Director of Finance (Healthcare)

About BelleBelle delivers high-touch in-home care to Medicare members using a novel Community Health Worker (CHW)-led model, supported by telehealth clinicians and a comprehensive CCM program. We are scaling rapidly across states and transitioning into a full MSO + multi-medical group architecture.

We’re entering the next phase of growth — multi-state expansion, payer contracting, and significant operational scale. Belle needs a hands-on financial builder to architect and own our financial foundation.

Purpose of this RoleBelle is hiring its first Director of Finance — a hands-on operator who can build, implement, and run our multi-entity financial system across an MSO and several physician-owned medical groups.

This person will play a foundational role in designing Belle’s financial infrastructure, implementing systems, managing cash, supporting payer economics, and building the reporting engine that drives our national expansion.

You’ll work directly with the CEO and have support from a part-time external bookkeeper and Practice Manager (who owns daily RCM/claims operations)

This is a high-autonomy, high-impact role for someone who loves building from scratch and wants to grow into VP of Finance over time.

What You’ll Own

Multi-Entity Financial Architecture
Build and maintain the financial structure across the MSO and multiple state medical groups (GA, MI, MO, etc.).Set up intercompany allocations, clinical fees, management fees, and compliance-aligned financial flows.Ensure each entity has clean financial separation (CPOM compliance).
Accounting & Systems Implementation
Own the migration from QuickBooks Online to a multi-entity accounting system.Build charts of accounts, entity separation, and consolidated reporting frameworks.Establish strong financial controls, treasury rules, and monthly close processes.
Revenue Cycle & Payer Finance
Partner closely with the Practice Manager to align RCM operations with financial reporting.Audit payer reimbursements, AR, and remittances to ensure accurate cash flow.Support payer contracting and pricing using PMPM cost modeling and state-level unit economics.
FP&A, Forecasting & Analytics
Manage Belle’s financial forecast model for growth, staffing, cash flow and new markets.Own recurring reporting: budgets, variance analysis, dashboards, cash runway, and KPI performance.Analyze clinical cost structure by state and support expansion decisions.
Treasury & Cash Management
Oversee financial operations across all entities (Ramp Treasury accounts, intercompany transfers, payroll entity separation).Ensure correct funds flow between MSO and medical groups.Manage liquidity, reserves, and financial risk.
Compliance, Audit & Controls
Maintain GAAP-compliant financials across all entities.Prepare the company for future audits, payer credentialing reviews, and investor diligence.Implement robust internal controls as Belle scales.
Build the Future Finance Organization
Initially run point as a one-person department (with bookkeeper + PM support).Over time, hire and develop key roles.Establish a high-trust, high-clarity financial culture.

Who You Are

6–10+ years experience in finance/accounting rolesMust have: Strong background in healthcare provider, MSO, medical group  financePreferred: Strong background in VBC, telehealth, home-based careExperience with multi-entity organizational structuresHands-on — you’re comfortable building models, running systems, closing the books, and architecting financial flowsStrong command of GAAP, accounting processes, and financial controlsFluent in Excel/Sheets and familiar with tools like QuickBooks, Sage Intacct, RampComfortable working directly with a founder, moving quickly, and creating order from ambiguityExcellent communicator who can explain complex financial concepts simplyHungry to grow into a VP-level role as the company scales

 What Success Looks Like in 12 Months

Clean and compliant financial separation across MSO + multiple medical groupsNew, scalable accounting system fully implemented (i.e., Sage Intacct or equivalent)Reliable monthly close with entity-level P&LsClear visibility into ARR, PMPM economics, payer revenue, AR, and cash flowManages forecast and reporting engine that the CEO and Leadership rely onSmooth financial flows supporting launches in 2–4 new states / yearBeginnings of a scalable finance team and operating model

 Benefits

Competitive compensation based on experienceHealth, Dental, and Vision Insurance Benefits401kPTO, Sick, Wellness leave, and Paid HolidaysOpportunity for significant career growth and expansion of responsibilitiesAbility to reshape an industry and protect lives

Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender-identity, sexual orientation, disability, age, military or veteran status, or any other basis protected by applicable local, state, or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.

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