[Remote] Senior Finance Leader

Note: The job is a remote job and is open to candidates in USA. Ambulatory Anesthesia Solutions is a fast-growing partner to ambulatory surgery centers, aiming to deliver outstanding patient care and operational support. They are seeking a hands-on, strategic Senior Finance Leader to build the finance function during its growth, responsible for financial operations, reporting, audits, and supporting company leadership.ResponsibilitiesLead and strengthen the company’s finance, accounting, reporting, and month-end closeOversee payroll processes, ensuring accurate, timely payroll administration and effective coordination with internal partners and external payroll providersDeliver timely, and accurate monthly financial reporting on an accelerated cadence, including P&L, balance sheet, cash flow statement, variance analyses and bridges from budget to actuals, and key operating metricsDevelop and manage accrual-based revenue recognition processes, with a strong understanding of healthcare revenue cycle dynamics, including billing, collections, reimbursement timing, denial management, payer performance, and collection waterfall mechanicsPartner with operations and billing teams to analyze financial and operational performance drivers including patient volumes, payer mix, billing activity, collections, denials, reimbursement trends, and collections performanceBuild and refine the financial infrastructure, reporting structure, controls, systems, and processes needed to support continued growthLead risk management and corporate insurance activities, including maintaining appropriate coverage, coordinating renewals, and supporting related compliance, controls, and mitigation planningOversee employee benefits and 401(k) administration from a finance perspective, partnering with HR, brokers, payroll providers, and external advisors as neededLead budgeting, forecasting, and financial planning processes aligned with operational goals and growth strategyOperate as both a strategic finance partner and a hands-on contributor within a small, lean team environmentSkillsProgressive finance or accounting leadership experience, ideally within healthcare services or other reimbursement-driven environmentsDeep understanding of healthcare revenue cycle operations, including the billing, reimbursement processes, denials management, and building collections waterfallsStrong experience with month-end close, accrual accounting, creating annual budgets, forecasting, cash flow management, financial statement preparation, and financial reportingExperience preparing and presenting financial materials to senior leadership, boards, investors, lenders, or other professional stakeholdersDemonstrated ability to build or improve financial infrastructure, including reporting processes, controls, systems, workflows, and data structureComfortable working with small teams and willing to be hands-on in the day-to-day finance and accounting workStrong analytical skills with the ability to translate financial data into clear, actionable business insightsExperience with QuickBooksExperience in a private equity-backed or investor-owned environment strongly preferredASC, anesthesia, physician practice management, outsourced healthcare services, or other provider services experience preferredCompany OverviewAmbulatory Anesthesia Solutions provides anesthesia management, staffing, and consulting services for ambulatory surgery centers. It was founded in 2009, and is headquartered in Novi, Michigan, USA, with a workforce of 201-500 employees. Its website is https://ambulatoryanesthesiasolutions.com.