Chief Financial Officer
Nashville, TN Accounting
Job Type


Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic service throughout the state.

There are several reasons why TOA is an employer of choice; here are a few of them:

  • Stability - TOA has been in Middle Tennessee since 1926 and has expanded to nearly 30 locations!
  • Impact - TOA’s team members use our careers – whether in our clinics or our business office – to make a positive difference in the community by building relationships and helping patients live their best life.
  • Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement.
  • Total Rewards - TOA offers competitive salaries based on the current Middle Tennessee wage market, plus a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more. Our 401(k) plan provides a company match, safe harbor match and profit-sharing match to go along with your contributions.

Our Chief Financial Officer will act as the financial conscience for TOA providing strategic counsel and oversight to all areas of the business, emphasizing matters involving finance, operations, accounting, treasury, administration, and risk management. Essential Duties and Responsibilities include the following, while other responsibilities may be assigned:

  • Responsible of oversight for daily accounting and finance operations of TOA, including management of accounting and treasury employees.
  • Ensure accurate and timely payment of vendors and employees.
  • Ensure adherence to GAAP and other applicable accounting standards as required.
  • Prepare, administer, and oversee budgets and process for Operational Budgets, Capital Budgets, and various pro-forma statements for special projects and investment opportunities.
  • Prepare financial models for strategic activities of TOA, including new service lines, acquisitions, and growth plans.
  • Responsible for the oversight of the corporation’s treasury function, including cash flow monitoring, debt, and investment management.
  • Provide oversight of insurance programs in the areas of property and casualty insurance, health insurance for benefits and medical malpractice insurance alongside the company’s selected insurance brokers.
  • Oversee and manage the company’s tax strategies and taxation requirements to minimize exposure and provide maximum allowed income for owners.
  • Manage the process of preparation of annual tax filings
  • Ensure compliance with federal, state, and local tax laws and regulations, including payroll tax, income tax, property tax, etc.
  • Provide cost accounting oversight in the following areas: facility and provider utilization, resource allocation, and other cost allocation models.
  • Provide financial analysis for functional areas of the practice, including, but not limited to specific physicians, offices, and sub-specialties.
  • Perform business valuation calculations as needed for physician buy-sell agreements for either the group practice or real estate entities.
  • Oversee asset procurement processes and ensure proper disposition of assets for record keeping purposes
  • Oversee internal control implementation, monitoring, and oversight.
  • Ensure proper internal controls are in place to safeguard assets and protect the company from fraudulent activity
  • Administer the corporate retirement plan ensuring its effectiveness as a benefit for employees and owners.
  • Aid in the preparation and annual audit of the company’s form 5500 and submitting the final reports to the Department of Labor.
  • In partnership with the Chief Revenue Officer, monitor the billing and collections department, ensuring proper revenue cycle management and timely posting of claims and collection of outstanding payments from patients and third-party payers.
  • Participate in corporate risk management and compliance to minimize business risks and exposure.
  • Maintain banking relationships and the management of corporate debt facilities and compliance with debt covenants. When necessary, manage the process of negotiating and acquiring new debt facilities.
  • Review and maintain corporate contracts.
  • Perform monthly and quarterly calculations for provider bonuses, profit sharing, and income disbursement.
  • Participate in professional associations and conferences as a member of the group.
  • Special projects as assigned 
  • Bachelor’s Degree in Accounting, Finance, or related field 
  • CPA or MBA preferred
  • 5-7+ years’ experience in a senior financial managerial position
  • Excellent communication skills
  • Excellent organizational skills

TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers.