting, and capital planning with strong GAAP expertise and executive presence. This is a flexible, engagement-based opportunity with diverse clients.

Qualifications

• 8+ years of progressive finance experience with senior leadership responsibility.
• Experience as CFO / VP Finance / Head of Finance (or equivalent).
• Strong modeling/FP&A capabilities; able to translate data into decisions for non-finance stakeholders.
• Solid accounting fluency (GAAP) and a practical, controls-oriented mindset.
• Executive presence; clear, concise communicator with operators and boards/lenders/investors.

Responsibilities

• Step in as the senior finance leader for clients needing strategic partnership.
• Lead cash flow strategy, runway planning, working capital optimization, and margin initiatives.
• Build and improve forecasting, budgeting, and KPI dashboards to drive decisions.
• Deliver board-/lender-/investor-ready reporting and decision support.
• Support diligence readiness, recapitalizations, financings, and M&A work as needed.
• Strengthen finance operations with close cadence, controls, and systems improvements.

Skills

Strategic finance leadership

FP&A

Financial modeling

Executive communication

Cash flow management

Cross-functional collaboration

Education

CPA

MBA

Tools

ERP systems

BI/FP&A tools

Job description

About McCracken Alliance McCracken Alliance partners with CEOs, owners, boards, and investors to elevate the Office of the CFO—bringing hands-on strategic finance leadership to growth, transition, and special project environments. We’re building an evergreen bench of experienced Fractional and Interim CFOs with deep exposure to SaaS, healthcare services, biotech/life sciences, medical device/medtech, manufacturing, and professional services across the Southeast region. What you’ll do You will step in as the senior finance leader for clients who need a true strategic partner—often in PE-backed, VC-backed, founder-led, or operationally complex environments.

• Serve as a strategic partner to CEOs/owners and leadership teams on growth, profitability, and capital allocation.
• Lead cash flow strategy, runway planning (where relevant), working capital optimization, and margin/profitability initiatives.
• Build and improve forecasting, budgeting, and KPI dashboards that drive decisions—not just reports.
• Deliver board-/lender-/investor-ready reporting and decision support.
• Support diligence readiness, recapitalizations, financings, and M&A / transaction work as needed.
• Strengthen finance operations (close cadence, controls, systems/process improvements).
• Partner with Controllers and finance teams to build durable processes and performance beyond the engagement. Sector-specific examples you may own (depending on client):
• Healthcare: service line/site profitability, payer mix & reimbursement analytics, labor productivity, RCM/denials visibility, growth strategy support.
• Biotech/Life Sciences: runway & burn management, program/portfolio spend visibility, grant or collaboration accounting support, investor reporting.
• Medical Device/MedTech: COGS and gross margin improvement, inventory visibility, demand planning inputs, ops KPI alignment, scaling finance for growth.
• Professional Services: utilization and realization metrics, project margin improvement, delivery/finance alignment, revenue recognition support, pricing and packaging analytics. Scope, cadence, and on-site expectations vary by client and engagement.
• Who you are This network is designed for senior finance leaders who operate at the CFO level and want to structure their careers around fractional/interim work.
• 8+ years of progressive finance experience with senior leadership responsibility.
• Experience as CFO / VP Finance / Head of Finance (or equivalent).
• Strong modeling/FP&A capabilities; able to translate data into decisions for non-finance stakeholders.
• Solid accounting fluency (GAAP) and a practical, controls-oriented mindset.
• Executive presence; clear, concise communicator with operators and boards/lenders/investors.
• Healthcare: provider/services finance, multi-site operations, RCM familiarity, payer/reimbursement drivers, labor economics, compliance-minded operations.
• Biotech/Life Sciences: VC/PE environments, budget ownership in R&D-heavy orgs, cash discipline, runway planning, readiness for scaling.
• Medical Device/MedTech: product economics, inventory/COGS, cost accounting fundamentals, operational KPI leadership, scaling processes.
• Professional Services: project economics, utilization/realization, delivery operations partnership, pricing/margin work. Bonus points if you have experience with fundraising or M&A, leading a turnaround, implementing systems like ERP or BI/FP&A tools, or holding a CPA or MBA. Familiarity with the relevant regulatory landscape is also a big plus.
• Why McCracken Alliance’s network is different No long-term commitment required—keep freedom to pursue other opportunities.
• Flexible work aligned to your availability, preferred cadence, and strengths.
• Variety of clients and engagement types (discrete projects to ongoing fractional seats).
• Central team support that scopes and frames engagements so you can focus on impact. This is not a single role; it’s an ongoing relationship with McCracken Alliance for consideration of current and future Fractional/Interim CFO engagements.
• Company Description McCracken Alliance is a partnership of experienced CFOs, Controllers, and finance leaders that strengthens “the Office of the CFO” through on-demand executive talent and leadership development. What we do: Executive services (on-demand finance leadership): Interim CFO/Controller, Fractional CFO/Controller, and Virtual CFO/Controller support—step-in leadership for transitions or ongoing part-time strategic guidance. Finance talent needs: Help companies fill leadership gaps (e.g., interim CFO needs, hiring a new controller) and augment teams for special projects. Strategic/project support: Help with things like raising capital, due diligence, and M&A-related work; plus modernizing the finance function via software migration support. Coaching + leadership development: CFO coaching and structured programs (Leading the Office of the CFO, CFO Leadership Program, Finance Team Leadership Program) plus a peer network (Financial Leadership Network). Permanent placement (when you need a full‑time leader): executive search to recruit and land a long‑term fit.