Job Description

Position Summary

Arsenault Dermatology is the market leader in medical, surgical, and aesthetic dermatology serving the Sarasota and Lakewood Ranch communities. We are seeking a highly experienced healthcare COO/CFO to collaborate directly with the CEO to translate vision into action. Our goal is to both maintain our position as market leader, as well as scale beyond 100,000 visits/year.

About Arsenault Dermatology

Since 2003, Arsenault Dermatology has grown into a powerhouse of:

• 22 award-winning dermatology-specialized Physicians and APPs
• 8 strategically positioned, state-of-the-art office locations
• A premier, in-house Mohs Micrographic Surgery program
• An aesthetics division recognized in 2025 by Allergan as Top 10 in Florida and Top 500 nationwide
• A new, and rapidly scaling, integrative Wellness division
• In-house clinical laboratory
• Average 10% YOY RVU growth 2021 – 2024
• 10,000+ Google Reviews (4.9 average)

Dual-Role Healthcare COO/CFO Responsibilities

Strategic Leadership

• Work directly with visionary CEO, translating strategic vision into operational and financial reality
• Lead strategic planning for growth, expansion, and service line development
• Align business strategy between departments
• Drive performance culture through KPIs and accountability systems
• Prepare and present strategic updates and financial reports to Physician Owners

Operations & Clinical Oversight

• Oversee all day-to-day clinical, aesthetic, and non-clinical operations across multiple locations
• Manage and optimize patient flow, schedule efficiency, and provider asset allocation (seating chart)
• Ensure regulatory compliance with OSHA, HIPAA, and Florida Dept of Health
• Develop and implement systems and process improvement initiatives for scalable and consistent operations
• Work directly with Operations Director to foster culture of excellence and responsiveness

Financial Planning & Budgeting

• Serve as the primary architect of Arsenault Dermatology’s financial plan, working directly with the CEO and Physician Owners to ensure full alignment with strategic goals.
• Lead the preparation, presentation, and defense of monthly financial reports at Board and executive meetings
• Maintain deep working knowledge of the practice’s chart of accounts, journal entries, intercompany transfers, and general ledger structure to ensure both accurate financial reporting and analysis of these reports
• Create variance analyses and financial commentary, explaining month-over-month or year-over-year changes (including “same store”) in revenue, expenses, and EBITDA.
• Oversee all functions of revenue cycle including coding, billing, collections, and denial management
• Identify underperforming cost centers or margin pressure and recommend corrective strategies
• Own the annual budgeting process, collaborating with department heads, setting targets, and tracking performance via financial and operational analytics
• Build, maintain, and grow internal reporting systems (via business intelligence platforms) that allow real-time access to financial and operational metrics
• Act as the strategic financial voice of the organization, using data to guide investment decisions, cost-savings initiatives, and pricing strategy

Data, Reporting & Decision Support

• Own the organization’s Business Intelligence (BI) infrastructure, including oversight of DOMO dashboards, ETL flows, and underlying data architecture
• Build and maintain real-time executive dashboards tracking KPIs across revenue, expenses, provider productivity, patient flow, and operational efficiency
• Personally develop and troubleshoot ETL pipelines and data transformations
• Translate raw data into actionable insights, identifying trends, anomalies, and opportunities for intervention across clinical and administrative workflows
• Serve as the lead data strategist
• Design and implement self-service data tools for department heads and frontline managers to make informed decisions without reliance on IT or analysts
• Integrate data from EHRs, PM systems, financial software (Intacct), and p atient experience tools into unified reporting environments (dashboards)
• Lead monthly and ad hoc data reviews with the CEO, Physician Owners, and department leaders to track progress and course-correct as needed

Compliance, Legal, and Risk Management

• Oversee organization-wide compliance with all relevant federal and state regulations, including HIPAA, OSHA, CMS, CLIA and Stark Law
• Lead internal audits, documentation reviews, and compliance readiness assessment to proactively prevent violations and/or regulatory penalties
• Serve as the front-line liaison for malpractice coverage, including managing incident reporting processes, coordinating with insurers and legal counsel, and overseeing documentation integrity
• Participate directly in the legal review, drafting, and negotiation of provider contracts, working with external legal teams to structure agreements aligned with regulatory and financial objectives
• Review and advise on vendor agreements, partnership deals, payer contracts, and lease obligations
• Manage risk exposure related to billing practices, credentialing, and licensure
• Maintain and enforce the organization’s internal control systems to detect fraud, financial misreporting, and/or security breaches
• Prepare all necessary documentation for external regulatory audits or payer investigations, and act as the point of contact for auditors and inspectors

Technology & System Optimization

• Oversee implementation of financial, billing, scheduling, and EHR systems
• Drive digital transformation initiatives to improve operational efficiency
• Coordinate IT projects with cybersecurity, uptime, and data protection objectives
• Champion automation tools for both financial and operational workflows

Capital Management / Growth Initiatives

• Lead financial due diligence and modeling for expansion, acquisitions, and capital projects
• Assess feasibility and ROI of new locations, renovations, or technology investments
• Manage cash flow, banking relationships, and capital reserves
• Collaborate on real estate and facilities planning with long-term growth in mind

Team Development / Organizational Culture

• Directly oversee finance, operations, HR, and location leadership teams
• Establish clear goals, performance standards, and regular reviews for direct reports
• Ensure the organization remains agile, accountable, and mission-driven during growth
• Promote a patient-first, team-centered culture across all levels

Candidate Profile

• 10+ years in senior healthcare roles (COO/CFO/VP)
• MBA or MHA preferred
• Six Sigma Black Belt preferred
• Multi-site, dermatology experience preferred
• Expertise in operations, finance, and compliance
• Strong leadership presence

Compensation & Benefits

• Salary $180,000 - $225,000 plus performance bonus
• 401(k) plus match
• Full health, vision, and dental
• 4 weeks PTO / year
• Relocation support

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