• Build and maintain the financial structure across the MSO and multiple state medical groups (GA, MI, MO, etc.) • Own the migration from QuickBooks Online to a multi-entity accounting system • Partner closely with the Practice Manager to align RCM operations with financial reporting • Manage Belle’s financial forecast model for growth, staffing, cash flow and new markets • Oversee financial operations across all entities (Ramp Treasury accounts, intercompany transfers, payroll entity separation) • Maintain GAAP-compliant financials across all entities • Initially run point as a one-person department (with bookkeeper + PM support)