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Director of Finance Atlantis Behavioral Health Services El Paso, TX Job Details Full-time From $60,000 a year 1 day ago Benefits Health insurance 401(k) Paid time off 401(k) matching Life insurance Qualifications Spanish Microsoft Excel Medicare Managed care organization experience Supervising experience Bachelor's degree Medicare regulations Centers for Medicare and Medicaid Services (CMS) Managing accounting teams QuickBooks Accounting and finance experience Business Administration Master of Business Administration Data analysis software

Full Job Description Job Title:

Director of Finance Department:

Finance & Administration Reports to: Chief Financial Officer (CFO) and Chief Executive Officer (CEO)

Position Type:

Full Time, Exempt (Salaried)

Salary:

[To be determined]

Location:

6028 Surety Dr. El Paso TX 79905, with support for future branch locations Position Summary The Director of Finance runs the day-to-day financial and business operations of Atlantis Behavioral Health Services (ABHS). This person acts as the CFO's second-in-command, owns payroll, manages the revenue cycle, budgets, reporting and business-side operations, analyzes the performance of ABHS programs such as Psychosocial Rehabilitation (PSR), and leads the rollout of new programs and service lines. The role carries managerial authority and makes decisions within the limits set by the CFO. Key Responsibilities Financial Management Manage month-end and year-end close, general ledger, and account reconciliations. Prepare monthly financial statements, cash flow reports and KPI dashboards for the CFO and ownership. Build and monitor the annual operating budget; track variances and recommend corrective action. Forecast cash flow and manage accounts payable and receivable schedules. Coordinate with outside CPAs on audits, tax filings and year-end work. Direct financial planning, corporate finance, cash flow analysis, investment management, and financial projection model development. Lead corporate accounting, financial accounting, accounts payable and receivable, general ledger accounting, accrual accounting, bookkeeping, and account reconciliation. Oversee financial statement preparation, profit and loss (P&L) reporting, regulatory reporting, and financial report writing and interpretation. Manage risk analysis, risk management, cost accounting and control, revenue management, and compliance with applicable financial regulations. Develop the finance team and improve accounting systems, financial software, and data analytics tools. Payroll Oversight Own the full payroll cycle: timekeeping review, payroll processing, approvals and distribution. Ensure accurate pay for salaried, hourly, contract and per-visit clinical staff, including overtime and differentials. Maintain compliance with FLSA, Texas Workforce Commission and federal/state tax requirements. Audit payroll regularly for errors, classification issues and wage-and-hour risk. Manage the relationship with the payroll provider or PEO. Revenue Cycle and Billing Oversee claims submission, denials management, collections and payment posting. Monitor payer mix, reimbursement rates, days in A/R and denial trends. Supervise eligibility verification and prior authorization processes and related vendors. Support payer contracting and Medicaid/managed care renewals with financial analysis. Knowledge of generally accepted accounting principles (GAAP), International Financial Reporting Standards (IFRS), International Accounting Standards (IAS), Accounting Standards Codification (ASC) 606, and technical accounting. Program Analysis Analyze the financial and operational performance of each ABHS program, including Psychosocial Rehabilitation (PSR) and other service lines. Track program-level revenue, cost per service, reimbursement rates, staff productivity and utilization. Identify which programs are profitable, which need adjustment, and where there is room to grow. Review PSR documentation, units billed and authorizations against payer requirements to reduce denials and audit risk. Model the cost and return of new or expanded programs before launch. Present program performance reports and recommendations to the CFO and

COO & CEO

on a regular schedule. New Programs and Service Lines Lead the planning and launch of new programs and service lines, from concept through go-live.

Build business cases:

market need, payer coverage, reimbursement rates, startup costs, staffing and break-even timeline. Set up the financial and billing side of each new service: payer enrollment and credentialing, fee schedules, service codes, authorization rules and EHR billing setup. Coordinate with the COO and clinical leadership on staffing, workflows, policies and licensing or certification requirements. Create implementation plans with timelines, budgets and milestones, and keep launches on track. Monitor new programs after launch and report on whether they meet financial and utilization targets. Identify opportunities for new service lines through RFPs, grants, payer contracts and community needs.

Business Operations Oversee business-side operations:

purchasing, vendor contracts, insurance, leases and facilities costs. Oversee Intake Department key metrics performance and tracking. Evaluate and implement finance and administrative systems (EHR billing modules, accounting and payroll software). Develop and enforce financial policies, internal controls and approval workflows. Provide financial modeling for growth projects, new locations, RFPs and grant opportunities. Partner with the COO so clinical and service operations have the budget, staffing cost data and resources they need. Compliance and Risk Maintain financial compliance with Medicaid, Medicare, commercial payer and grant requirements. Support internal and external audits, including payer and wage audits. Monitor insurance coverage (general liability, malpractice, workers' comp) and renewals. Leadership Supervise billing, accounting and payroll staff; hire, train, evaluate and discipline as needed. Set team goals and performance standards. Serve as acting finance lead when the CFO is unavailable. Decision-Making Authority The Director of Finance can act independently within the limits below; anything above them goes to the CFO. Area Can decide independently Needs CFO approval Spending Process purchases and invoices Anything above $500, or outside budget Payroll Approve and release regular payroll; correct errors Pay rate changes, bonuses, off-cycle payrolls Vendors and contracts Sign renewals and service agreements/year New contracts above that, multi-year commitments, leases Staffing Hire, discipline and terminate staff New positions or existing Banking Authorized signer up to $1,000; manage transfers between company accounts Loans, credit lines, new accounts Policies Day-to-day procedures and internal controls Company-wide financial policies Qualifications Required Bachelor's degree in accounting, finance or business administration. 5+ years of progressive finance or accounting experience, including 2+ years in a supervisory role. Hands-on payroll management experience, including multi-state or multi-classification payroll. 3+ years of finance experience in a behavioral health organization, including Medicaid, Medicare and managed care revenue cycle. Working knowledge of behavioral health programs and billing, such as PSR, skills training, case management and counseling services. Strong working knowledge of GAAP, internal controls and FLSA wage-and-hour rules. Advanced Excel and experience with accounting software (e.g., QuickBooks) and payroll platforms. Preferred CMA or MBA. Experience in a community mental health or Local Mental Health Authority (LMHA) setting. Experience with Texas Medicaid / HHSC programs and grant accounting. Experience supporting multi-site growth or a new location launch. Bilingual English/Spanish. Success Measures Monthly close completed within [10] business days. Payroll accuracy of 99%+ with zero late tax filings or penalties. Days in A/R and claim denial rate at or below target. Operating budget variance within agreed range. Clean audit results with no material findings. New programs and service lines launched on schedule and within budget. Work Schedule and Environment Office-based role with occasional travel to other ABHS locations. Some evening or weekend work around month-end, payroll deadlines and audits. Equal Opportunity Statement ABHS is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. This job description is not intended to be an all-inclusive list of duties. Duties and responsibilities may change at any time with or without notice. Employment with ABHS is at-will.

Pay:

From $60,000.00 per year

Benefits:

401(k) 401(k) matching Health insurance Life insurance Paid time off

Work Location:

In person