Vice President of Finance

Based in Westerville, Ohio, Accountable Radiology Advisors seeks a seasoned Vice President of Finance to steer financial operations across internal and client organizations. This senior leadership role blends hands-on financial management with strategic consulting, overseeing budgeting, cash flow forecasting, financial reporting, and internal controls while supporting business development efforts.

Responsibilities

• In collaboration with fellow consultants, conduct high-level operational assessments of established medical practices and facilities to identify financial strategies that spur growth, profitability, and physician income.
• Develop financial pro formas for startup medical practices and healthcare facilities, including revenue forecasts, operating expenses, and capital needs for new ventures.
• Educate clients on best practices for financial operations, including internal controls, segregation of duties, budgeting, and cash forecasting to enhance decision-making.
• Analyze monthly results against budgets, reviewing variances in labor, administrative expenses, and medical supply usage with clients.
• Help clients identify KPIs to gauge operational effectiveness and partner with the Business Intelligence and RCM Client Services Manager to create Power BI dashboards.
• Administer shareholder and employed provider compensation formulas.
• Jointly with the CFO, oversee the outsourced accounting service line, ensuring staff accountants produce high-quality, timely, and accurate work; review client financial statements and lead finance meetings.
• Drive growth of the outsourced accounting program by presenting to clients and achieving high satisfaction scores.
• Oversee staff accountants with the CFO, ensuring accurate accounting activities including maintaining the general ledger, chart of accounts, income tracking, and expense coding in accounting software.
• Maintain an up-to-date schedule of fixed assets.
• Lead the annual operating budget process and periodic forecasts.
• Analyze monthly financial performance versus budgets, including variances in labor and other costs, and discuss findings with management.
• Assess profitability by service line and recommend areas for expansion, restructuring, or cost elimination to the CFO and leadership.
• Review proposed vendor contracts and assist management in negotiating improved pricing and payment terms.
• Oversee and/or prepare thirteen-week cash flow forecasts for internal companies on a weekly basis for leadership review.
• Evaluate outstanding payables and determine payment timing based on cash position to optimize liquidity.
• Support the CFO in managing investments and banking relationships.
• Analyze credit card usage and invested cash to minimize interest costs.
• Verify invoices for accuracy, obtain necessary approvals, and input them into payables systems; process payments with attention to cash flow timing.
• Authorize reimbursements for business expenses in compliance with internal policies and external regulations.
• Oversee payroll processing, including biweekly payroll, PTO balance monitoring, and employees’ deferrals and employer contributions for health benefits and retirement accounts.
• Prepare and distribute month-end financial statements and other management reports for leadership review.
• Coordinate with external accounting and tax advisors to assist with income tax returns and other regulatory filings.
• Support owners by delivering timely financial information and distribute K-1 forms to shareholders.
• Develop and enforce internal controls to safeguard assets, including daily balancing of receipts, bank reconciliations, and expense reimbursements.
• Maintain transparency with external advisors and shareholders and promptly report irregularities to the Compliance Officer, CFO, CEO, and, if needed, external advisors for assessment.
• Assist HR, the CFO, and the CEO in evaluating health insurance and benefit programs, including renewals, pricing, and RFP processes if required.
• Assist the CFO and CEO in evaluating professional liability insurance coverage, including renewal pricing and related bid evaluations.

Requirements

• Master’s degree in accounting, finance, or business administration is required; an advanced degree or CPA license is preferred.
• Minimum five years in accounting or financial management, with healthcare experience preferred.
• Strong knowledge of Microsoft Office and multidimensional databases.
• Exceptional communication and presentation abilities.
• A player-coach management style with the ability to participate alongside the team while guiding and mentoring them; capable of multitasking and meeting deadlines in a collaborative environment.
• Experience in healthcare accounting/financial management is required; healthcare/medical billing experience is preferred.
• CPA license is preferred.

Technologies

• Microsoft Office
• Microsoft Excel
• Power BI

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Job Type

Full-time

Compensation

Base pay: USD 170,000 per year

Location

Westerville, Ohio (onsite)

Application Questions

• Do you have a degree in accounting, finance, or business administration? Please specify.
• Are you an expert using Excel?
• Are you willing to work in-office in Westerville, Ohio Monday through Friday approximately 8:30a - 5:00p and willing to work extra hours as necessary?