Vice President Finance

North Texas Plastic Surgery | Southlake, Texas (Dallas–Fort Worth) Full-time | Primarily on-site | Reports directly to the Founder and CEO Build the finance function. Improve profitability. Guide our next stage of growth. North Texas Plastic Surgery is seeking a hands-on Vice President of Finance to lead finance across our physician-owned, multi-location organization, including plastic surgery, medical spas, a surgery center, anesthesia, and affiliated entities. As our senior finance executive, you will report directly to Sacha Obaid, MD, Founder and CEO, and serve as a key partner to ownership and operating leadership. Your mandate will extend beyond accurate financial statements: you will strengthen financial controls, improve business performance, evaluate growth opportunities, and deliver clear, reliable reporting to our owners. This is a build-and-improve leadership opportunity. You will assess existing resources, establish scalable processes, and help select and develop the supporting finance team within an agreed budget. We need someone who can move comfortably between reviewing a reconciliation, challenging an expense, evaluating a new location, and explaining a recommendation to ownership. What You Will Own Accounting, financial reporting, and controls Lead multi-entity accounting, month-end close, financial statements, bank reconciliations, intercompany accounting, and location-level reporting. Establish clear accountability for complete collections, payment verification, settlement reconciliation, purchasing, refunds, and other financial controls. Supervise accounting staff and coordinate with outside tax and accounting advisers. Profitability and cost management Partner with operating leaders to identify and implement measurable improvements in labor productivity, purchasing, inventory, vendor spending, pricing, and resource allocation. Develop meaningful profitability reporting by location, provider, and service line. Verify that improvements produce sustainable results without compromising patient care or service quality. Budgeting, forecasting, and cash management Own the annual budget, rolling forecasts, cash-flow planning, and financial performance reviews. Explain material variances, recommend corrective action, and help department leaders understand and manage their financial responsibilities. Expansion and investment analysis Evaluate new locations, provider additions, equipment purchases, and service-line investments. Build business cases that address capital requirements, break-even volume, downside scenarios, expected returns, and funding needs. Track actual results against approved investment plans and recommend changes when performance falls short. Owner reporting and distribution planning Deliver timely, understandable reporting to ownership. Maintain accurate records of owner transactions and related-party activity. Prepare distribution recommendations supported by reconciled financials, cash forecasts, operating reserves, and governing agreements, in coordination with external tax and legal advisers. Team development and systems improvement Assess existing accounting capacity, recommend the appropriate team structure, and develop clear roles, procedures, and backup coverage. Improve financial systems and use practical automation to reduce manual work, strengthen controls, and make reporting more useful.