Healthcare finance Jobs in Sandy Springs, GA

Position SummaryDominguez Chiropractic operates ten clinic locations and employs approximately forty people. The practice has grown to a scale where finance can no longer be a set of tasks distributed across front-desk staff, ownership, and an outside accountant. It needs an owner.
The Finance Manager is that owner. This person holds day-to-day accountability for the money moving through the practice: what goes out (accounts payable and purchasing), what comes in (accounts receivable), whether the books close accurately and on time, and whether ownership has a clear, current picture of financial performance by location. This is a hands-on individual contributor role with genuine ownership, not a supervisory one.
The Finance Manager works in partnership with the practice's external accounting firm. The accounting partner handles complex forecasting, tax strategy, and technical accounting matters. The Finance Manager handles the operating reality: transactions, close, reconciliations, purchasing discipline, and the baseline forecasting that lets ownership make decisions between accountant conversations.
This role reports directly to the Owner.
Key ResponsibilitiesAccounts Payable

• Own the full accounts payable cycle across all ten locations, from invoice receipt through payment and filing.
• Verify invoices against purchase orders, contracts, and delivery confirmation before release for payment.
• Maintain the payment calendar to protect vendor relationships, capture available discounts, and avoid late fees.
• Maintain accurate, current vendor master data, including W-9s and 1099 tracking.
• Investigate and resolve invoice discrepancies, duplicate billings, and vendor statement variances.
• Present a weekly cash disbursement summary to the Owner for review and approval within established authority limits.

Accounts Receivable

• Own the accounts receivable function, including patient balances, insurance receipts, and any non-patient revenue streams.
• Post and reconcile all cash receipts daily by location, including insurance remittances, patient payments, and merchant deposits.
• Coordinate closely with the billing and front-desk teams so that clinical revenue capture and financial recording stay aligned.
• Maintain and act on the aged receivables report, escalating balances that pass established aging thresholds.
• Track days sales outstanding by location and report trends to the Owner monthly.
• Manage patient payment plan documentation, tracking, and follow-up.
• Reconcile merchant processing statements to the general ledger and resolve settlement variances.

Purchasing and Vendor Management

• Serve as the central purchasing point for supplies, equipment, and services across all ten locations.
• Consolidate demand across locations to gain pricing leverage and reduce redundant ordering.
• Maintain an approved vendor list and standard pricing documentation.
• Negotiate and track vendor contracts, service agreements, and renewal dates.
• Monitor supply spend per location and per patient visit, and flag outliers to the Owner.
• Administer the purchase approval process, including documented spending authority thresholds.
• Manage equipment purchases and leases, and maintain the fixed asset schedule.

Month-End Close and Reconciliations

• Own and execute the month-end close calendar, with a target of a completed close within ten business days of month end.
• Reconcile all bank accounts, credit card accounts, and merchant accounts monthly.
• Prepare and post journal entries, including accruals, prepaid amortization, and depreciation.
• Maintain supporting schedules and reconciliations for all significant balance sheet accounts.
• Produce the monthly financial statement package, including consolidated results and results by location.
• Identify and explain material variances to budget and to prior period before the package reaches the Owner.
• Maintain organized, audit-ready documentation for every close.

Financial Reporting and Basic Forecasting

• Prepare and maintain a rolling thirteen week cash flow forecast.
• Build and maintain the annual operating budget in collaboration with the Owner and the accounting partner.
• Track actual results against budget monthly and report variances with plain-language explanation.
• Maintain a location-level performance dashboard covering revenue, payroll, supply cost, and contribution.
• Support ownership with basic scenario modeling, for example the financial impact of adding a location, a provider, or a service line.
• Provide the external accounting partner with clean, complete data for advanced forecasting, tax planning, and year-end work.

Multi-Site Financial Support

• Establish consistent financial processes across all ten locations so that reporting is comparable site to site.
• Serve as the finance point of contact for location managers and clinical leads.
• Allocate shared and corporate costs to locations using a documented, defensible methodology.
• Visit locations periodically to review cash handling, purchasing practices, and documentation quality.
• Support the financial onboarding of any new location the practice opens or acquires.

