VP Finance

Description

Vanguard Skin Specialists is a growing, physician-led medical group with a bold and purpose-driven mission: to deliver outstanding care while building a scalable, sustainable platform for multi-specialty services. With 9 locations, 150 employees, and expanding operations – including a dermatology/plastic surgery/aesthetic services medical practice, an ambulatory surgery center in development, a real estate portfolio, and retail skincare business—we are entering our next phase of growth.

Vanguard’s core values of humility, integrity, and excellence, along with our mission-driven approach, drive our work culture. We have been recognized as one of the top 3 large workplaces in Colorado Springs by the Gazette six years in a row and as one of the top 150 workplaces in Colorado by the Denver Post five years in a row. 

We are seeking a versatile, results-driven finance executive who combines the precision of a Controller with the strategic mindset of a CFO. This leader will take full ownership of our finance function today and demonstrate the capability and determination to grow into the Chief Financial Officer (CFO) role, helping us build the financial infrastructure to support smart, sustainable growth.

The Opportunity

As VP of Finance, you will lead financial operations across multiple business lines, including our clinical practice, real estate holdings, retail skincare business, and upcoming ambulatory surgery center (ASC). This is a unique opportunity for someone who enjoys both building and leading—comfortable diving deep into accounting details one day and presenting strategy to executive leadership the next.

You will report directly to the CEO and serve as a core member of the executive team, helping shape our financial roadmap while building the infrastructure to scale. You will work closely with the fractional CFO on strategic financial initiatives.

Duties and Responsibilities

Financial & Strategic Planning

• Lead budgeting, forecasting, and financial modeling across all business entities.
• Build and deliver dashboards, KPIs, and executive reports to drive decision-making and to monitor the financial health of the organization and each of the businesses.
• Partner with CEO and leadership team on margin improvement, capital planning, and capital allocation strategy. 
• Lead cost structure analysis across the enterprise with the goal of identifying $500K+ in margin improvement through cost controls, revenue strategy, or operational efficiency within the first 12 months.
• Develop scenario models and ROI analyses for new investments, partnerships, and service lines.
• Implement rolling 12-month cash flow forecast.
• Partner with operations leadership to understand key drivers of revenue, cost, and margin, and lay the groundwork for future integration of revenue cycle performance into executive-level financial planning.

Accounting & Reporting

• Develop a high-integrity, efficient accounting foundation to support multi-entity operations and future audit-readiness.
• Own the month-end close, general ledger oversight, and internal controls.
• Generate accurate and timely financial reports including the following: Balance Sheet, P&L, Statement of Cash Flows across all business entities.
• Work collaboratively with managers to develop budgets and forecasts for business units and to actively manage the practice to meet or exceed budget goals.
• Report significant variation in financial results from prior periods and/or budget and provide commentary and analysis of financials. Identify causes of variances in financial results and recommend corrective actions. 
• Ensure compliance, tax readiness, and audit preparedness.
• Oversee policies for expense tracking, revenue recognition, and entity-level allocations.

Internal Controls & Processes

• Ensure scalable systems and processes that protect cash flow and reduce administrative overhead, especially as volume grows.
• Establish and monitor appropriate internal control policies and procedures.
• Ensure that the general ledger is supported by appropriate subsidiary ledgers and that all critical accounts are reconciled to subsidiary ledgers and third-party sources on a regular basis. 
• Establish appropriate segregations of duties and where such segregation is not practicable, implement compensating controls. 
• Oversee the A/R and A/P processes, ensuring optimal cash flow. 
• Oversee the payroll process to ensure payrolls are complete and accurate and that all related taxes and benefits are accounted for properly and that all required reporting is completed on a timely basis. 
• Oversee all banking relationships and maintain treasury policies.
• Real Estate & Capital Projects
• Oversee financial operations and reporting for a real estate portfolio. 
• Manage capital expenditure planning, financing, and entity structuring.
• Serve as financial lead for our ambulatory surgery center (ASC) development project, including pro forma modeling and budget oversight. Partner with legal, clinical, and construction teams to track ASC financial milestones.
• Manage property tax assessments for owned real estate, including initiating valuation appeals when necessary to reduce tax burden.
• Ensure all real estate assets are appropriately insured, including regular coverage reviews and coordination with insurance brokers.

Physician Compensation & Equity Structures

• Design and maintain physician and APP compensation models aligned with organizational goals, clinical productivity, and financial performance; ensure clarity, consistency, and scalability of compensation frameworks.
• Lead  financial modeling and oversight of equity allocations, including buy-in and buy-out structures for ownership and profit-sharing arrangements.
• Partner with legal and executive leadership to manage shareholder agreements, capitalization tables, and equity transaction processes.
• Develop transparent reporting and dashboards for physician financial performance, ownership stakes, and incentive alignment.
• Support strategic planning related to physician recruitment, retention, and succession through financial structures that align long-term incentives.

