About us

Manhattan Gastroenterology is a 14-physician gastroenterology practice with offices in Manhattan and Brooklyn, a Joint Commission–accredited ambulatory surgery center (ASC), an in-house pathology laboratory and an infusion program. We are hiring an experienced healthcare CFO to lead our finances as we grow.

Position summary

The CFO leads all financial operations across the practice, ambulatory surgery center, pathology laboratory and infusion program. This is a hands-on, strategic role: the CFO owns planning, reporting, revenue cycle and financial controls, and works closely with leadership on growth, including new sites, service lines and acquisitions.

Reports to: Director of Finance
Scope: Leads Accounting and Revenue Cycle & Billing, with a clear mandate to reduce costs and grow revenue
Location: On-site at our 27th Street corporate office (Manhattan) and our practice locations
Job type: Full-time, exempt

Key responsibilities

Financial planning and strategy

Lead all financial planning, budgeting, forecasting and reporting across the organization.
Analyze financial and operational data to support growth, efficiency and informed decision-making, including profitability by site, physician and service line.
Partner with the Chief Operating Officer and practice leadership to build and execute strategic and financial plans, including budgets, staffing and productivity targets, and support practice expansion, new service lines, mergers and acquisitions.

Cost reduction and revenue growth

Identify and lead cost-reduction opportunities across staffing, supplies, vendors and contracts without compromising patient care.
Find and capture new revenue: payer rate improvements, coding and charge capture, underpaid claims, and growth in ASC, pathology and infusion services.
Set savings and revenue targets with leadership, track results monthly and report progress clearly.

Revenue cycle and reimbursement

Oversee the revenue cycle, including front-end, back-end and outsourced billing, to maximize collections and reduce denials.
Monitor payer contracts and reimbursement for professional, ASC, pathology and infusion services, and support payer negotiations.
Track key revenue cycle metrics such as days in A/R, denial rates and net collection rate, and drive improvement.

Accounting, controls and reporting

Oversee accounting operations, including general ledger, accounts payable and receivable, payroll and fixed assets.
Establish and maintain financial policies, internal controls and standards that ensure accurate, consistent financial information.
Ensure timely and accurate monthly, quarterly and annual financial statements and management reports.
Manage cash flow and financial risk, and identify risks and opportunities with strategies to address them.

Compliance, audits and tax

Ensure compliance with federal, state and city financial and healthcare regulations, including Medicare, Medicaid and New York State Department of Health requirements.
Work with external auditors and tax advisors on annual audits, financial statements and tax filings.

Relationships and team leadership

Manage relationships with banks, auditors, insurers and other financial partners.
Build, mentor and lead a high-performing finance, accounting and billing team; set department goals and track performance.

Qualifications

Required

Bachelor's degree in accounting, finance or a related field.
8+ years of progressive financial leadership, including at least 5 years in healthcare.
Strong knowledge of healthcare revenue cycle management, medical billing and insurance reimbursement.
Proficiency with financial software and electronic health record (EHR) systems.
Strong analytical, leadership and communication skills, with the ability to explain financial results clearly to physicians and leadership.

Preferred

CPA certification.
MBA or other master's degree.
Experience in a multi-site physician practice, ambulatory surgery center or laboratory.
Experience with payer contract negotiation and practice acquisitions or expansions.
Familiarity with eClinicalWorks (eCW).

Compensation and benefits

Salary: $200,000–$275,000 per year, based on experience
- Performance-based annual bonus
- Medical, dental and vision insurance
- 401(k) retirement plan with a 3% employer profit-sharing contribution, whether or not you contribute
- Paid time off and paid holidays

How to apply

To apply, submit your resume. Qualified candidates will be contacted for an interview.

Manhattan Gastroenterology is an equal opportunity employer. We welcome applicants of all backgrounds and do not discriminate on the basis of any protected characteristic.

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