Director of Operations & Finance

Chestnut Health is a high-growth, post-startup, provider-based healthcare organization headquartered in Oak Brook, IL. We deliver physiatry and rehabilitation services directly to patients in skilled nursing facilities (SNFs). We are growing quickly in Illinois and across multiple states, and we are building a leadership team that can scale that growth. We are at an exciting stage: big enough to have momentum, small enough that your work shapes the company. Leaders here roll up their sleeves, solve real problems, and then build the teams to carry the work forward. The Role Chestnut Health is looking for a Director of Operations & Finance to build the foundation under a fast-growing healthcare company. You will lead both operations and finance, setting up the HR, IT, onboarding, and financial processes that let us scale without friction. You will start hands-on, doing the work directly while building plans for each function, then grow a team to support them. Key Responsibilities Operations Assess HR, IT, and operational processes and develop plans to improve and scale themBuild and standardize HR practices, including the employee handbook, policies, provider compensation agreements, benefits, 401(k), and payrollOversee IT priorities, including security, HIPAA compliance, and EMR adoptionRun client onboarding from signed contract through go-live, coordinating credentialing, IT, compliance, and other teamsLead business integration, including bringing acquired practices and their providers into Chestnut's training, HR, and credentialing processesManage vendors and contractsSupport compliance and risk management Finance Manage the general ledger, month-end close, and financial reportingLead budgeting, forecasting, and P&L analysisOversee multi-state payrollGive leadership clear financial insight and recommendations to guide growth decisionsSupport financial planning for expansion and acquisitions Leadership Partner directly with executive leadershipBuild and lead a team as the organization grows What Success Looks Like First 90 days: Assess HR, IT, finance, and onboarding processes and present a prioritized operating planFirst year: Standardized HR and compensation practices, a reliable monthly close and reporting cadence, and a repeatable client onboarding processLonger term: A team in place and the infrastructure to integrate acquisitions and enter new states Who Thrives Here Hands-on, process-minded, and comfortable owning many functions at once. You bring proposed solutions to leadership and need little supervision. Requirements Required Qualifications 7-10 years of healthcare experience leading both operations and finance functions, ideally in a large-scale physician groupHands-on experience with general ledger, budgeting, forecasting, P&L, and payrollWorking knowledge of HR and IT, plus experience with onboarding processes and acquisition integrationProcess-oriented mindset, with the ability to assess an organization quicklyComfortable working as an individual contributor first, then leading a teamComfortable with startup culture and ambiguityBachelor's degree in finance, accounting, business, or related field (or equivalent experience) Preferred Qualifications Skilled nursing facility (SNF) environment experience (not required)CPA, MBA, or similar credentialExperience with multi-state payroll and employment complianceExperience supporting acquisitions and integrationsExperience with EMR selection or implementation Systems & Tools Accounting/ERP systems, HRIS/payroll systemsAdvanced Excel and financial modeling skills Benefits 401(k)Dental insuranceHealth insuranceVision insurance