Chief Operating and Financial Officer

This is a fully remote position, open to applicants in Illinois, +3 more states.

📋 Description

• Oversee budgeting, forecasting, monthly closing procedures, financial reporting, GAAP-compliant financial operations, operating models, unit economics, and financial planning.

• Convert financial data into operational decisions while establishing financial discipline, visibility, and accountability.

• Act as the primary financial representative to the board and investors.

• Collaborate with the CEO on fundraising efforts, financial modeling, preparing investor materials, conducting due diligence, and negotiating financing agreements.

• Assume executive responsibility for billing, collections, revenue cycle performance, clean claims, denials, accounts receivable days, and cash collections across various states and payers.

• Examine payer performance, reimbursement trends, and operational inefficiencies.

• Collaborate on Medicaid and Managed Care Organization pricing, bids, and rate negotiations.

• Model direct-contract economics and margins, create implementation plans and requirements, monitor performance, and carry out post-launch evaluations.

• Lead business operations, project management office (PMO), strategy and operations, credentialing, and care coordination.

• Set key performance indicators (KPIs), evaluate performance, hold leaders accountable, develop scalable multi-state processes, prepare for market launches, and eliminate operational bottlenecks.

• Provide executive oversight for human resources, including talent management, compensation, benefits, and workforce planning.

• Manage essential vendor relationships and contracts.

• Ensure adherence to Medicaid requirements, state regulations, HIPAA, and relevant accounting standards.

• Identify risks and develop sustainable compliance processes.

• Leverage AI and technology to analyze information, automate tasks, interrogate company data, and enhance decision-making.

⛳️ Requirements

• Bachelor's degree in Accounting, Finance, Business Administration, or a related field.

• 10+ years of progressive leadership experience in finance and operations, including a minimum of 5 years in the healthcare sector.

• Practical experience with Medicaid reimbursement and revenue cycle management.

• Proven track record of assisting a growth-stage or venture-backed company in achieving profitability.

• Experience presenting directly to boards and investors.

• Involvement in at least one institutional fundraising round.

• Successful history of redesigning financial and operational processes from start to finish.

• Demonstrated ability to foster cultures of accountability and consistently achieve measurable objectives.

• Strong skills in financial modeling, analytics, strategy, and operations.

• Authentic commitment to increasing access to behavioral healthcare for underserved children and families.

• MBA or CPA is highly preferred.

• Experience in behavioral health is strongly preferred.

• Preferred experience in multi-state healthcare operations.

🏝️ Benefits

• Performance bonus linked to measurable KPI outcomes.

• Exceptional equity package.

• Comprehensive medical, dental, and vision coverage.

• 401(k) plan.

• Opportunity to directly influence the growth and direction of a venture-backed healthcare organization.

• Chance to help expand access to behavioral healthcare for children and families in need.