Director of Finance – Multi-State Healthcare Enterprise

Director of Finance – Multi-State Healthcare Enterprise

Location: Southfield, MI
Department: Finance
Employment Type: Full-Time
Reports To: Chief Financial Officer
Role Type: Finance Leadership
Scope: Multi-State Medical Group, MSO, and Affiliated Technology & Service Companies

About EPIC Health

EPIC Health is a growing, multi-state healthcare organization focused on delivering accessible, high-quality, patient-centered care. Our organization brings together medical practices, operational services, technology, and shared resources to support providers, employees, and patients across multiple markets.

As EPIC Health continues to expand through organic growth, new service lines, and acquisitions, our Finance function plays a critical role in building the infrastructure needed to support that growth.

We are looking for a Director of Finance who can help build and lead a scalable, modern finance organization that combines strong financial discipline with technology, analytics, operational insight, and strategic thinking.

Position Summary

The Director of Finance is a senior finance leader responsible for financial operations, accounting, reporting, internal controls, cash management, financial planning, and analytics across a complex, multi-state healthcare enterprise.

This position will oversee financial close and reporting across the medical group, MSO, and affiliated technology and service companies while ensuring the accuracy, integrity, and scalability of financial information and processes.

Working closely with the CFO and executive leadership, the Director will connect financial performance with operational and clinical drivers, identify risks and opportunities, and provide actionable insights that support growth, profitability, and long-term strategy.

The ideal candidate combines the discipline of a Controller with the mindset of an operator, strategic analyst, and technologist. This is a hands-on leadership role requiring comfort with accounting, financial analysis, operational problem-solving, and technology-driven process improvement.

What You'll Do

Accounting & Financial Reporting

• Lead monthly, quarterly, and annual close processes across multiple entities and states.
• Oversee consolidated reporting, reconciliations, accruals, intercompany accounting and eliminations, revenue recognition, fixed assets, leases, payroll accounting, and other key processes.
• Ensure accurate and timely financial statements and management reporting.
• Standardize accounting procedures and continuously improve the speed, accuracy, and scalability of financial reporting.

Multi-Entity & Healthcare Finance

• Oversee financial reporting across the medical group, MSO, technology companies, and affiliated entities.
• Manage intercompany accounting, management/service fees, cost allocations, and shared services.
• Develop entity, location, and operating-segment profitability reporting.
• Partner with Revenue Cycle and Operations to connect operational performance to financial results.
• Develop a strong understanding of healthcare revenue cycle drivers, including patient revenue, collections, A/R, payer performance, contractual adjustments, denials, and reimbursement.
• Identify the root causes of financial variances and work cross-functionally to address them.

FP&A & Business Performance

• Lead or support budgeting, rolling forecasts, cash forecasting, and financial planning.
• Conduct monthly variance analysis and provide clear explanations and recommendations to leadership.
• Develop financial dashboards, KPIs, and management reporting.
• Analyze profitability by entity, location, service line, payer, and other relevant segments.
• Build financial models and scenario analyses to support strategic decisions, growth initiatives, acquisitions, and new service lines.

Finance Technology, Automation & AI

• Help modernize the Finance function and its technology infrastructure.
• Identify opportunities to automate manual processes, improve data integrity, streamline reporting, and reduce spreadsheet-dependent workflows.
• Partner with Technology and operational teams to improve integrations between ERP/accounting, practice management, revenue cycle, payroll/HRIS, banking, AP, expense management, and BI systems.
• Champion the responsible use of automation, AI, and analytics to improve financial visibility, efficiency, and scalability.

Internal Controls, Compliance & Cash Management

• Maintain effective internal controls, approval structures, segregation of duties, reconciliations, and financial documentation.
• Develop and maintain accounting policies and procedures and address control weaknesses.
• Coordinate external audits, tax-related activities, banking requirements, lender reporting, insurance-related financial requests, and other external reporting.
• Maintain visibility into cash flow and liquidity, including cash forecasting, treasury, banking, AP, and working capital management.
• Partner with the CFO and external advisors on accounting, tax, compliance, and financial matters.

Leadership & Strategic Partnership

• Lead, develop, and mentor the accounting and finance team.
• Establish clear ownership, performance expectations, service standards, and accountability.
• Build standardized, scalable processes that reduce reliance on individual institutional knowledge.
• Partner with Revenue Cycle, Operations, HR, Technology, Growth, and Clinical leadership.
• Serve as a key strategic partner to the CFO on financial analysis, business cases, forecasting, scenario planning, risks, and opportunities.
• Provide leadership with a clear understanding of what happened, why it happened, what is likely to happen next, and what action should be taken.

What You Bring

• 8–12+ years of progressive accounting and finance experience, including meaningful leadership responsibility.
• Bachelor’s degree in Accounting, Finance, Business, or a related field.
• CPA and/or MBA preferred, but not required.
• Strong knowledge of GAAP, financial reporting, accounting operations, internal controls, and financial statement preparation.
• Demonstrated experience with multi-entity accounting and consolidations.
• Experience with budgeting, forecasting, financial modeling, and management reporting.
• Experience leading and developing accounting and finance teams.
• Strong analytical and problem-solving skills with the ability to connect financial results to operational drivers.
• Experience improving processes, implementing automation, and leveraging technology and data analytics.
• Strong communication skills and the ability to present complex financial information clearly to executive and operational leaders.
• Ability to work effectively in a fast-paced, high-growth environment.

Preferred Qualifications

• Healthcare finance experience within a physician group, MSO, multi-site healthcare organization, FQHC, or healthcare services company.
• Healthcare revenue cycle finance experience, including revenue recognition, A/R, collections, payer performance, denials, contractual adjustments, and cash flow.
• Experience supporting acquisitions, integrations, or rapid organizational growth.
• Multi-state or geographically dispersed organization experience.
• Experience with ERP/accounting systems, BI tools, financial reporting platforms, finance automation, and healthcare practice management/revenue cycle platforms.

Why Join EPIC Health?

• Be Part of a Growing Organization: Help build the financial infrastructure supporting EPIC Health's continued expansion.
• Make a Visible Impact: Directly influence financial performance, operational decision-making, and organizational growth.
• Build, Don't Just Maintain: Improve systems, develop people, introduce automation, and modernize Finance.
• Work Across the Organization: Partner with leaders across Finance, Revenue Cycle, Operations, Technology, HR, Growth, and Clinical Operations.
• Growth & Development: Take on increasing responsibility as the organization continues to grow.

What We Offer

• Competitive compensation
• Medical, dental, and vision insurance
• 401(k) program
• Paid time off
• Employee assistance program
• Professional development opportunities
• Collaborative, mission-driven work environment
• Opportunity to grow with a rapidly expanding healthcare organization
• Meaningful opportunity to influence organizational strategy and financial performance

Ideal Candidate

The ideal candidate is equally comfortable reviewing a balance sheet, analyzing a financial variance, solving a business problem with an operational leader, and identifying how technology can make Finance more efficient.

You are intellectually curious, highly accountable, and willing to be hands-on when necessary. You can move comfortably between detailed financial operations and broader business strategy.

Most importantly, you don't simply report financial results—you help leadership understand them, anticipate what comes next, identify opportunities and risks, and take action.

EPIC Health is an equal opportunity employer. Employment is contingent upon successful completion of applicable background checks and other pre-employment requirements.