Senior Director Of Finance - Physician Practices

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

Responsibilities

Financial strategy and leadership

• Provide executive oversight of financial strategy and performance across a multi-site physician practice platform.
• Serve as a strategic partner to executive, operational, and physician leadership to drive sustainable growth and profitability.
• Lead long-range financial planning, budgeting, and forecasting for physician practices, including provider ramp models and capacity planning.

Physician practice performance and analytics

• Oversee development and standardization of physician practice financial reporting, dashboards, KPIs, and benchmarking tools.
• Monitor and optimize key performance drivers, including provider productivity (wRVUs), collections per wRVU, payer mix, staffing ratios, and expense per encounter.
• Act as executive sponsor for physician practice data and analytics capabilities, including EHR-based productivity reporting and advanced financial analytics.

Provider compensation and compliance

• Lead the design, modeling, and enhancement of provider compensation plans.
• Ensure compensation structures align with organizational strategy, market competitiveness, and regulatory requirements (Stark Law, Anti-Kickback Statute).
• Partner with compliance and legal teams to maintain adherence to applicable healthcare regulations.

Budgeting, forecasting, and financial reporting

• Provide executive oversight of budgeting, forecasting, and financial performance management.
• Ensure integrity and consistency of financial reporting systems and processes, including General Ledger and financial consolidation tools (e.g., OneStream).
• Ensure compliance with GAAP, SOX, and internal controls.

Transactions, growth, and integration

• Lead financial diligence and transaction support for physician practice acquisitions, joint ventures, and partnerships.
• Support valuation analysis, quality of earnings assessments, and synergy identification.
• Partner cross-functionally with operations, revenue cycle, compliance, legal, and corporate development teams to support integration and achievement of financial targets.

Operational excellence and scalability

• Establish and drive best practices for financial operations, standardization, automation, and scalability across a growing physician practice platform.
• Support operational efficiency initiatives across scheduling, staffing models, throughput, and clinical workflows.

Leadership and talent development

• Build, lead, and mentor a high-performing finance team.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Serve as primary liaison with executive leadership, auditors, and external stakeholders on physician practice financial performance.

Education and experience requirements

• Bachelor's degree in Accounting, Finance, or a related field required.
• MBA, CPA, or other advanced certification strongly preferred.
• 7-10+ years of progressive healthcare finance experience.
• Significant experience supporting physician practices, multi-site medical groups, or ambulatory platforms.
• Demonstrated senior leadership experience within healthcare services organizations.
• Extensive experience with physician practice acquisitions, financial diligence, and post-acquisition integration.
• Proven experience leading and developing high-performing teams.

Knowledge and skills

• Deep expertise in physician practice financial drivers, including provider productivity, compensation models, revenue cycle performance, and payer dynamics.
• Executive-level financial acumen with the ability to translate complex data into actionable insights.
• Advanced proficiency in financial modeling, forecasting, and analytics using large datasets (EHR, data warehouse, Excel).
• Strong understanding of regulatory frameworks impacting physician compensation and financial relationships.
• Ability to lead large-scale, multi-site initiatives in a fast-paced, growth-oriented environment.
• Strong communication and stakeholder management skills.
• Experience with OneStream, ERP platforms, and practice management/EHR systems preferred.

Leadership attributes

• Strategic leader with the ability to set vision and drive enterprise-wide improvement.
• Analytical thinker with a data-driven approach to decision-making.
• Change agent with experience leading acquisitions, integrations, and transformation initiatives.
• Collaborative partner who builds trust with physician and operational leaders.
• Talent developer committed to mentoring and growing future finance leaders.

Benefits:

• 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