Head of Finance & Strategy

Head of Finance & Strategy

Lakewood NJ - Onsite (Hybrid considered for the right candidate)

$150000$200000 (DOE)

Industry: Healthcare / ABA Services

Position Overview

A rapidly growing multi-state healthcare organization is seeking a hands-on strategic finance leader to bring all financial operations fully in-house and serve as a key partner to ownership on growth profitability and expansion decisions.

This role is intentionally designed as both strategic and operational. While the long-term scope is executive-level financial leadership the initial phase of the role requires humility ownership and a willingness to work in the details. For at least the first six months this individual will personally manage and execute bookkeeping and accounting functions as they are transitioned from outsourced providers into an internal operation. Success in this role depends on the ability to balance high-level financial thinking with hands-on execution.

The Ideal Candidate

• Strategic finance leader with a roll-up-your-sleeves mindset

• Comfortable working in the weeds during early stages

• Humble accountable and ownership-oriented

• Confident decision-maker with strong business judgment

• Able to partner closely with ownership on growth strategy

• Ambitious thoughtful and execution-driven

• Healthcare experience a plus not required

Key Responsibilities

Hands-On Financial Operations (Initial Phase)

• Personally bring all bookkeeping and accounting functions in-house from outsourced providers

• Ensure accuracy continuity and structure during the transition

• Own day-to-day financial operations reconciliations and reporting

• Establish strong internal controls and financial discipline

Strategic Leadership & Growth Planning

• Oversee all spending budgets and financial performance across multiple locations

• Lead FP&A including cost per client clinic-level profitability and margin analysis

• Support executive decision-making around:

  • State expansion and market entry

  • Clinic performance and sustainability

  • ROI and long-term investment decisions

• Build financial models forecasts and dashboards for leadership

• Hold teams vendors and processes accountable

Team & Infrastructure Development

• Build and scale an internal finance function over time (Controller/bookkeeping team)

• Develop systems and processes that support long-term growth

• Transition from hands-on execution to full CFO-level oversight as the organization scales

Qualifications & Must-Haves (Non-Negotiable)

• Willingness and ability to personally handle bookkeeping during the first 6 months

• Strong hands-on accounting and financial operations background

• Proven experience with budgeting forecasting and financial planning

• Comfortable making and standing behind financial decisions

• Track record of accountability and follow-through

• Experience bringing structure to fast-growing organizations

Nice to Have

• Experience in healthcare ABA or multi-location service businesses

• Background scaling organizations or supporting expansion

• Experience growing from Controller-level responsibilities into a CFO role

Benefits & Opportunity

• Competitive compensation with flexibility for the right candidate

• Direct access to ownership and executive decision-making

• Clear growth path into a full CFO role

• Opportunity to build own and scale a finance function from the ground up

Apply Now

Email resume to:

Required Experience:

Director