Chief Financial Officer

ABOUT THE ORGANIZATION

Thomas Eye Group is a physician-owned regional eye care practice with multiple clinic locations throughout greater Atlanta. The organization delivers a broad range of eye care services — from routine optometry and general ophthalmology to advanced subspecialty care in retina, cornea, glaucoma, and refractive surgery.

As a closely held enterprise owned by its physician partners, Thomas Eye Group is built around clinical excellence, patient-centered care, and sustainable long-term growth. The organization places a premium on sound financial stewardship, disciplined capital allocation, and strong lender relationships.

The incoming CFO will join an experienced leadership team at a meaningful point in the organization's development, with genuine opportunity to shape strategic financial planning, optimize the capital structure, and build the financial infrastructure to support continued expansion.

THE OPPORTUNITY

The Chief Financial Officer is a newly created executive role, established in direct response to the organization’s growth and the increasing complexity of its financial operations. Reporting to the Chief Executive Officer, the CFO will serve as a key advisor to the leadership team and Board of Directors — the most senior financial executive in the organization and a full member of the executive team.

This is a strong fit for an experienced healthcare finance leader who brings both the technical grounding of a career in finance and the judgment to serve as a trusted advisor in a physician-owned governance structure. The right person will be comfortable operating in a complex, multi-site environment and genuinely connected to the mission of a leading physician-owned practice.

KEY RESPONSIBILITIES

Financial Leadership & Strategy

• Serve as the primary financial advisor to the CEO and physician Board of Directors, providing clear, actionable analysis to support sound decision-making
• Lead the development of multi-year financial plans, annual operating budgets, and capital expenditure programs aligned with the organization’s growth strategy
• Drive financial modeling and due diligence for de novo clinic development, practice acquisitions, joint ventures, and ancillary service expansion
• Evaluate and optimize the organization’s capital structure, including management of existing credit facilities and assessment of additional financing options
• Identify and communicate financial risks and opportunities with clarity and appropriate urgency to executive and board leadership

Governance & Board Relations

• Prepare and present financial reporting packages to the physician Board of Directors, including income statements, balance sheets, cash flow statements, and key performance indicators
• Support governance best practices through the development of financial policies, internal controls, and board-level oversight frameworks suited to a physician-owned enterprise
• Partner with outside legal counsel and advisors on governance matters, partnership agreements, buy-in/buy-out structures, and equity transactions involving physician partners
• Maintain strong relationships with banking partners, lenders, and external auditors, representing the organization with professionalism and transparency

Accounting, Controls & Compliance

• Oversee all accounting operations, including general ledger, accounts payable and receivable, payroll, and month-end/year-end close processes across all locations
• Ensure timely and accurate preparation of financial statements in accordance with GAAP and applicable healthcare standards
• Manage the annual audit process and coordinate with external auditors; ensure all tax filings and regulatory reporting are completed on schedule
• Design and maintain a sound internal control environment and assess financial risks across the enterprise
• Ensure compliance with applicable healthcare financial regulations, including those related to physician compensation models, Anti-Kickback and Stark Law considerations, and third-party payor contracting

Revenue Cycle & Operational Finance

• Provide strategic oversight of the revenue cycle, partnering with clinical and operational leadership to optimize payor contracting, billing efficiency, and collections performance
• Develop and monitor operational finance KPIs, including clinic-level contribution margins, provider productivity metrics, and cost-per-encounter benchmarks
• Evaluate opportunities to improve profitability through cost structure improvements, ancillary revenue streams, and service line optimization
• Oversee financial aspects of managed care contracting negotiations and payor mix management

Banking and Finance

• Manage existing credit facilities and banking relationships; ensure compliance with all financial covenants
• Develop cash flow forecasting models and liquidity management strategies to support operations and debt service obligations
• Provide analysis and recommendations on capital allocation, including debt reduction, reinvestment, and physician distributions
• Lead periodic refinancing or credit facility restructuring processes as the organization’s financial position and growth plans warrant

Team & Systems Leadership

• Build and retain a high-performing finance and accounting team; set clear performance expectations and create meaningful development opportunities
• Assess and evolve the organization’s financial systems and technology infrastructure, including EHR-integrated financial reporting and practice management platforms
• Partner cross-functionally with clinical operations, human resources, IT, and legal to advance enterprise-wide initiatives

COMPENSATION & BENEFITS

Thomas Eye Group offers a competitive executive compensation package. Total compensation includes:

• Base salary competitive with market benchmarks for CFOs of comparable healthcare organizations
• Annual performance bonus tied to financial and organizational objectives
• Comprehensive benefits, including medical, dental, vision, and life insurance
• 401(k) retirement plan with employer contribution
• Paid time off consistent with an executive-level position

QUALIFICATIONS & EXPERIENCE

• Minimum of 20 years of progressive finance and accounting experience, with at least 3 years in a CFO or equivalent senior financial leadership role
• Healthcare sector experience required; background in a multi-site physician practice, ambulatory surgery center, or comparable outpatient setting strongly preferred
• Demonstrated experience working with a board of directors or equivalent governing body, including preparation and presentation of financial reporting packages
• Experience managing finance in a leveraged capital structure, including credit facility management and debt covenant compliance
• Working knowledge of healthcare revenue cycle management, payor contracting, and healthcare-specific financial reporting requirements
• Strong analytical skills combined with the ability to translate complex financial information clearly for a physician-owner audience
• High ethical standards and a demonstrated commitment to transparency, confidentiality, and fiduciary responsibility

Education & Credentials

• Bachelor’s degree in Accounting or Finance required
• CPA designation or MBA from an accredited institution a strong differentiator
• Candidates holding both credentials are particularly competitive

Preferred

• Experience in ophthalmology, optometry, or related healthcare services
• Background in physician-owned or closely held healthcare enterprises
• Familiarity with physician compensation structures and partnership buy-in/buy-out arrangements
• Experience navigating Stark Law, Anti-Kickback Statute, and healthcare compliance frameworks relevant to the finance function
• Prior experience with de novo practice development, practice acquisitions, or ambulatory surgery center joint ventures

LEADERSHIP COMPETENCIES

• Strategic acumen — ability to connect financial analysis to long-term organizational goals and the priorities of physician partners
• Executive presence — confidence and credibility in engaging physician partners, board members, lenders, and external advisors
• Governance orientation — understanding of the responsibilities and dynamics of a physician-owned governance structure
• Operational rigor — disciplined approach to process, controls, and financial infrastructure in a complex multi-site environment
• Team leadership — ability to attract, develop, and retain finance professionals at multiple levels
• Integrity — personal and professional conduct that reflects the highest ethical standards and the responsibilities of a fiduciary role