🌟 Join a Top Workplace in Specialized Therapy
Enhance your clinical career with AB Spectrum, a team proudly named a Top Workplace by the St. Louis Post-Dispatch. We earned this recognition, which is based entirely on employee feedback, because we foster a culture where people feel valued, supported, and inspired to grow.
AB Spectrum provides specialized ReggioABA™ (Applied Behavior Analysis) therapy for young children (ages 1-6). Our foundation is ABA, an evidence-based therapy focused on developing communication, social, and adaptive living skills.
Our Model: Our centers utilize a unique Therapy Through Play model. We embrace the principles of Reggio Emilia by devising a Natural Environment Teaching (NET), child-led learning environment to deliver individualized, high-quality early intervention services in settings that replicate a natural preschool.
Our Team: Join our collaborative team of BCBAs, RBTs, SLPs, and Administration. You'll benefit from cross-disciplinary collaboration and unique special visits, including music facilitators, pet interactions, and other partnerships.
Financial Controller (ABA Healthcare)Location: St. Louis, MOCompensation: $80k – $100k + 20% Bonus Potential
About the RoleAs our Financial Controller, you are the vital link between our clinical excellence and our organization's financial health. You don’t just report on the numbers; you own the full financial performance and strategic clarity of the organization.
In this role, you will have ultimate ownership over our profitability, revenue accuracy, and budget performance. By partnering closely with our CEO, Clinical Leadership, and Operations teams, you will ensure our growth is sustainable, intentional, and backed by high-level financial decision-making. Your mission is to provide the "cash clarity" and data-driven insights needed to scale our impact with confidence.
Key Responsibilities1. Financial Leadership & P&L Ownership
Own company-wide and clinic-level
P&LsProvide
real-time visibility into revenue, expenses, and profitabilityIdentify risks, inefficiencies, and opportunities across clinics
2. ABA Revenue & BCBA Performance Alignment
Track and analyze:
BCBA billable hours vs. expectationsUtilization (authorized vs. delivered hours)Caseload vs. revenue outputPartner with
CCO + Clinical Leadership to:Align clinical expectations with financial targetsEnsure billing practices support both compliance and profitabilityFlag underperformance early and provide solutions
3. RCM & Collections Oversight
Partner with
RCM VP to ensure:Accurate billing and clean claimsStrong collections (≥97%)Reduced AR agingIdentify and resolve:Revenue leakageDelays in billing or collectionsPayer-specific issues
4. Budgeting, Forecasting & Growth Planning
Own
department and clinic-level budgetingReallocate resources (“move money”) to ensure budgets work in real timeBuild budgets tied to:Staffing (BCBAs, RBTs)Client demand and authorizationsClinic expansion plansWork with
COO + Operations on:Supply vs. demand planningHiring timelines tied to revenue
5. Cash Flow & Owner-Level Financial Clarity
Manage and forecast
cash flow with visibility into:Insurance payment cyclesPayroll and major expensesCreate clear views of:
True profit (pre vs. post tax strategy)Owner expenses and adjustmentsProvide clarity on cash available for:ExpansionRaises and incentivesCapital projectsEnsure financials are aligned for
banking, lending, and investments6. Expense Management & Cost Control
Analyze major cost drivers:Labor (BCBA/RBT)Facilities and maintenanceAdmin and overheadPartner with leadership to:Set cost targetsImprove marginsReduce inefficiencies without impacting care
7. Systems, Reporting & Visibility
Build dashboards (Lightdash or similar) showing:Revenue (billed vs. collected)Clinic performanceCash flowEnsure leadership has
simple, real-time financial visibilityImprove speed and accuracy of reporting
8. Cross-Functional Leadership
With CCO (Clinical):Align billable expectations, caseloads, and clinical quality
With COO (Operations):Align staffing, scheduling, and clinic performance
With RCM:Ensure revenue integrity and collections
With HR/People Ops:Support compensation and workforce planning
9. Financial Decision-Making & Ownership
Drive financial recommendations and decision-making, with
final approval by ownershipEnsure budgets are not just created, but actively
managed and adjusted in real timeProvide leadership with clear financial direction for decision-making
10. Compensation, Incentives & Leader Support
Design and model
bonus and incentive structuresProvide visibility into
what is financially feasible for:RaisesBonusesIncentivesAlign incentives with:ProfitabilityRevenue performanceClinical and operational outcomesHelp leaders understand their
financial impact and opportunities11. Compliance & Risk
Ensure alignment with:Healthcare billing standardsInsurance complianceMaintain clean, audit-ready financials
Top RequirementsEducation: Bachelor’s Degree in Accounting or Finance.
Certification: CPA (Highly Preferred).Experience: 5+ years of progressive accounting/finance experience preferred.
Healthcare experience (specifically ABA or multi-site clinics) is a massive plus.Skillset: You must be comfortable with
RCM (Revenue Cycle Management) and building data dashboard
The pay range for this role is:80,000 - 100,000 USD per year(St. Louis, MO)
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