
Director of Finance, Healthcare
Belle
full-time
Posted on:
Location Type: Remote
Location: Missouri • Montana • United States
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Salary
💰 $90,000 - $130,000 per year
Job Level
About the role
- Build and maintain the financial structure across the MSO and multiple state medical groups (GA, MI, MO, etc.)
- Own the migration from QuickBooks Online to a multi-entity accounting system
- Partner closely with the Practice Manager to align RCM operations with financial reporting
- Manage Belle’s financial forecast model for growth, staffing, cash flow and new markets
- Oversee financial operations across all entities (Ramp Treasury accounts, intercompany transfers, payroll entity separation)
- Maintain GAAP-compliant financials across all entities
- Initially run point as a one-person department (with bookkeeper + PM support)
Requirements
- 6–10+ years experience in finance/accounting roles
- Must have: Strong background in healthcare provider, MSO, medical group finance
- Preferred: Strong background in VBC, telehealth, home-based care
- Experience with multi-entity organizational structures
- Hands-on — you’re comfortable building models, running systems, closing the books, and architecting financial flows
- Strong command of GAAP, accounting processes, and financial controls
- Fluent in Excel/Sheets and familiar with tools like QuickBooks, Sage Intacct, Ramp
- Comfortable working directly with a founder, moving quickly, and creating order from ambiguity
- Excellent communicator who can explain complex financial concepts simply
- Hungry to grow into a VP-level role as the company scales.
Benefits
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
financial forecastingGAAP complianceaccounting processesfinancial controlsmulti-entity accountingmodel buildingfinancial reportingintercompany transferspayroll managementfinancial flow architecture
Soft Skills
communicationproblem-solvingadaptabilityleadershipcollaborationorganizational skillsanalytical thinkingattention to detailinitiativegrowth mindset