Chief Financial Officer (CFO) - Part-Time, Potential for Full-Time

Advanced Anesthesia Service

Chief Financial Officer, Part-Time to .75

Services Location: Primarily remote, with occasional meetings in Snoqualmie, WA. Applicants based in the greater Seattle, WA area are preferred, but this is not required. Relocation assistance may be available.

Pay: $75 to $85 per hour, depending on experience and qualifications

Hours: Permanent, part time, between 15- 30 hours per week. Flexible scheduling around agreed meetings and deadlines, with availability during Pacific business hours.

Start date: December 1st, 2026 or flexible

1099 or W2 position

W2 Benefits: 401 K matching (Safe Harbor 4% match), and sick pay. If 30 hours includes medical, dental, vision, PTO.

About Us:

Advanced Anesthesia Services is the top provider of anesthesia care to ambulatory surgery centers in Washington State. AAS currently provides anesthesia care at 17 ambulatory surgery centers throughout the greater Seattle area. Our team of more than 50 CRNAs performs 27,000+ cases annually, supported by an administrative and billing team.

Our company has grown 25% to 50% annually over each of the past three years, and we expect that growth to accelerate. We are looking for an experienced financial leader to help us prepare for what comes next while protecting the financial stability we have worked hard to build.

Our work is grounded in compassion, integrity, and clinical excellence. We value people who take pride in their work, support their colleagues, and follow through on their commitments.

About the Position

This is an opportunity to help shape the future of a fast-growing healthcare company while working part-time.

You will work directly with our two owners (husband (CEO) and wife (current CFO, moving to an advisory role) team), Chief Operating Officer, and controller. As a key member of this small leadership team, you will have a significant voice in company strategy, expansion, and financial decisions. Your recommendations will help determine which opportunities we pursue and how we fund and support them. You will partner with the current owner-CFO to build processes and advise on the financial team structure needed for continued growth.

We need someone who has worked with healthcare businesses of comparable size and complexity and helped prepare them for substantial growth. You should know how to develop and strengthen financial systems, develop staff, anticipate cash needs, and maintain reliable reporting as a business expands.

This position requires someone who can see the larger financial picture and examine the details behind it. You should be comfortable questioning assumptions, investigating discrepancies, identifying risks, and recommending practical solutions. This is a hands-on role requiring flexibility to wear multiple hats and complete work beyond traditional CFO duties when needed to support the company.

You must also be confident presenting financial information and negotiating with executives at large healthcare organizations. We need someone who can explain our financial position clearly, support recommendations with accurate analysis, and handle difficult questions professionally.

Responsibilities

• Work closely with the owners, COO, and controller to set financial priorities and guide company growth. Partner with the CEO to evaluate ideas, identify risks, and balance growth with financial stability.
• Evaluate new facility partnerships and expansion opportunities, including expected returns, staffing costs, cash requirements, and financial risks.
• Prepare the finance function for continued growth through effective systems, clear responsibilities, staff development, and reliable reporting.
• Lead budgeting, forecasting, and cash planning. Identify potential shortfalls and recommend action before they become problems.
• Review profitability by facility, including staffing costs, insurance reimbursement, pricing, and facility stipends.
• Prepare and present financial reports to owners, leadership, and facility partners.
• Lead negotiations with insurance payers, working with our CEO and COO. Handle the financial side of facility negotiations, which our COO leads.
• Run the month-end close and financial reporting while training our long-time bookkeeper to take them over as controller, then review reconciliations, significant adjustments, and unusual transactions. Provide coaching to help her succeed as a first-time controller and develop as a finance leader.
• Maintain effective payment approvals, spending limits, access controls, and separation of duties.
• Lead and coach the finance team, set clear expectations, and ensure work is accurate and completed on time. Partner with the COO, who leads the billing team, on its financial results.
• Advise the owners on cash reserves, distributions, and major financial commitments.
• Coordinate with accounting, tax, and legal advisers.
• Use AI and automation to improve financial analysis, reporting, and routine workflows. Verify results and protect confidential information.

Qualifications

• Experience as a CFO, fractional CFO, or senior finance leader with similar responsibilities.
• Experience supporting businesses of comparable size and complexity through significant growth, including preparing their financial systems, teams, and cash resources for expansion.
• Experience leading teams and working directly with business owners, operations leaders, and controllers.
• Strong accounting knowledge and practical experience with financial models, cash management, internal controls, and profitability analysis.
• Experience presenting financial recommendations and negotiating with executives at large organizations, including billion-dollar companies.
• Careful, thorough work habits and a strong sense of responsibility for the company’s financial health.
• The judgment to balance growth opportunities with financial risk and the confidence to raise concerns respectfully.
• Current experience using AI in financial work is a strong plus, with specific examples of how it has improved efficiency and how results were checked.
• Advanced Excel or Google Sheets skills.

Healthcare or physician-services experience is preferred, particularly in anesthesia, ambulatory surgery, payer reimbursement, or facility contracts. A CPA or MBA is also preferred. Familiarity with QuickBooks, Syft, Tebra, and an AI-first approach.

How to Apply

Please submit your résumé and a short note or brief video (preferred) covering:

• A company you helped through substantial growth, including its size, your responsibilities, and the results.
• A financial risk you identified and how you addressed it.
• Your experience presenting financial information and negotiating with executives.
• An example of how you use AI in your work and verify its accuracy.

Pay: $75.00 - $85.00 per hour

Expected hours: 15.0 – 30.0 per week

Benefits:

• 401(k) 4% Match
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Paid time off
• Relocation assistance

Application Question(s):

• Please take this quick 5 minute assessment and send a message once completed: https://assessment.predictiveindex.com/bo/uO4/ChiefFinancialOfficer Nov2026 225543
• Do you plan to relocate to live in the Seattle area? (Not required)
• Tell me about a company you have worked with that was experiencing steady growth.

Education:

• Bachelor's (Required)

Experience:

• Financial Management: 10 years (Required)

Work Location: Remote