About Belle

Belle delivers high-touch in-home care to Medicare members using a novel Community Health Worker (CHW)-led model supported by telehealth clinicians and a comprehensive CCM program. We are scaling rapidly across states and transitioning into a full MSO multi-medical group architecture.

Were entering the next phase of growth multi-state expansion payer contracting and significant operational scale. Belle needs a hands-on financial builder to architect and own our financial foundation.

Purpose of this Role

Belle is hiring its first Director of Finance a hands-on operator who can build implement and run our multi-entity financial system across an MSO and several physician-owned medical groups.

This person will play a foundational role in designing Belles financial infrastructure implementing systems managing cash supporting payer economics and building the reporting engine that drives our national expansion.

Youll work directly with the CEO and have support from a part-time external bookkeeper and Practice Manager (who owns daily RCM/claims operations)

This is a high-autonomy high-impact role for someone who loves building from scratch and wants to grow into VP of Finance over time.

What Youll Own

1. Multi-Entity Financial Architecture
   • 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).
2. Accounting & Systems Implementation
   • 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.
3. Revenue Cycle & Payer Finance
   • 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.
4. FP&A Forecasting & Analytics
   • Manage Belles 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.
5. Treasury & Cash Management
   • 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.
6. Compliance Audit & Controls
   • 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.
7. Build the Future Finance Organization
   • 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.

Who You Are

• 610 years experience in finance/accounting roles
• Must have: Strong background in healthcare provider MSO medical group finance
• Preferred: Strong background in VBC telehealth home-based care
• Experience with multi-entity organizational structures
• Hands-on youre 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

What Success Looks Like in 12 Months

• Clean and compliant financial separation across MSO multiple medical groups
• New scalable accounting system fully implemented (i.e. Sage Intacct or equivalent)
• Reliable monthly close with entity-level P&Ls
• Clear visibility into ARR PMPM economics payer revenue AR and cash flow
• Manages forecast and reporting engine that the CEO and Leadership rely on
• Smooth financial flows supporting launches in 24 new states / year
• Beginnings of a scalable finance team and operating model

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

Belle is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Belle does not make hiring or employment decisions on the basis of race color religion or religious belief ethnic or national origin nationality sex gender gender-identity sexual orientation disability age military or veteran status or any other basis protected by applicable local state or federal laws or prohibited by Company policy. Belle also strives for a healthy and safe workplace and strictly prohibits harassment of any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the Form I-9.