7-10 years of healthcare experience in operations and finance, preferably in a large physician group
Hands-on experience with general ledger, budgeting, forecasting, P&L, and payroll
Knowledge of HR and IT processes, including onboarding and acquisition integration
Process-oriented mindset with quick assessment capabilities
Ability to start as an individual contributor and transition to team leadership
Comfortable in a startup environment with ambiguity
Bachelor's degree in finance, accounting, business, or related field (or equivalent experience)
Responsibilities
Assess and enhance HR, IT, and operational processes for scalability
Standardize HR practices, including employee handbook and compensation agreements
Oversee IT priorities, ensuring security and compliance
Manage client onboarding from contract signing to go-live
Integrate acquired practices into training and HR processes
Manage vendor relationships and contracts
Support compliance and risk management initiatives
Lead financial reporting, budgeting, and forecasting efforts
Benefits
401(k)
Dental insurance
Health insurance
Vision insurance
Full Job Description
The Role
Chestnut Health is looking for a Director of Operations & Finance to build the foundation under a fast-growing healthcare company. You will lead both operations and finance, setting up the HR, IT, onboarding, and financial processes that let us scale without friction.
You will start hands-on, doing the work directly while building plans for each function, then grow a team to support them.
Key Responsibilities
Operations
Assess HR, IT, and operational processes and develop plans to improve and scale them
Build and standardize HR practices, including the employee handbook, policies, provider compensation agreements, benefits, 401(k), and payroll
Oversee IT priorities, including security, HIPAA compliance, and EMR adoption
Run client onboarding from signed contract through go-live, coordinating credentialing, IT, compliance, and other teams
Lead business integration, including bringing acquired practices and their providers into Chestnut's training, HR, and credentialing processes
Manage vendors and contracts
Support compliance and risk management
Finance
Manage the general ledger, month-end close, and financial reporting
Lead budgeting, forecasting, and P&L analysis
Oversee multi-state payroll
Give leadership clear financial insight and recommendations to guide growth decisions
Support financial planning for expansion and acquisitions
Leadership
Partner directly with executive leadership
Build and lead a team as the organization grows
What Success Looks Like
First 90 days: Assess HR, IT, finance, and onboarding processes and present a prioritized operating plan
First year: Standardized HR and compensation practices, a reliable monthly close and reporting cadence, and a repeatable client onboarding process
Longer term: A team in place and the infrastructure to integrate acquisitions and enter new states
Who Thrives Here
Hands-on, process-minded, and comfortable owning many functions at once. You bring proposed solutions to leadership and need little supervision.
Requirements
Required Qualifications
7-10 years of healthcare experience leading both operations and finance functions, ideally in a large-scale physician group
Hands-on experience with general ledger, budgeting, forecasting, P&L, and payroll
Working knowledge of HR and IT, plus experience with onboarding processes and acquisition integration
Process-oriented mindset, with the ability to assess an organization quickly
Comfortable working as an individual contributor first, then leading a team
Comfortable with startup culture and ambiguity
Bachelor's degree in finance, accounting, business, or related field (or equivalent experience)
