Job Details

Job Location GIA Southlake Admin - Southlake, TX

Position Type Full Time

Job Shift Day

Job Category Health Care

Description

Company Conformance Statements

In the performance of their respective tasks and duties all employees are expected to conform to the following:

• Perform quality work within deadlines with or without direct supervision.

• Interact professionally with other employees, customers and suppliers.

• Work effectively as a team contributor on all assignments.

• Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.

Position purpose

The Director of Finance, MSO Services is a senior-level finance professional responsible for overseeing and managing all financial aspects of MSO operations. This individual will serve as the subject matter expert (SME) on the financial structure and economics of the MSO, including Management Services Agreements (MSAs), MSO expense treatment, and cost allocation methodologies.

The role partners closely with corporate department leaders to provide financial planning, budgeting, forecasting, and strategic analysis that supports data-driven decision-making. The ideal candidate will bring deep financial acumen, strong analytical skills, and the ability to effectively communicate complex financial concepts to both finance and non-finance stakeholders.

Responsibilities/Duties/Functions/Tasks:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Financial Planning & Analysis:

• Lead the annual budgeting and periodic forecasting processes for MSO operations in collaboration with department leaders.

• Prepare and present monthly financial reviews comparing actual performance to budget and forecast.

• Develop and maintain financial models and scenario analyses to support strategic decisions and organizational planning.

MSO Financial Strategy & Governance:

• Serve as the internal subject matter expert on the financial terms and operational implications of Management Services Agreements (MSAs).

• Develop and maintain consistent methodologies for MSO expense classification and allocation across GI Alliance.

• Provide guidance to accounting and finance teams on appropriate treatment of MSO-related costs in accordance with GAAP, MSA agreements, physician compensation requirements, and organizational policies.

Business Partnership & Decision Support:

• Collaborate with corporate function leaders (e.g., HR, IT, Marketing, Compliance) to understand departmental financial needs and identify opportunities for efficiency and performance improvement.

• Support executive leadership in assessing ROI, evaluating strategic investments, and preparing business cases.

• Translate complex financial data into actionable insights for cross-functional teams.

Reporting & Controls:

• Design and maintain MSO-specific financial reports and KPIs to support transparency and accountability across functions.

• Ensure accurate and timely reporting of MSO results and allocations to practices.

• Uphold strong internal controls and ensure compliance with relevant financial and regulatory standards.

Qualifications

Qualifications

Education and Experience:

• Bachelor's degree in Finance, Business Administration, Accounting, or related field required.

• 7+ years of progressive finance experience, with at least 3 years in a healthcare services, MSO, or multi-entity organization.

• Knowledge of regulatory and compliance requirements in healthcare finance and reporting

• Strong understanding of budgeting, forecasting, financial modeling, and variance analysis.

• Expertise in the structure and financial management of MSOs, including cost allocations and MSAs.

• Experience working with physician practices.

• Familiarity with financial systems such as NetSuite, Adaptive Insights, or similar tools.

Performance Requirements:

• Exceptional analytical and problem-solving skills.

• Ability to work cross-functionally and influence without direct authority.

• Strong written and verbal communication skills.

• High integrity, attention to detail, and commitment to accuracy.

• Comfortable managing multiple priorities in a fast-paced, evolving environment.

• Strategic mindset with attention to detail.

• High level of integrity, accountability, and professionalism.

• Process orientation with the ability to put plans into action

• Collaborative style with the ability to communicate clearly and precisely on technical and operational issues, both verbally and in writing

• Solid understanding of finance and accounting

• Strong Microsoft Office Suite proficiency, including an intermediate knowledge of Excel and ability to create Powerpoint presentations

• Proficiency in financial systems (e.g., Oracle, SAP, Anaplan), reporting tools (e.g., Power BI, Tableau), and data platforms.

• Strong understanding of healthcare finance, provider performance metrics, revenue cycle management, and payer dynamics

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

Work Environment: Work requires hand dexterity for office machine operation, stooping and bending to files and supplies, mobility to complete errands, or sitting for extended periods of time. Occasionally lifting files or paper weighing up to 20 pounds. Occasionally work environment may be very stressful.

Mental/Physical Requirements: Normal office environment. May view computer screens for long periods of time. Occasional evening or weekend work