About this opportunity
Autism & Behavioral Spectrum lists this Financial Controller (ABA Healthcare) opportunity in st. louis, Missouri. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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 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.
Financial Controller (ABA Healthcare)
Location:
St. Louis, MO
Compensation:
$110,000-$145,000
About The Role
As 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 Responsibilities
Financial Leadership & P&L Ownership
Own company-wide and clinic-level P&Ls
Provide real-time visibility into revenue, expenses, and profitability
Identify risks, inefficiencies, and opportunities across clinics
ABA Revenue & BCBA Performance Alignment
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
RCM & Collections Oversight
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
Budgeting, Forecasting & Growth Planning
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
Cash Flow & Owner-Level Financial Clarity
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
Expense Management & Cost Control
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
Systems, Reporting & Visibility
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
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
Financial Decision-Making & Ownership
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
Compensation, Incentives & Leader Support
Design and model bonus and incentive structures
Provide visibility into what is financially feasible for: Raises
Bonuses
Incentives
Align incentives with: Profitability
Revenue performance
Clinical and operational outcomes
Help leaders understand their financial impact and opportunities
Compliance & Risk
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.
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Worksite address
st. louis, MO, 63146, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.