Fractional CFO – Systems & Strategy Lead

Fidelia Counseling Services, Inc

Strategic Fractional CFO overseeing financial transition of healthcare agency focusing on state contracts. Responsible for budget creation and financial model development.

Posted 5/9/2026contractAlabama, Alaska, Arizona, California, Colorado, Connecticut, Florida, Hawaii, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming • 🇺🇸 United StatesSeniorWebsite

About the role

Key responsibilities & impact

Transition the agency’s financial infrastructure from founder-led management to a professional, automated, and scalable system
Develop financial models to track and optimize performance for state contracts , ensuring high data integrity and compliance
Create a yearly 'anchor' budget and rolling quarterly forecasts to guide the CEO through rapid team expansion and new site development
Oversee the accuracy of QuickBooks Online and ADP integrations, ensuring tax-optimized mapping and 'best-in-class' reporting
Serve as the senior financial advisor for agency stability, continuity planning, and long-term institutional readiness

Requirements

What you’ll need

5+ years of senior financial leadership (CFO or Controller level)
Experience with Healthcare reimbursement cycles and state-level contract management is strongly preferred
Advanced proficiency in QuickBooks Online and ADP
CPA or MBA preferred

Benefits

Comp & perks

Flexible schedule
Flexible work from home options

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

financial modelingdata integritybudgetingforecastingtax optimizationreporting

Soft Skills

leadershipadvisorycontinuity planninginstitutional readiness

Certifications

CPAMBA