DescriptionPosition SummaryThe Chief Financial Officer is Arkansas Urology's senior finance leader and a trusted partner to its physicians. The role is Arkansas Urology's financial performance, reporting, budgeting, physician compensation and distributions, ancillary economics, and cash flow, and works closely with USSM's centralized accounting, revenue cycle, and managed-care teams. We are looking for a hands-on, current finance leader who uses data and modern tools to drive decisions and can explain the numbers clearly to physicians.
Essential ResponsibilitiesFinancial Leadership and Reporting- Own Arkansas Urology's monthly close review and financial package in partnership with USSM accounting, ensuring accurate, timely, and insightful reporting.
- Lead the annual budget and roll forecasts for the practice and each ancillary service line (laboratory, cancer center, pharmacy), with physician input.
- Present results and recommendations to Arkansas Urology's physician leadership and USSM, translating complex financial information into actionable decisions.
Physician Economics- Run physician compensation and partner distribution calculations, including production-based pay, ancillary income allocation, quarterly distributions, and year-end partner tax reporting (K-1s).
- Model the financial impact of new physicians, advanced practice providers, sites, and service lines.
Revenue and Cash- Partner with revenue cycle leadership to improve charge capture, denials, collections, and payment yield; oversee Arkansas Urology's cash forecasting.
- Support payer contract analysis and negotiations with USSM's managed-care team.
- Manage ancillary economics and spending, including drug purchasing and GPO rebates, laboratory and cancer center margins, and vendor costs.
Controls and Compliance- Maintain strong internal controls and audit readiness.
- Ensure physician financial arrangements comply with Stark Law, Anti-Kickback Statute, and fair-market-value requirements.
- Coordinate with USSM on insurance, audit, and tax matters for Arkansas Urology's entities.
Systems and Analytics- Optimize use of Veradigm (practice management), Sage (accounting), and BI tools such as Power BI to provide timely, self-service performance metrics for physicians and leaders.
- Identify opportunities to leverage automation and AI.
Organization and Growth- Lead and develop finance resources to support organizational needs.
- Support growth initiatives, including due diligence and integration of new practices, sites, and service lines.
- Perform other duties as assigned.
What Success Looks Like in Year One- A monthly financial package delivered on schedule with trusted, actionable commentary.
- Accurate and timely physician compensation and distribution payments.
- Clear P&L visibility for each ancillary service line and a budget supported by physician partners.
- Measurable improvements in collections and cash forecast accuracy.
QualificationsRequired- Bachelor's degree in accounting or finance.
- 7+ years of progressive finance leadership experience, including 3+ years as a CFO, VP of Finance, or Controller within specialty physician practices, MSOs, or physician-services organizations.
- Direct experience partnering with physician owners on compensation plans, distributions, budgeting, and board reporting.
- Hands-on accounting experience, including financial close, reconciliations, audits, and internal controls, not solely financial planning and analysis.
- Advanced Excel skills and proficiency with a modern business intelligence (BI) tool.
Preferred- CPA and/or MBA.
- Urology or other specialty practice experience, including ancillaries (laboratory, cancer center, pharmacy, imaging, surgery center).
- Experience with Veradigm (formerly Allscripts) and Sage.
- Experience in a multi-practice management organization, including acquisitions and integration.
Work Environment and Physical Requirements- Office setting, with regular travel to Arkansas Urology locations across Arkansas.
- Month-end, budget, and board cycles may require occasional evening or weekend work.
- Sitting approximately 90% of the day; walking or standing the remainder.
Required SkillsKnowledge, Skills and Abilities
• Explain financial results clearly and credibly to physicians, from one-on-one conversations to board presentations.
• Balances hands-on execution with strategic judgment and handles confidential information with discretion.
• Builds trust relationships with physicians, practice leadership, and USSM teams. Develops and motivates people and delegates effectively.
• Uses current, data-driven methods, including automation, analytics, and AI tools where they add value.
