Financial Controller (ABA Healthcare)

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 Reggio ABA™ (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.

• Own company-wide and clinic-level P&Ls
• Provide real-time visibility into revenue, expenses, and profitability
• Identify risks, inefficiencies, and opportunities across clinics

• Track and analyze:
• • BCBA billable hours vs. expectations
  • Utilization (authorized vs. delivered hours)
  • Caseload vs. revenue output
• Partner with CCO + Clinical Leadership to:
• • Align clinical expectations with financial targets
  • Ensure billing practices support both compliance and profitability
• Flag underperformance early and provide solutions

• Partner with RCM VP to ensure:
• • Accurate billing and clean claims
  • Strong collections (≥97%)
  • Reduced AR aging
• Identify and resolve:
• • Revenue leakage
  • Delays in billing or collections
  • Payer-specific issues

• Own department and clinic-level budgeting
• Reallocate resources (“move money”) to ensure budgets work in real time
• Build budgets tied to:
• • Staffing (BCBAs, RBTs)
  • Client demand and authorizations
  • Clinic expansion plans
• Work with COO + Operations on:
• • Supply vs. demand planning
  • Hiring timelines tied to revenue

• Manage and forecast cash flow with visibility into:
• • Insurance payment cycles
  • Payroll and major expenses
• Create clear views of:
• • True profit (pre vs. post tax strategy)
  • Owner expenses and adjustments
• Provide clarity on cash available for:
• • Expansion
  • Raises and incentives
  • Capital projects
• Ensure financials are aligned for banking, lending, and investments

• Analyze major cost drivers:
• • Labor (BCBA/RBT)
  • Facilities and maintenance
  • Admin and overhead
• Partner with leadership to:
• • Set cost targets
  • Improve margins
  • Reduce inefficiencies without impacting care

• Build dashboards (Lightdash or similar) showing:
• • Revenue (billed vs. collected)
  • Clinic performance
  • Cash flow
• Ensure leadership has simple, real-time financial visibility
• Improve speed and accuracy of reporting

• 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

• Drive financial recommendations and decision-making, with final approval by ownership
• Ensure budgets are not just created, but actively managed and adjusted in real time
• Provide leadership with clear financial direction for decision-making

• Ensure alignment with:
• • Healthcare billing standards
  • Insurance compliance
• Maintain clean, audit-ready financials

Top Requirements

• Education: Bachelor’s Degree in Accounting or Finance.
• Certification: CPA
• 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

Our Commitment to Diversity

Autism and Behavioral Spectrum is an Equal Opportunity Employer.
Autism and Behavioral Spectrum is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. We intend to maintain a work environment that is free of harassment, discrimination, or retaliation based on the following protected classes: age, race, color, national origin, ancestry, religion, sex, sexual orientation (including transgender status, gender identity or expression), sexual stereotyping, pregnancy (including childbirth, lactation, and related medical conditions), marital status, physical or mental disability, genetic information (including testing and characteristics), association with anyone who is a member of a protected class, AIDS/HIV status, veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. The Company is dedicated to the fulfillment of this policy regarding all aspects of employment, including, but not limited to, recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.