Top Senior Finance Jobs in Nashville, TN

The Strategic Finance Lead will build the financial operating system, managing planning, forecasting, and strategic partnership across various business functions as the company scales.

Lead Finance Operations teams across AP, AR, and RTR, ensuring compliance, operational excellence, and stakeholder management while driving continuous improvement initiatives.

Lead finance, FP&A, investor reporting, cap table and audit processes; own people ops and HR policies; manage SaaS tool stack, IT provisioning, vendor contracts, and cross-functional strategic initiatives to scale the company.

Serve as the commercial finance lead partnering with CRO and GTM leaders to own revenue forecasting, quota-setting, territory planning, commercial metrics, dashboards, investor and board reporting, marketing spend efficiency, post-acquisition commercial integration, and ad-hoc strategic analyses to scale FP&A processes and automation.

Lead and scale the company operating model, drive annual planning and monthly/quarterly forecasts, prepare board reporting, partner with accounting and senior leaders on financial models, and perform ad-hoc financial analysis to inform strategic decisions.

Serve as the commercial finance lead partnering with CRO and GTM leaders to own revenue forecasting, quota-setting, territory planning, and commercial metrics. Build models and dashboards (ARR, NRR, ACV, CAC, LTV), support QBRs and investor materials, drive integration across teams post-acquisition, partner with Marketing on CAC and spend efficiency, and continuously improve FP&A tools and automation.

Manage finance and accounting operations for the hospital-based division, lead month-end close with accounting teams, prepare subsidy reconciliations, analyze wRVU/clinical compensation and GL variances, produce monthly MOR presentations, support annual budgets and quarterly forecasts, build reports and dashboards, prepare proformas for contracts and physician hires, and support ad hoc reporting and process improvements.

Lead day-to-day operations and financial management for a national nonprofit: build systems, oversee accounting and compliance, manage multi-fund budgets and grants, run national event logistics, supervise vendor/contracts/payroll coordination, and translate financial reports for leadership and board. Support HR administration and strengthen affiliates' operational capacity. Bilingual Spanish/English required.

Manage daily accounting operations, prepare financial statements, oversee nonprofit fund accounting and grant compliance, coordinate audits (including Single Audit), develop controls and policies, support budgeting, forecasting, and financial analysis, and collaborate on fundraising and training for CDFI-focused programs.

Consult as an independent accounting and finance executive for growth-stage clients. Provide GAAP-based financial reporting, budgeting, tax/audit support, system design, cash-flow analysis, policy implementation, staff oversight, and mentoring to company teams.

Lead finance organization: prepare financial statements and government reports, ensure SOX and federal contracting (DCAA/DCMA/FAR/CAS) compliance, manage treasury/cash flow, budgeting, forecasting, KPIs, oversee payroll for 600+ multi-state union employees (SCA/DBA), manage audits and joint venture relationships, and advise executive leadership on financial risks and margin improvement.

Own end-to-end accounting operations and monthly close; manage AP/AR, payroll, reconciliations, revenue recognition (ASC 606), and audit-ready controls. Partner with outsourced bookkeeping and VP of Finance on treasury, forecasting, SaaS metrics, investor reporting, tax nexus, and finance systems improvements to scale the finance function.

Serve as a senior, board-facing finance partner providing strategic financial insight, reporting, planning, forecasting, governance, and commercial guidance. Lead budgeting, performance management, cash and risk oversight, support M&A and business-case development, and translate financial data into actionable recommendations for non-finance leaders.

Serve as a core operating partner to Head of Finance & Strategy, building financial models, reporting rhythms, dashboards, AI-driven workflows, investor/board reporting, and driving cross-functional operational initiatives from analysis through execution.

Provide fractional CFO services to high-growth tech startups: build driver-based financial models, institutionalize month-end model updates, own budget vs. actuals reporting, align P&L with accounting, and deliver analyses for fundraising, M&A, pricing, unit economics, and cash management to support strategic decisions.

Serve as a strategic finance business partner focused on revenue: drive growth initiatives, lead payor negotiation strategies, build advanced financial models and automated reporting (Power BI/PowerQuery), manage chargemaster and revenue cycle analytics, monitor CMS/Medicare impacts, and translate financial insights into cross-functional executive decisions.

The role involves leading financial strategy, planning, and operations. Candidates should have experience in building finance teams, integrating values in decision-making, and contributing to business strategies.

As the first finance hire, you'll establish the finance organization, manage accounting, lead budgeting, and support Series A fundraising while building a financial infrastructure for growth.

The VP of Finance will drive financial strategy, capital allocation, and operational efficiency while partnering with the executive team to maximize growth in a SaaS environment.

Lead Step's integrated financial model, forecasting, and dashboards. Partner with cross-functional teams and the CFO to drive financial planning, unit-economics, pricing, and investment decisions. Build AI-augmented forecasts, deliver executive-ready analyses, and own monthly reviews, annual budgeting, rolling forecasts, and long-range planning.

Lead annual planning, forecasting, and CFO reporting across P&L, balance sheet, and cash flow. Build driver-based models, scenario analysis, and AI-enabled automation in FP&A. Manage a small team, partner with Accounting/Tax/Legal for SOX and IPO readiness, and produce board and investor materials.

Lead Moxie’s strategic finance function: own forecasting, GMV modeling, budget-vs-actual and variance analysis, build dashboards and processes, partner with cross-functional leaders, and support strategic initiatives including tech rollouts and M&A.

Manage accounts payable, vendor payments, customer refunds, account reconciliations, internal controls, and month-end close. Partner with IT and accounting teams to ensure GAAP compliance, automate processes, perform accounting research, and drive process improvements.

Lead financial strategy for a fast-growing defense tech hardware business with government contracts. Build and own financial models against the contract backlog, drive long-range planning, budgeting and pricing, manage working capital across long lead times and government payment timing, direct outsourced accounting and CPA relationship, and act as a strategic thought partner to the founders.

Lead financial operations for two inpatient rehabilitation hospitals, including budgeting, projections, AR, month-end close, financial reporting, audits, staffing oversight, compliance, and departmental goal-setting to drive efficiency and staff development.