Financial Controller (ABA Healthcare)

Financial Controller (ABA Healthcare)

Location: St. Louis, MO
Compensation: $110,000-$145,000

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
• 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

Our Commitment to Diversity

Autism and Behavioral Spectrum is an Equal Opportunity Employer.
Autism and Behavioral Spectrum is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. We intend to maintain a work environment that is free of harassment, discrimination, or retaliation based on the following protected classes: age, race, color, national origin, ancestry, religion, sex, sexual orientation (including transgender status, gender identity or expression), sexual stereotyping, pregnancy (including childbirth, lactation, and related medical conditions), marital status, physical or mental disability, genetic information (including testing and characteristics), association with anyone who is a member of a protected class, AIDS/HIV status, veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The Company is dedicated to the fulfillment of this policy regarding all aspects of employment, including, but not limited to, recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.