[Remote] Director, Finance - Real Estate and Growth

Note: The job is a remote job and is open to candidates in USA. ATI Physical Therapy is a leading provider in the healthcare sector, operating over 800 clinics across 24 states. The Director of Finance will lead financial operations related to real estate and growth initiatives, collaborating with executive leadership to ensure strategic capital allocation and sustainable growth.

Responsibilities

• Oversee financial modeling, underwriting, and evaluation of new clinic locations, relocations, expansions, and consolidations
• Analyze site-level economics including buildout costs, lease vs. own decisions, ramp curves, payer mix, staffing models, and contribution margins
• Lead ROI, IRR, and cash flow analysis for real estate and facility investments
• Monitor performance of the real estate growth sites portfolio and prepare reporting for monthly progress on site development and post launch performance
• Review annual repair and maintenance costs and lease terms for cost savings opportunities
• Ensure costs related to closed locations are eliminated timely in conjunction with closures
• Track actual-to-pro forma performance for all new sites and drive corrective action when ramp assumptions are not met
• Develop standardized underwriting assumptions and financial playbooks for scalable site expansion
• Be a financial partner to the real estate leadership team
• Partner with executive and clinical leadership to evaluate market expansion opportunities, de novo sites, tuck-in acquisitions, joint ventures and service line growth
• Build and maintain scalable financial models for forecasting patient volume, revenue, and profitability by site and region
• Support M&A, joint ventures, and strategic affiliations, including financial diligence and integration planning
• Provide scenario analysis to assess regulatory, reimbursement, and market dynamics impacting growth decisions
• Quantify long-term enterprise value creation from growth initiatives
• Lead budgeting, forecasting, and long-range planning for real estate and growth initiatives
• Develop dashboards and reporting that provide clear visibility into site-level performance, ramp timelines, and return on invested capital
• Partner with accounting to ensure accurate capitalization, lease accounting, and compliance with healthcare and financial reporting standards
• Support board and investor reporting with clear, data-driven insights
• Develop 3-year capital deployment roadmap aligned with enterprise strategy
• Establish financial governance around site closures and capital redeployment
• Serve as a strategic finance partner to real estate and growth organizations
• Translate complex financial analysis into actionable recommendations for non-finance stakeholders
• Mentor and develop cross-functional partners as well as finance team members as the organization scales
• Help establish scalable processes and governance to support rapid, disciplined expansion
• Provides direction to, and accomplishes results through team
• Manages the staffing and deployment of assigned resources
• Oversees employee learning and development needs
• Conducts performance reviews and manages human resource decisions such as hiring, promotions and disciplinary actions

Skills

• Bachelor's degree in Finance, Accounting, Economics, or a related field
• 8 years of progressive finance experience, with significant experience in multisite healthcare, real estate finance, or healthcare services
• Experience supporting de novo site development, acquisitions, or rapid geographic expansion
• Strong expertise in site-level financial modeling, capital planning, and real estate underwriting
• Working knowledge of healthcare reimbursement dynamics, payer mix, and regulatory considerations
• Excellent communication skills and comfort partnering with clinical and operational leaders
• Willingness to travel periodically as needed to support growth initiatives
• None
• MBA or similar graduate degree preferred
• 12+ years of progressive finance experience, with significant experience in multisite healthcare, real estate finance, or healthcare services
• Multi-state experience throughout the United States
• CFA or CPA highly preferred

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