Chief Financial Officer (CFO)

The Chief Financial Officer (CFO) at Dallas - Plano will lead enterprise financial operations for Autism Treatment Center (ATC), a multi-site nonprofit serving children and adults with autism and related disabilities.

Responsibilities

• Partner closely with the CEO to develop and implement ATC’s financial plan for long-term sustainability and growth.
• Drive decision-making using cash flow projections, program margins, and scenario analysis (investments, service structure, expansion timing).
• Build annual operating and capital budgets with program leaders.
• Lead the monthly close; oversee preparation of financial statements; provide forecasts and budget variance analysis.
• Prepare and present financial statements, budget performance, cash flow forecasts, and financial risk updates to the Board of Directors.
• Communicate drivers of performance and the financial impact of decisions to the Board.
• Create tailored financial reporting for contractors and donors, including expenditure and fund-use reporting.
• Oversee day-to-day accounting, cash flow forecasting, internal controls, and the annual audit.
• Monitor liquidity and identify emerging cash needs.
• Manage reimbursement, financial reporting, and applicable cost reports for Texas Health and Human Services Commission programs, including ICF/IID and HCS.
• Ensure costs are properly allocated and reports are accurate and delivered on time.
• Oversee budgeting, invoicing, collections, and financial reporting for independent school district (ISD) contract services.
• Lead revenue cycle management for Medicaid and commercial insurance billing for ABA, speech therapy (ST), and occupational therapy (OT).
• Monitor authorizations, claims, denials, accounts receivable, and collections.
• Analyze reimbursement, staffing costs, utilization, and margins by program and location.
• Collaborate with operational leaders to improve financial performance and evaluate service capacity.
• Provide leadership, direction, and oversight for assigned departmental personnel.
• Ensure employees meet professional workplace standards, follow organizational policies, and achieve departmental objectives.
• Apply supervisory judgment to address performance concerns; maintain open communication with executive leadership and Human Resources on employee and operational matters.

Requirements

• Prior experience serving as Chief Financial Officer in a healthcare organization.
• Experience with NetSuite or similar ERP software.
• Hands-on experience building operating budgets and forecasts and preparing financial statements.
• Experience presenting financial results, forecasts, and recommendations to a board of directors.
• Experience preparing custom financial reports for contractors, donors, or other external stakeholders.
• Experience with Texas HHSC reimbursement and cost reporting for ICF/IID and HCS, plus financial management of ISD contracts.
• Experience overseeing Medicaid and commercial insurance billing and collections for ABA, ST, and OT.
• Experience leading both accounting and revenue cycle management teams.

Technologies

• NetSuite

Education & Qualifications

• Bachelor’s degree in finance or accounting (MBA preferred).
• Credentials such as Certified Public Accountant (CPA) or Certified Management Accountant (CMA).
• Valid Driver’s License.
• Strong communication, collaboration, and organizational skills.

Preferred Experience

• Nonprofit healthcare or multi-site healthcare leadership.
• Knowledge of financial regulations.
• 10+ years in accounting and finance, including at least 5 years in a senior management or controller role.

Benefits

• Paid Time Off
• Medical Insurance
• Dental Insurance
• Vision Insurance
• 401k
• Supplemental Insurance
• Employee Assistance Program
• Employee Perks Program
• Wellness Program

What You’ll Lead

• Financial strategy and growth
• Budgeting and financial reporting
• Board of Directors presentations
• Custom financial reporting
• Accounting and cash management
• HHSC reimbursement and cost reporting
• School district contracts
• Outpatient revenue cycle
• Program financial performance
• Supervise Staff