Belle · 2 hours ago
Director of Finance (Healthcare)
United States
Full-time
Remote
Director/Executive
6+ years expBelle is a company that delivers high-touch in-home care to Medicare members using a novel Community Health Worker-led model. They are seeking a Director of Finance to architect and manage their financial infrastructure across multiple entities as they expand nationally.
Health Care
Responsibilities
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)
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
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
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
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
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
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
Qualification
Required
6–10+ years experience in finance/accounting roles
Strong background in healthcare provider, MSO, medical group finance
Experience with multi-entity organizational structures
Hands-on — you're comfortable building models, running systems, closing the books, and architecting financial flows
Strong command of GAAP, accounting processes, and financial controls
Fluent in Excel/Sheets and familiar with tools like QuickBooks, Sage Intacct, Ramp
Comfortable working directly with a founder, moving quickly, and creating order from ambiguity
Excellent communicator who can explain complex financial concepts simply
Hungry to grow into a VP-level role as the company scales
Preferred
Strong background in VBC, telehealth, home-based care
Benefits
Competitive compensation based on experience
Health, Dental, and Vision Insurance Benefits
401k
PTO, Sick, Wellness leave, and Paid Holidays
Opportunity for significant career growth and expansion of responsibilities
Ability to reshape an industry and protect lives
Company
Belle
Belle provides health plan members with in-home foot care - improving whole health from head to toe.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Armand Lauzon
Founder & CEO
Recent News
2025-11-14
Company data provided by crunchbase