Director of Finance Position Available In Durham, North Carolina

Job Title:

Director of Finance Department:

Finance & Accounting Reports To:

VP, Finance & Accounting Position Summary:

A growing healthcare organization is seeking a seasoned Director of Finance to oversee financial planning and analysis (FP&A) activities. This individual will play a key leadership role in budgeting, forecasting, and financial modeling to drive strategic decision-making and support operational performance across the enterprise. The ideal candidate will bring a strong background in healthcare finance, including revenue cycle management (RCM) and payer contracting, to help optimize reimbursement and ensure financial alignment with business goals.

Key Responsibilities:

1. Financial Planning & Analysis Act as a strategic partner to senior finance leadership across all business entities Lead the annual budgeting, forecasting, and multi-year financial planning processes Own GAAP revenue modeling and post monthly revenue journal entries Support development and implementation of organization-wide analytics tools Build financial models to evaluate strategic initiatives and provide actionable insights Track and report on key business trends, drivers, and financial KPIs Lead physician compensation planning and analysis Collaborate across FP&A, Accounting, and RCM teams to align financial reporting with collections and revenue recognition 2. Revenue Cycle & Payer Contracting Leverage expertise in RCM processes (coding, billing, collections) to evaluate financial performance Partner with RCM team to assess payer agreements and support rate negotiations Analyze payer mix, reimbursement structures, and contract performance to improve revenue outcomes 3. Accounting & Compliance Collaborate with finance, tax, operations, and IT teams to support monthly close and financial reviews Ensure revenue recognition aligns with GAAP standards and payer arrangements Support audits, tax preparation, and banking relationships in partnership with the Corporate Controller Ensure financial processes comply with relevant regulations and internal controls 4. Leadership & Team Development Manage and mentor a team of finance professionals Foster a culture of financial discipline, transparency, and continuous improvement Minimum Qualifications Bachelor’s degree in Finance, Accounting, or a related field 7+ years of progressive finance experience, ideally within a physician-led healthcare setting Advanced Excel skills and strong familiarity with accounting systems Experience with ERP and business intelligence tools Strong communication, analytical, and organizational abilities Preferred Qualifications Master’s degree (MBA, MHA, or MPA) 10+ years of finance/accounting experience, including at least 3 years in a leadership role Familiarity with EMRs such as Epic, Athena, or eCW for financial analysis Prior experience in a private equity-backed healthcare or managed services environment Deep knowledge of FP&A, accounting, and RCM best practices