Fractional CFO (Behavioral Health / Mental Health Practice)

Job Summary
APHMC is seeking an experienced Fractional CFO with healthcare and preferably behavioral health experience to provide strategic financial oversight, improve operational visibility, optimize revenue performance, and strengthen the financial infrastructure of our growing outpatient mental health practice.

The ideal candidate can assess both financial and operational workflows within a multi-provider outpatient behavioral health environment.

Duties

• Conduct comprehensive financial review of the practice, including P&L, cash flow, balance sheet, and profitability analysis
• Analyze current contractor compensation and payout structures
• Develop financial projections and forecast models
• Evaluate billing, reimbursement, collections, and overall revenue cycle performance to identify financial risks and optimization opportunities
• Identify revenue leakage, inefficiencies, and workflow gaps impacting profitability
• Create financial dashboards and KPI reporting tools
• Recommend financially sustainable compensation structures
• Partner with leadership to prioritize and implement operational and financial improvement initiatives
• Advise clinic leadership on long-term growth and financial strategy

Preferred Qualifications

• Prior experience as a Fractional CFO, Healthcare CFO, or Healthcare Finance Consultant
• Experience working with mental health, psychiatry, or behavioral health practices
• Strong understanding of insurance reimbursement and revenue cycle management (RCM)
• Experience with contractor vs employee compensation structures
• Experience building financial dashboards, KPI tracking, and forecasting models
• Experience supporting growing or scaling healthcare practices preferred
• Experience working with EHR/practice management systems and healthcare reporting analytics preferred
• Strong communication and leadership skills

Compensation

Compensation will be based on experience, scope, and level of involvement.

How to Apply

Please submit your resume/CV, relevant healthcare finance experience, examples of healthcare organizations supported, and your hourly or monthly retainer expectations.

Pay: $100.00 - $175.00 per hour

Application Question(s):

• 1. Do you have prior experience working with outpatient mental health, psychiatry, or behavioral health practices?
• 2. Do you have experience analyzing provider compensation, contractor payout structures, or 1099/W-2 models within healthcare organizations?
• 3. Do you have experience reviewing healthcare billing, revenue cycle management (RCM), denials, collections, or reimbursement performance?
• 4. Do you have experience identifying revenue leakage, financial inefficiencies, or operational gaps within a healthcare practice?
• 5. Do you have experience creating financial forecasts, KPI dashboards, or profitability analyses for healthcare organizations?

Work Location: Hybrid remote in San Antonio, TX 78216