Jobs · Finance · North Carolina

Chief Financial Officer, Business Operations

Novamed · Seven Springs, NC · 3 mo ago
FinanceFull-time

Core Responsibilities

  • Operational & Enterprise Finance Leadership
  • Act as the primary financial partner to the COO, supporting operational execution, scalability, and Revenue and EBITDA growth.
  • Own financial performance across all service lines, entities, and markets, ensuring alignment with value creation plans.
  • Support enterprise growth initiatives, including de novo expansion, acquisitions, divestitures, integrations, and service line optimization.

Financial Planning & Analysis (FP&A)

  • Lead enterprise FP&A, including budgeting, rolling forecasts, long-range planning, and scenario modeling.
  • Develop and refine facility-level and service-line economics to support financial, productivity, and margin decisions.
  • Deliver actionable financial insights, dashboards, and KPI reporting to field operations, executive leadership and key stakeholders.
  • Provide clear, concise financial narratives that connect operational drivers to financial outcomes.

Accounting, Reporting & Controls

  • Maintain strong internal controls, audit readiness, and compliance (including SOX, where applicable).
  • Own cash flow forecasting, liquidity management, and working capital optimization.
  • Support capital allocation decisions aligned to return objectives.

Operations Partnership & Performance Management

  • Significantly mature processes and team within Finance into day-to-day operations as a proactive business partner to facilities and facility level boards via finance leadership teams.
  • Support labor optimization, cost containment, revenue cycle performance, and productivity initiatives.
  • Drive accountability through clear financial targets, performance reviews, and variance analysis.

Team Leadership & Scale

  • Build and lead a high-performing finance organization across FP&A, accounting, and operational finance.
  • Develop talent and systems capable of supporting scale, integration, and increasing complexity.
  • Champion process standardization, automation, and financial system maturity.

Qualifications

  • Bachelor’s degree in Finance, Accounting, or related field; MBA and/or CPA preferred.
  • 10+ years of progressive financial leadership, including senior experience in multi-site healthcare services, preferably with group level (layered management) oversight of multiple markets and submarkets.
  • Revenue under management of at least $2.5 billion.
  • Deep FP&A expertise with strong operational and unit economics orientation.
  • Proven ability to partner with operations leaders and influence outcomes at the executive and board level.
  • Strong talent leadership and development ability.

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