Senior Director, Finance (ruralMED)

Welcome to Ovation Healthcare!     At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.     The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.     We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.    Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit   www.ovationhc.com .     Summary: The Senior Director, Finance serves as a senior financial advisor and fractional/interim CFO-level resource, providing strategic financial leadership, operational oversight, and executive-level counsel. The role partners with executive leadership to strengthen financial performance, cash flow, forecasting, budgeting, capital planning, financial controls, and long-term sustainability. The Finance Consultant evaluates financial and operational results, identifies risks and opportunities, develops actionable recommendations, and helps lead financial initiatives that support organizational strategy and informed decision-making. Duties & Responsibilities: Serve as a strategic financial advisor to executive leadership, providing CFO-level guidance on financial performance, organizational priorities, growth opportunities, risk, and long-term financial sustainability. Lead the preparation, review, and analysis of internal and external financial statements in accordance with generally accepted accounting principles (GAAP), ensuring accurate and timely reporting of financial results. Develop and oversee annual operating and capital budgets, long-range financial plans, rolling forecasts, and financial models. Analyze performance against budget and forecast and recommend corrective actions when needed. Evaluate revenue, expense, margin, productivity, and service-line performance; identify financial trends, risks, and opportunities; and provide actionable recommendations to leadership. Oversee cash flow and liquidity planning, including cash forecasting, banking relationships, debt obligations, working capital, and investment performance. Recommend strategies to optimize liquidity and financial returns. Advise leadership on capital allocation and major financial commitments. Develop business cases, return-on-investment analyses, sensitivity analyses, and financial projections for strategic initiatives and capital expenditures. Assess the effectiveness of financial systems, reporting tools, accounting processes, and internal controls. Recommend and lead improvements that increase accuracy, efficiency, transparency, and scalability. Provide executive oversight and guidance for accounting operations, including general ledger, accounts payable, payroll, financial reporting, reconciliations, and related financial controls. Provide strategic oversight of reimbursement and payer-related financial matters, including Medicare, Medicaid, and other payer cost reporting, reimbursement analysis, regulatory reporting, and coordination with external consultants as appropriate. Partner with operational leaders to improve financial literacy, establish meaningful financial and operational metrics, and strengthen accountability for budget and performance results. Lead or coordinate annual financial audits and other external reviews. Serve as a primary financial liaison with independent auditors, actuaries, tax advisors, banks, consultants, and other external financial partners. Ensure appropriate oversight of federal, state, and local financial and tax reporting requirements, including applicable payroll and information reporting obligations. Evaluate financial policies, procedures, and internal controls and recommend updates to support compliance, safeguard assets, reduce risk, and promote sound financial governance. Support executive and board reporting by preparing concise financial presentations, dashboards, forecasts, and recommendations that clearly communicate organizational financial position and performance. Provide financial due diligence and integration support for acquisitions, affiliations, new service lines, restructuring, or other strategic transactions, as requested. Coach and develop finance leaders and staff, clarify roles and accountabilities, and recommend organizational structure or staffing changes needed to strengthen the finance function. Assist with turnaround, stabilization, cost-reduction, revenue enhancement, and performance-improvement initiatives when financial or operational results require intervention. Maintain confidentiality and exercise sound professional judgment when handling sensitive financial, strategic, employee, and organizational information. Perform other CFO-level financial consulting and strategic assignments as requested. Knowledge, Skills, and Abilities: Executive-level financial acumen with the ability to connect financial results to operational and strategic decisions. Strong knowledge of GAAP, financial reporting, budgeting, forecasting, cash management, interna