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Fractional CFO: Systems & Strategy Lead (1099 Contractor)

Remote, USA Full-time Posted 2026-06-13

Benefits:

  • Flexible schedule

Role Overview Fidelia Counseling Services is entering another phase of rapid institutional scaling. We are seeking a strategic Fractional CFO to help transition our agency from an executive-centralized model to a system-driven healthcare organization. As we expand our clinical team and intake infrastructure, the CFO will be responsible for building the high-level financial framework required to manage multi-tiered state contracts, clinical payroll (ADP), and long-term fiscal health.

Key Responsibilities

  • Institutional Scaling: Transition the agency’s financial infrastructure from founder-led management to a professional, automated, and scalable system.
  • Contract Strategy: Develop financial models to track and optimize performance for state contracts, ensuring high data integrity and compliance.
  • Strategic Budgeting: Create a yearly "anchor" budget and rolling quarterly forecasts to guide the CEO through rapid team expansion and new site development.
  • Operational Audit: Oversee the accuracy of QuickBooks Online and ADP integrations, ensuring tax-optimized mapping and "best-in-class" reporting.
  • Continuity & Risk Management: Serve as the senior financial advisor for agency stability, continuity planning, and long-term institutional readiness.

Qualifications

  • Experience: 5+ years of senior financial leadership (CFO or Controller level).
  • Industry Knowledge: Experience with Healthcare reimbursement cycles and state-level contract management is strongly preferred.
  • Technical Mastery: Advanced proficiency in QuickBooks Online and ADP
  • Values: A commitment to professionalism, efficiency, and an inclusive mission.
  • Education: CPA or MBA preferred.

Position Details

  • Employment Type: Independent Contractor (1099).
  • Structure: Fee-for-Service (Hourly or Monthly Retainer).
  • Privacy: This role requires a signed NDA and includes high-level strategic advisory directly to the CEO.

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