Team Building & Growth

• Build systems, processes, and reporting to support a growing MSO and diversified portfolio
• Participate in key strategic conversations at the executive level; evaluate and articulate the financial ramifications of all strategies considered. 
• Design, develop, and manage a lean, high-impact finance team; define when and how roles are added
• Role model Vanguard’s values of humility, excellence, and integrity, and help further the mission to make a positive impact on patients, community, and the world.

Learn more about Vanguard Skin Specialists at www.vanguardskin.com. We are a mission driven practice, aspiring to make an impact on our patients, our community and our world. 

1 minute video about our mission here. 

5 minute founder story video here.

Compensation & Benefits

Compensation: 

• Base salary $150,000 to $200,000/year, depending on experience
• Performance bonus 10-25%, tied to EBITDA growth, forecast accuracy, and financial leadership milestones
• Relocation assistance available if needed
• Comprehensive benefits package

Requirements

• BA in Finance, Accounting, or a related field required; MBA and/or CPA strongly preferred. 
• Minimum 7+ years of progressive finance and accounting experience, including direct ownership of month-end close, budgeting, and financial reporting in a multi-entity or complex services organization
• Proven ability to lead both accounting operations and forward-looking financial planning (FP&A); prior healthcare experience required, preferably in a clinical setting
• Minimum 3–5 years of financial team leadership with direct responsibility for performance management, delegation, and team development. 
• Strong understanding of GAAP, internal controls, and audit readiness
• Experience partnering cross-functionally to align clinical, operational, and financial goals; skilled at turning financial insights into business action
• Expert in Excel including use of pivot tables, macros, and common formulas. High Competence in QuickBooks required.
• Exposure to healthcare revenue cycle workflows.
• Demonstrated ability to build rolling forecasts and scenario models, track and drive performance through dashboards and KPIs, manage multiple entity P&Ls
• Excellent communicator who can distill complex financial issues for non-financial audiences in both written and verbal format
• Excellent time management skills coupled with ability to work under pressure and meet deadlines no matter the circumstances.
• Organized, proactive, and accountable; able to balance detail orientation with strategic focus.
• Potential to grow with the role as the practice expands. Actively seeks and acts on feedback.
• Absolute discretion and integrity regarding financial and personnel matters.
• Demonstrated bias for action, follow-through, and above-average work ethic; treats the business like an owner and doesn’t require external motivation to go the extra mile. 
• Strong commitment to Vanguard’s mission and values with a long-term stewardship mindset.

Location/Schedule

This is a full-time, onsite leadership position based at our headquarters in Colorado Springs: 12320 Oracle Blvd, Ste 350, Colorado Springs. Occasional travel to other locations will be required for meetings.

This is not a remote or hybrid position. As an executive team member, physical presence and availability are expected to support clinical operations, provider engagement, and team leadership. While we respect boundaries and work-life balance, our leadership culture is deeply engaged, requires responsiveness, flexibility, and a willingness to go beyond when needed—especially during periods of financial reporting, strategic planning, or key initiatives. This is an opportunity to lead with purpose alongside a founder-led team that works with urgency and mission. 

Direct Reports

• Senior Staff Accountant
• Accounting Specialist

A separate revenue cycle team handles medical accounts receivable. Close coordination is required with the leader of that department.

Promotion to CFO will be based on a milestone plan including financial performance, infrastructure development, strategic contribution, and team leadership readiness. 

Offers for employment will be contingent on successful pre-employment screening for this position. The screenings will include a background check, drug screen, employment and education or licensure/certification verification, and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Vanguard Skin Specialists is a privately-owned medical practice that seeks to glorify God by serving patients and the community with humility, integrity, and excellence. Vanguard’s mission is to make a positive impact on our patients, our community, and our world. As a faith-driven organization, Vanguard will support and undertake initiatives and endeavors that support and further Vanguard’s stated purpose, mission, and values. 

Vanguard Skin Specialists strives to be a workplace of choice for professionals who see medicine as a calling. We value employees (referred to as “team members”) who come from all walks of life and religious backgrounds. Team members are not required to share or practice the founders’ religious beliefs and have the right to excuse themselves from any function which compromises their own religious convictions. Any experience of distress or felt discrimination must be reported to HR or a direct supervisor immediately.

Vanguard Skin Specialists is an equal opportunity employer and  all qualified applicants will receive consideration for employment without  regard to race, color, religion, sex, sexual orientation, gender identity,  national origin, disability status, protected veteran status, or any other  characteristic protected by law.