About Sycamore Independent Physicians

We’re a team built on service.
Sycamore Independent Physicians partners with physicians to create flexible, independent career opportunities through locum tenens and telemedicine.

Our focus is simple: deliver a consistent, high-quality experience for the physicians and partners we support. We operate with a high level of ownership, attention to detail, and follow-through — because the work we do directly impacts physician success and patient care.

We approach our work with a hospitality mindset — clear communication, reliability, and doing things the right way, every time.

About the role

We are seeking a Fractional CFO to provide executive-level financial leadership, operational oversight, and strategic finance support during a period of organizational growth and operational strengthening.

This role will partner closely with executive leadership to improve financial visibility, reporting consistency, forecasting, accountability, and overall finance operations. The ideal candidate will bring both strategic finance expertise and operational leadership experience, with the ability to identify organizational gaps, improve structure and processes, and help build a more scalable finance function.

This is a fractional executive leadership engagement intended for a highly experienced finance professional who can operate as both a strategic advisor and operational partner while supporting long-term organizational scalability and financial discipline.

This engagement is expected to average approximately 20–25 hours per week during the initial stabilization phase..

What You'll Do

Executive Financial Leadership

Partner with executive leadership on financial strategy, planning, and operational priorities
Improve financial visibility, reporting consistency, and forecasting processes
Support executive decision-making through financial analysis and operational insight
Identify operational risks, inefficiencies, and areas requiring stronger accountability

Accounting & Finance Oversight

Provide oversight across accounting and finance operations including reporting, payroll, commissions, revenue tracking, cash flow visibility, and monthly close processes
Help strengthen operational discipline, workflow consistency, and financial process reliability
Identify ownership gaps and support improved accountability structures

Forecasting, Reporting & Planning

Support budgeting, forecasting, and cash flow planning processes
Develop KPI visibility and reporting structures to support leadership decision-making
Improve financial and operational reporting visibility across the organization

Organizational Structure & Process Improvement

Evaluate workflows, operational structure, and finance processes for scalability and efficiency
Recommend improvements to systems, reporting workflows, and operational finance practices
Support finance transformation and organizational improvement initiatives

Qualifications

Senior finance leadership experience (CFO, Fractional CFO, Controller, Finance Director, or similar role)
Strong background in financial reporting, forecasting, budgeting, and operational finance
Experience supporting growing or evolving organizations
Ability to identify operational gaps, accountability issues, and process inefficiencies
Strong leadership, communication, and executive partnership skills
Experience improving organizational structure, visibility, and operational consistency preferred
Experience with QuickBooks and finance systems preferred
Prior fractional or consulting experience preferred
Comfortable operating in a fast-paced and evolving environment

Sycamore Independent Physicians

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