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-dr