Chief Financial Officer (CFO)

Description

 Autism Treatment Center (ATC) is hiring a Chief Financial Officer to lead finance, accounting, and revenue cycle management for a multi-site nonprofit serving children and adults with autism and related disabilities in Dallas, Fort Worth, and San Antonio.

Job Location: Dallas, TX

Classification: Exempt (Salaried) 

Salary: TBD based on experience 

Expected Hours: Monday- Friday, 9 am - 5 pm (flexible based on the needs of the program)

Reporting to the CEO, the CFO will oversee the financial operations of residential, educational, and outpatient programs. This role requires prior experience as a healthcare CFO and the ability to turn financial data into clear decisions about cash flow, staffing, reimbursement, and program sustainability.

What you’ll lead

• Financial strategy and growth. Work closely with the CEO to develop and carry out a financial plan for ATC’s long-term sustainability and growth. Use cash flow projections, program margins, and scenario analysis to guide decisions about where to invest, how to structure services, and when to expand.
• Budgeting and financial reporting. Build annual operating and capital budgets with program leaders. Lead the monthly close, oversee preparation of financial statements, and deliver forecasts and budget variance analyses.
• Board of Directors presentations. Prepare and present financial statements, budget performance, cash flow forecasts, and financial risks to the Board of Directors. Explain what is driving results and the financial implications of decisions before the Board.
• Custom financial reporting. Create tailored financial reports as needed for contractors and donors, including reports on expenditures and use of funds.
• Accounting and cash management. Oversee day-to-day accounting, cash flow forecasting, internal controls, and the annual audit. Monitor liquidity and identify emerging cash needs.
• HHSC reimbursement and cost reporting. Oversee reimbursement, financial reporting, and applicable cost reports for Texas Health and Human Services Commission programs, including Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) and Home and Community-based Services (HCS). Ensure costs are properly allocated, and reports are accurate and timely.
• School district contracts. Oversee budgeting, invoicing, collections, and financial reporting for services provided under contracts with independent school districts (ISDs).
• Outpatient revenue cycle. Lead revenue cycle management for Medicaid and commercial insurance billing for applied behavior analysis (ABA), speech therapy (ST), and occupational therapy (OT). Monitor authorizations, claims, denials, accounts receivable, and collections.
• Program financial performance. Analyze reimbursement, staffing costs, utilization, and margins by program and location. Partner with operational leaders to improve financial performance and evaluate service capacity.
• Supervise Staff.

Responsible for providing leadership, direction, and oversight of assigned departmental personnel. Accountable for ensuring employees perform their assigned duties effectively, maintain professional workplace standards, comply with organizational policies, and meet established departmental objectives. Expected to exercise sound supervisory judgment, address performance concerns promptly, and maintain open communication with executive leadership and Human Resources regarding employee and operational matters.

Benefits

• Paid Time Off
• Medical Insurance
• Dental Insurance
• Vision Insurance
• 401k
• Supplemental Insurance
• Employee Assistance Program
• Employee Perks Program
• Wellness Program
• And more!

Requirements

 Required experience

• Prior experience serving as Chief Financial Officer in a healthcare organization.
• Previous experience with NetSuite or similar ERP software.
• Hands-on experience building operating budgets and forecasts and preparing financial statements.
• Experience presenting financial results, forecasts, and recommendations directly to a board of directors.
• Experience preparing custom financial reports for contractors, donors, or other external stakeholders.
• Experience with Texas HHSC reimbursement and cost reporting for ICF/IID and HCS programs and with the financial management of ISD contracts.
• Experience overseeing Medicaid and commercial insurance billing and collections for ABA, speech therapy, and occupational therapy.
• Experience leading both accounting and revenue cycle management teams.

Preferred experience

• Nonprofit healthcare or multi-site healthcare leadership.
• CPA or an advanced degree in accounting, finance, or business administration.
• Knowledge of financial regulations 
• 10+ years in accounting and finance, with at least 5 years in a senior management or controller role. 

Qualifications

• A Bachelor’s degree in finance or accounting (MBA preferred) 
• Credentials such as a Certified Public Accountant (CPA) or Certified Management Accountant (CMA) 
• Valid Driver’s License
• Strong communication, collaboration, and organizational skills