Financial Controller (ABA Healthcare)

Location: St. Louis, MO
Compensation: $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&Ls
Provide real-time visibility into revenue, expenses, and profitability
Identify risks, inefficiencies, and opportunities across clinics

2. ABA Revenue & BCBA Performance Alignment

Track and analyze:
- BCBA billable hours vs. expectations
- Utilization (authorized vs. delivered hours)
- Caseload vs. revenue output
Partner with CCO + Clinical Leadership to:
- Align clinical expectations with financial targets
- Ensure billing practices support both compliance and profitability
Flag underperformance early and provide solutions

3. RCM & Collections Oversight

Partner with RCM VP to ensure:
- Accurate billing and clean claims
- Strong collections (≥97%)
- Reduced AR aging
Identify and resolve:
- Revenue leakage
- Delays in billing or collections
- Payer-specific issues

4. Budgeting, Forecasting & Growth Planning

Own department and clinic-level budgeting
Reallocate resources (“move money”) to ensure budgets work in real time
Build budgets tied to:
- Staffing (BCBAs, RBTs)
- Client demand and authorizations
- Clinic expansion plans
Work with COO + Operations on:
- Supply vs. demand planning
- Hiring timelines tied to revenue

5. Cash Flow & Owner-Level Financial Clarity

Manage and forecast cash flow with visibility into:
- Insurance payment cycles
- Payroll and major expenses
Create clear views of:
- True profit (pre vs. post tax strategy)
- Owner expenses and adjustments
Provide clarity on cash available for:
- Expansion
- Raises and incentives
- Capital projects
Ensure financials are aligned for banking, lending, and investments

6. Expense Management & Cost Control

Analyze major cost drivers:
- Labor (BCBA/RBT)
- Facilities and maintenance
- Admin and overhead
Partner with leadership to:
- Set cost targets
- Improve margins
- Reduce inefficiencies without impacting care

7. Systems, Reporting & Visibility

Build dashboards (Lightdash or similar) showing:
- Revenue (billed vs. collected)
- Clinic performance
- Cash flow
Ensure leadership has simple, real-time financial visibility
Improve speed and accuracy of reporting

8. Cross-Functional Leadership

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

9. Financial Decision-Making & Ownership

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

10. Compensation, Incentives & Leader Support

Design and model bonus and incentive structures
Provide visibility into what is financially feasible for:
- Raises
- Bonuses
- Incentives
Align incentives with:
- Profitability
- Revenue performance
- Clinical and operational outcomes
Help leaders understand their financial impact and opportunities

11. Compliance & Risk

Ensure alignment with:
- Healthcare billing standards
- Insurance compliance
Maintain clean, audit-ready financials

Top Requirements

Education: 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 dashboard

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