Fractional Controller / Head of Finance – Healthcare Consulting (Remote, 1099)

Company

Practice Flow Location: Remote (Nationwide) Role Type: Independent Contractor (1099), part time, 20 to 30 hours a month Compensation: Monthly retainer that scales with our partner base. Part of the package is deferred at a premium, with a defined trigger and a backstop date. We will walk through the full structure on the first call.

The Opportunity & Your Mission

Practice Flow is an AI Transformation Consulting firm for private healthcare practices. We train practice teams to get real value from the AI tools they already pay for. We deliver through independent partners, and we now have eight of them working under three different agreements.

The delivery model works. The finance function under it does not exist yet. That is the job.

Eight partners is where we are, not where we are going. What you build has to survive the firm getting several times larger, and you will be the person who tells us how fast that can happen.

You are the first finance hire. You will pick the accounting software, bring the books current, and build the calculation that determines what every partner earns. Then you will run the monthly cycle and tell us what the numbers mean.

• The ledger. We bank with Mercury and have not chosen accounting software, because that call is yours. Select it, implement it, and design a chart of accounts that separates revenue by product and cost by partner agreement.
• The compensation engine. Turn three partner agreements into one reliable calculation. Advancement ladders, conditional rates, recurring residuals, and clawbacks. Rates apply as of the date we collected the client payment, so the math is historical. This is the deliverable the role is judged on.
• The monthly cycle. Two payment runs against contractual deadlines, a statement for every partner, and a month end test of each partner against their advancement gates. Miss that test and someone is quietly underpaid.
• The cash cycle. Client invo