Executive Director of Finance & Operations at Undisclosed – Las Vegas, Nevada

The Executive Director of Finance & Operations will provide strategic and operational leadership across all financial and administrative functions for a growing, multidisciplinary physician practice. This includes oversight of financial planning and analysis, day-to-day practice operations, provider contracting, and revenue cycle management. The practice includes orthopedic services, diagnostic imaging, rehabilitation, a surgery center, outpatient clinics, and pain management services, with approximately 100 employees.

This is a senior leadership role responsible for aligning operational performance with the organization's financial goals and regulatory compliance, while fostering a high-performance culture centered on patient care and service excellence.

• Develop and manage annual budgets, financial forecasts, and business plans in collaboration with ownership.

• Provide monthly financial reporting and variance analysis for executive review.

• Oversee cash flow, accounts payable/receivable, and general ledger activities.

• Lead the revenue cycle team in optimizing billing, coding, collections, and payer reimbursements.

• Support physician owners with financial modeling for service line expansion, capital investment, and strategic planning.

• Manage day-to-day non-clinical operations including administrative staffing, patient scheduling, facilities, and vendor management.

• Streamline processes to improve efficiency, cost control, and patient satisfaction.

• Oversee compliance with federal, state, and local healthcare regulations, including HIPAA and OSHA.

• Direct operational planning for multi-site clinic activities and support service integration.

• Lead payer negotiations including fee schedules, contract renewals, and credentialing processes.

• Manage payer relations to resolve underpayments and reduce denials.

• Collaborate with legal counsel to ensure all provider and vendor agreements are current and compliant.

• Directly supervise finance, billing, front office, and administrative management teams.

• Establish KPIs and accountability measures to evaluate performance and support continuous improvement.

• Lead employee engagement and retention efforts through professional development, training, and support.

• Bachelor's degree in Finance, Healthcare Administration, Business, or related field required.

• MBA, MHA, or CPA strongly preferred.

• Minimum of 7–10 years of progressive leadership experience in healthcare finance and operations.

• At least 3 years in a senior management role within a multi-specialty or surgical practice.

• Demonstrated success managing payer contracts, revenue cycle operations, and multisite clinics.

• Strong analytical and financial acumen with the ability to interpret complex data and trends.

• Skilled in EMR, practice management, and financial software (e.g., athenahealth, eClinicalWorks, QuickBooks).

• Proven leadership and communication skills across clinical and administrative teams.

• Ability to thrive in a fast-paced, physician-led organization with multiple service lines.