Controls, Compliance, and Partnership

• Document and maintain finance policies and procedures, including cash handling, purchasing authority, and expense reimbursement.
• Maintain appropriate separation of duties within the constraints of a lean finance function, and escalate gaps that cannot be resolved internally.
• Support payroll processing and reconciliation in coordination with the payroll provider and HR.
• Serve as the primary day-to-day contact for the external accounting firm.
• Prepare and deliver year-end workpapers, schedules, and supporting documentation to the accounting partner.
• Maintain financial records in a manner consistent with the practice's retention policy and applicable regulatory requirements.
• Handle all financial and patient-related information in a manner consistent with HIPAA and practice confidentiality policy.

Required Qualifications

• Bachelor's degree in accounting, finance, or business administration. Equivalent experience will be considered in place of the degree.
• Five or more years of progressive accounting or finance experience, including direct ownership of accounts payable and accounts receivable.
• Demonstrated experience owning a month-end close cycle from start to finish, independently.
• Strong bank, credit card, and merchant account reconciliation skills.
• Advanced spreadsheet skills, including pivot tables, lookup functions, and building a model from a blank sheet.
• Working proficiency in a general ledger accounting system and comfort learning new systems quickly.
• Ability to work accurately and independently across multiple entities or locations without daily direction.
• Clear written and verbal communication with people who are not finance professionals.
• Demonstrated discretion with confidential financial and personnel information.

Preferred Qualifications

• Bilingual in English and Spanish. Given the communities Dominguez Chiropractic serves and the makeup of the staff and vendor base, this is a meaningful advantage in this role.
• Experience in healthcare, medical practice, dental, or chiropractic finance.
• Experience supporting a multi-site or multi-location operation.
• Familiarity with practice management or electronic health record systems and how clinical data flows into financial records.
• Exposure to insurance reimbursement, explanation of benefits reconciliation, and payer remittance.
• Experience building a finance process where none existed previously.
• Progress toward CPA or CMA certification.

Core CompetenciesThe practice is looking for a specific profile. The following competencies matter more than any single line on a resume.

• Ownership. Treats the finance function as a responsibility rather than a queue of tasks.
• Accuracy under volume. Ten locations generate a high transaction count. Precision has to survive the pace.
• Process building. Comfortable creating structure rather than inheriting it.
• Business judgment. Understands that the numbers exist to support decisions, and reports accordingly.
• Direct communication. Raises problems early, in plain language, without waiting for the monthly meeting.
• Integrity. Non-negotiable in a role with this level of access.

Performance ExpectationsThe following expectations define what success looks like in the role. They should be reviewed and confirmed with the selected candidate during onboarding and used as the basis for the first performance review.
First 30 Days

• Understand the current state of accounts payable, accounts receivable, purchasing, and close across all ten locations.
• Meet with the Owner, the external accounting partner, location leadership, and the billing team.
• Document the existing close process and identify the three largest gaps.

First 60 Days

• Own and complete a full month-end close.
• Deliver a current aged receivables analysis by location with a recommended collection approach.
• Produce a consolidated vendor and spend analysis across all ten locations.

First 90 Days

• Deliver a documented, repeatable month-end close calendar.
• Deliver a rolling thirteen week cash flow forecast in active use.
• Deliver a location-level performance dashboard the Owner uses for decision making.
• Present a written set of recommendations on purchasing consolidation and receivables improvement.

Ongoing Success MeasuresPerformance in this role will be evaluated primarily against the following measures.

• Month-end close completed within the agreed number of business days, every month.
• Zero material adjustments identified by the external accounting partner at year end.
• Days sales outstanding trending toward the agreed target.
• No late fees or lapsed vendor relationships resulting from payables management.
• Documented, measurable savings from purchasing consolidation.
• Financial reporting delivered to ownership on a predictable schedule without prompting.

Working Conditions

• Full-time position, primarily based at [primary office location].
• Periodic travel to clinic locations across Georgia. Valid driver's license and reliable transportation required.
• Standard office environment with extended periods of computer work.
• Increased workload during month-end close and year-end periods.

AcknowledgmentThis job description describes the general nature and level of work expected in this position. It is not an exhaustive list of all duties, responsibilities, or qualifications, and may be modified as the needs of the practice change.
Dominguez Chiropractic is an equal opportunity employer. Employment is at-will.