Head of Finance – Healthcare / ABA Services

Location: Five Towns, Long Island, NY
Work Setting: On-site, full-time
Compensation: Approximately $150,000–$300,000, depending on experience and qualifications

About the Opportunity

A growing, established healthcare organization specializing in behavioral health services is seeking a hands-on Head of Finance to lead and strengthen its finance and accounting department.

This is an opportunity for a finance leader who can do more than oversee financial reporting. The ideal candidate will take ownership of the department, evaluate existing operations, identify inefficiencies, implement better systems and controls, and build a more structured, accountable, and scalable finance function.

Working closely with organizational leadership and ownership, the Head of Finance will combine strategic financial oversight with direct involvement in day-to-day operations. The successful candidate will bring a track record of improving financial processes, developing teams, and delivering measurable operational results.

Experience in Applied Behavior Analysis (ABA) or behavioral healthcare is preferred but not required for an exceptional candidate with relevant financial leadership experience.

Key Responsibilities

Finance Department Leadership & Development

• Take ownership of the finance and accounting function, including team leadership, performance management, and departmental accountability.

• Assess current financial operations, identify gaps and inefficiencies, and develop a plan to improve departmental effectiveness.

• Establish clear processes, responsibilities, workflows, and performance expectations across the department.

• Build and develop a high-performing finance team capable of supporting continued organizational growth.

Financial Planning, Analysis & Reporting

• Lead budgeting, forecasting, financial modeling, and variance analysis.

• Develop accurate, timely, and actionable financial reports to support ownership and executive decision-making.

• Establish meaningful financial metrics, dashboards, and reporting processes that improve visibility into organizational performance.

• Analyze revenue, expenses, margins, and operating trends to identify opportunities for improved financial performance.

Cash Flow & Financial Management

• Oversee cash flow forecasting, working capital management, and financial planning.

• Strengthen financial controls and improve visibility into cash requirements and financial performance.

• Identify opportunities to improve collections, expense management, and overall financial efficiency.

• Support strategic planning and resource allocation as the organization continues to grow.

Process Improvement, Systems & Internal Controls

• Evaluate existing accounting systems, financial processes, and reporting infrastructure.

• Implement more efficient workflows, stronger internal controls, and standardized procedures.

• Improve the accuracy, consistency, and timeliness of financial data.

• Establish accountability and controls that support operational efficiency, financial integrity, and scalability.

• Lead the implementation and improvement of financial systems, tools, and processes as needed.

Strategic Partnership with Ownership

• Serve as a trusted financial partner to ownership and executive leadership.

• Translate financial information into practical business recommendations and actionable insights.

• Identify financial and operational risks and recommend solutions.

• Help develop the financial infrastructure needed to support continued expansion.

Qualifications

• Significant experience in accounting, finance, and financial management, with a track record of increasing responsibility.

• Demonstrated experience leading and managing a finance or accounting team.

• Strong knowledge of budgeting, forecasting, financial reporting, cash flow management, and financial analysis.

• Proven ability to evaluate existing operations, identify problems, and implement meaningful process improvements.

• Experience strengthening internal controls, establishing financial procedures, and improving departmental accountability.

• A hands-on leadership style with the ability to move between strategic planning and detailed execution.

• Strong analytical, organizational, communication, and problem-solving skills.

• Ability to work effectively with ownership and senior leadership.

• Must be local to the Five Towns / Nassau County area and able to work on-site.

Preferred Qualifications

• Experience in healthcare, behavioral health, Applied Behavior Analysis (ABA), or a related services organization.

• Experience in a growing or multi-location organization.

• Experience improving accounting systems, financial reporting infrastructure, and departmental workflows.

• CPA, MBA, or other relevant advanced credentials.

Compensation

Compensation is flexible and will reflect the candidate’s experience, capabilities, and ability to make an impact.

What Success Looks Like

The successful candidate will bring structure, accountability, and stronger financial visibility to the organization. They will improve the effectiveness of the finance department, develop the team, establish reliable reporting and controls, and build processes that support sustainable growth.

We are looking for a results-oriented finance leader who has demonstrated the ability to build, improve, and lead financial operations—not simply maintain existing processes.