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Director Finance - Physician Practices

Azspineandjoint, Nashville, TN, United States


This is a hybrid position based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday.

Responsibilities

Oversee accounting and financial support for multiple physician practices and anesthesia services of varying size and complexity

Lead financial oversight of physician practices, including:

Practice-level profitability analysis

Provider productivity reporting

Physician compensation model support

Financial evaluation of new provider recruitment and service line expansion

Perform monthly close in accordance with

GAAP and SOX

requirements

Conduct monthly income statement reviews and operational trend analyses, with a focus on:

Provider productivity

Revenue cycle performance

Practice-level operating metrics

Ensure integrity of the

General Ledger and OneStream financial systems

Develop and maintain practice-level dashboards and KPIs, including payer mix, case volume, expense benchmarking, and productivity metrics

Lead physician practice budgeting, provider ramp modeling, and staffing forecasts as part of the annual budget process

Perform financial diligence for physician practice acquisitions, including analysis of historical financials, productivity trends, revenue cycle metrics, and payer mix

Build and maintain acquisition models and pro formas for potential partnerships or acquisitions

Support integration planning for acquired practices in collaboration with operations, legal, and corporate development teams

Serve as a key point of contact for internal and external auditors

Act as a trusted financial advisor to operations leaders and physician leadership, identifying opportunities to improve financial and operational performance

Drive continuous improvement across finance and accounting processes, with a focus on standardization, scalability, and automation

Identify and implement best practices that can be scaled enterprise-wide

Education & Experience:

Bachelor’s degree in Accounting (required)

Healthcare finance experience required; physician practice or multi-site medical group experience strongly preferred

Proven management experience leading multi-disciplinary teams

Demonstrated success influencing operational and physician leaders through clear, actionable financial insights

Experience analyzing physician productivity, practice performance, or provider compensation models preferred

Experience with physician practice acquisitions, financial diligence, or healthcare transaction modeling preferred

Experience managing up to

3 direct reports and 10 indirect reports

Experience recruiting, onboarding, and developing finance talent

Knowledge & Skills:

Strong working knowledge of

GAAP and SOX

compliance

Proven ability to close financial statements within

Day 8 or Day 9

timelines

Experience identifying and resolving SOX control deficiencies

Advanced data and financial systems expertise, including data warehouses and advanced Excel skills

Preferred experience with

OneStream and/or Solomon

Ability to work effectively with JV partners and physician stakeholders

Comfortable training, mentoring, and developing team members

Self-starter who thrives in a fast-paced, collaborative environment

Highly detail-oriented while maintaining a strong enterprise mindset

Detail-Oriented: Consistently delivers accurate, high-quality work

Leader: Inspires, mentors, and motivates teams to perform at a high level

Strategic Thinker: Sees beyond the numbers to inform business decisions

Change Agent: Eager to take on new challenges and drive performance improvement

Why Join Us?

Partner closely with physician and operations leaders to shape the financial future of a growing healthcare platform

Influence enterprise-wide strategy, acquisitions, and integration efforts

Lead and develop talented finance professionals in a mission-driven environment

Opportunity to make a meaningful impact on physician practice performance and patient care delivery

Comprehensive health, dental, and vision insurance

Health Savings Account with an employer contribution

Life Insurance

PTO

401(k) retirement plan with a company match

And more!

ENVIRONMENTAL/WORKING CONDITIONS : Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

*If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

*No Recruiters Please

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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