The RoleChestnut 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 ResponsibilitiesOperations- 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 HereHands-on, process-minded, and comfortable owning many functions at once. You bring proposed solutions to leadership and need little supervision.
RequirementsRequired 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)
Preferred Qualifications- Skilled nursing facility (SNF) environment experience (not required)
- CPA, MBA, or similar credential
- Experience with multi-state payroll and employment compliance
- Experience supporting acquisitions and integrations
- Experience with EMR selection or implementation
Systems & Tools- Accounting/ERP systems, HRIS/payroll systems
- Advanced Excel and financial modeling skills
Benefits- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
