Financial Controller (ABA Healthcare) in St. Louis, Missouri at AB Spectrum

🌟 Join a Top Workplace in Specialized Therapy

Enhance your clinical career with AB Spectrum, a team proudly named a Top Workplace by the St. Louis Post-Dispatch. We earned this recognition, which is based entirely on employee feedback, because we foster a culture where people feel valued, supported, and inspired to grow.

AB Spectrum provides specialized Reggio ABA™ (Applied Behavior Analysis) therapy for young children (ages 1-6). Our foundation is ABA, an evidence-based therapy focused on developing communication, social, and adaptive living skills.

Our Model: Our centers utilize a unique Therapy Through Play model. We embrace the principles of Reggio Emilia by devising a Natural Environment Teaching (NET), child-led learning environment to deliver individualized, high-quality early intervention services in settings that replicate a natural preschool.Our Team: Join our collaborative team of BCBAs, RBTs, SLPs, and Administration. You'll benefit from cross-disciplinary collaboration and unique special visits, including music facilitators, pet interactions, and other partnerships.Financial Controller (ABA Healthcare)

Location: St. Louis, MOCompensation: $80k – $100k + 20% Bonus Potential

About the Role

As our Financial Controller, you are the vital link between our clinical excellence and our organization's financial health. You don’t just report on the numbers; you own the full financial performance and strategic clarity of the organization.

In this role, you will have ultimate ownership over our profitability, revenue accuracy, and budget performance. By partnering closely with our CEO, Clinical Leadership, and Operations teams, you will ensure our growth is sustainable, intentional, and backed by high-level financial decision-making. Your mission is to provide the "cash clarity" and data-driven insights needed to scale our impact with confidence.

Key Responsibilities

1. Financial Leadership & P&L Ownership

Own company-wide and clinic-level P&LsProvide real-time visibility into revenue, expenses, and profitabilityIdentify risks, inefficiencies, and opportunities across clinics

2. ABA Revenue & BCBA Performance Alignment

Track and analyze:BCBA billable hours vs. expectationsUtilization (authorized vs. delivered hours)Caseload vs. revenue outputPartner with CCO + Clinical Leadership to:Align clinical expectations with financial targetsEnsure billing practices support both compliance and profitabilityFlag underperformance early and provide solutions

3. RCM & Collections Oversight

Partner with RCM VP to ensure:Accurate billing and clean claimsStrong collections (≥97%)Reduced AR agingIdentify and resolve:Revenue leakageDelays in billing or collectionsPayer-specific issues

4. Budgeting, Forecasting & Growth Planning

Own department and clinic-level budgetingReallocate resources (“move money”) to ensure budgets work in real timeBuild budgets tied to:Staffing (BCBAs, RBTs)Client demand and authorizationsClinic expansion plansWork with COO + Operations on:Supply vs. demand planningHiring timelines tied to revenue

5. Cash Flow & Owner-Level Financial Clarity

Manage and forecast cash flow with visibility into:Insurance payment cyclesPayroll and major expensesCreate clear views of:True profit (pre vs. post tax strategy)Owner expenses and adjustmentsProvide clarity on cash available for:ExpansionRaises and incentivesCapital projectsEnsure financials are aligned for banking, lending, and investments

6. Expense Management & Cost Control

Analyze major cost drivers:Labor (BCBA/RBT)Facilities and maintenanceAdmin and overheadPartner with leadership to:Set cost targetsImprove marginsReduce inefficiencies without impacting care

7. Systems, Reporting & Visibility

Build dashboards (Lightdash or similar) showing:Revenue (billed vs. collected)Clinic performanceCash flowEnsure leadership has simple, real-time financial visibilityImprove speed and accuracy of reporting

8. Cross-Functional Leadership

With CCO (Clinical):Align billable expectations, caseloads, and clinical qualityWith COO (Operations):Align staffing, scheduling, and clinic performanceWith RCM:Ensure revenue integrity and collectionsWith HR/People Ops:Support compensation and workforce planning

9. Financial Decision-Making & Ownership

Drive financial recommendations and decision-making, with final approval by ownershipEnsure budgets are not just created, but actively managed and adjusted in real timeProvide leadership with clear financial direction for decision-making

10. Compensation, Incentives & Leader Support

Design and model bonus and incentive structuresProvide visibility into what is financially feasible for:RaisesBonusesIncentivesAlign incentives with:ProfitabilityRevenue performanceClinical and operational outcomesHelp leaders understand their financial impact and opportunities

11. Compliance & Risk

Ensure alignment with:Healthcare billing standardsInsurance complianceMaintain clean, audit-ready financialsTop RequirementsEducation: Bachelor’s Degree in Accounting or Finance.Certification: CPA (Highly Preferred).Experience: 5+ years of progressive accounting/finance experience preferred. Healthcare experience (specifically ABA or multi-site clinics) is a massive plus.Skillset: You must be comfortable with RCM (Revenue Cycle Management) and building data dashboardOur Commitment to Diversity

Autism and Behavioral Spectrum is an Equal Opportunity Employer. Autism and Behavioral Spectrum is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. We intend to maintain a work environment that is free of harassment, discrimination, or retaliation based on the following protected classes: age, race, color, national origin, ancestry, religion, sex, sexual orientation (including transgender status, gender identity or expression), sexual stereotyping, pregnancy (including childbirth, lactation, and related medical conditions), marital status, physical or mental disability, genetic information (including testing and characteristics), association with anyone who is a member of a protected class, AIDS/HIV status, veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The Company is dedicated to the fulfillment of this policy regarding all aspects of employment, including, but not limited to, recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.

The pay range for this role is:80,000 - 100,000 USD per year(St. Louis, MO)