[Remote] Senior Finance Leader

Note: The job is a remote job and is open to candidates in USA. Ambulatory Anesthesia Solutions is a fast-growing partner to ambulatory surgery centers, aiming to deliver outstanding patient care and operational support. They are seeking a hands-on, strategic Senior Finance Leader to build the finance function during its growth, responsible for financial operations, reporting, audits, and supporting company leadership.

Responsibilities

• Lead and strengthen the company’s finance, accounting, reporting, and month-end close
• Oversee payroll processes, ensuring accurate, timely payroll administration and effective coordination with internal partners and external payroll providers
• Deliver timely, and accurate monthly financial reporting on an accelerated cadence, including P&L, balance sheet, cash flow statement, variance analyses and bridges from budget to actuals, and key operating metrics
• Develop and manage accrual-based revenue recognition processes, with a strong understanding of healthcare revenue cycle dynamics, including billing, collections, reimbursement timing, denial management, payer performance, and collection waterfall mechanics
• Partner with operations and billing teams to analyze financial and operational performance drivers including patient volumes, payer mix, billing activity, collections, denials, reimbursement trends, and collections performance
• Build and refine the financial infrastructure, reporting structure, controls, systems, and processes needed to support continued growth
• Lead risk management and corporate insurance activities, including maintaining appropriate coverage, coordinating renewals, and supporting related compliance, controls, and mitigation planning
• Oversee employee benefits and 401(k) administration from a finance perspective, partnering with HR, brokers, payroll providers, and external advisors as needed
• Lead budgeting, forecasting, and financial planning processes aligned with operational goals and growth strategy
• Operate as both a strategic finance partner and a hands-on contributor within a small, lean team environment

Skills

• Progressive finance or accounting leadership experience, ideally within healthcare services or other reimbursement-driven environments
• Deep understanding of healthcare revenue cycle operations, including the billing, reimbursement processes, denials management, and building collections waterfalls
• Strong experience with month-end close, accrual accounting, creating annual budgets, forecasting, cash flow management, financial statement preparation, and financial reporting
• Experience preparing and presenting financial materials to senior leadership, boards, investors, lenders, or other professional stakeholders
• Demonstrated ability to build or improve financial infrastructure, including reporting processes, controls, systems, workflows, and data structure
• Comfortable working with small teams and willing to be hands-on in the day-to-day finance and accounting work
• Strong analytical skills with the ability to translate financial data into clear, actionable business insights
• Experience with QuickBooks
• Experience in a private equity-backed or investor-owned environment strongly preferred
• ASC, anesthesia, physician practice management, outsourced healthcare services, or other provider services experience preferred

Company Overview