How a Healthcare Practice Hired a Director of Financial Operations for $6,000/Month

A mental health practice with a growing team of therapists had a back-office problem. The clinical side of the business was scaling. The operational side was not keeping up.

A director of financial operations in the US can expect $200,000+ a year. For a growing therapy practice operating on insurance reimbursements and patient copays, that number left very little room to hire anyone else, let alone build the broader team they needed.

But running the financial side of a growing clinical operation without dedicated leadership was becoming untenable.

They came to Hire With Near to hire finance and accounting talent from Latin America: someone who could own the role entirely, from financial oversight and bookkeeping coordination to insurance billing management, operational reporting, and the strategic capacity to help the practice grow.

Why Hiring in Latin America Made More Sense Than Offshore Hiring for a US Healthcare Practice

The founder had considered offshore hiring options before reaching out.

His concern with the Philippines was practical: his practice runs on US Central hours, insurance claims need to be worked in real time, and he needed someone who could communicate with his clinical team during the business day.

Hiring in Latin America solved that problem.

A senior finance and operations professional based in Colombia, Mexico, or Argentina works the same business hours as a US team. There is no lag on approvals, no waiting until the next morning for updates, and no communication friction from asynchronous handoffs.

The cost picture was also compelling. A director-level finance and operations hire in Latin America typically runs $5,000 to $8,000 per month, depending on seniority and scope. 

That is a fraction of the US equivalent, and a core reason why nearshore staffing has become the default model for US companies that need senior talent without senior US price tags.

What a Director-Level Finance Hire from Latin America Looks Like

Our recruiters sourced and screened candidates specifically for the role, prioritizing professionals with startup experience, strong financial planning and FP&A backgrounds, and fluent professional English.

The founder was not reviewing a large pile of resumes. Hire With Near’s team handled the front-end work and brought a small, curated batch of finalists. Within three weeks of the kickoff call, they were interviewing candidates.

The person they hired was an Argentine finance professional with nearly a decade of experience across financial planning, budgeting, P&L management, and operational strategy.

He had led finance functions at the director level across multiple scaling companies, managed reporting and forecasting, and built operational processes from the ground up. He was bilingual in English and Spanish and comfortable working directly with founders in fast-moving environments.

That profile was exactly what the practice needed: not a bookkeeper, not a CFO, but someone in between who could hold the financial and operational function together while the founder focused on clinical growth.

The monthly cost of $6,000, compared to around $16,000 per month for an equivalent US-based hire at the same seniority level, brought structure to a back office that had been running without it.

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Why Latin America Works for Healthcare Back-Office Hiring

Therapy practices, medical groups, and behavioral health organizations are increasingly turning to Latin America for back-office and operations roles. 

For practices working with healthcare recruiters that specialize in Latin America, the model works particularly well for a few reasons specific to how these businesses run.

Time zone alignment matters in healthcare

Insurance billing follow-ups, prior authorizations, patient payment tracking, and clinical scheduling all happen on a tight daily timeline. A hire who is 12 hours ahead does not work. A hire who is in the same time zone does.

Finance and operations leadership translates well across borders

The skills that make a strong director of financial operations (financial modeling, budget oversight, process design, and clear reporting) are not industry-specific at the foundational level. A strong hire can come up to speed on healthcare billing codes and insurance workflows quickly if they have the right underlying skill set.

The cost savings are significant 

The higher the US salary for a role, the more the savings compound when you hire in Latin America. At the director and VP level, you are often looking at up to 70% savings compared to US equivalents. For roles at this seniority, our executive search process applies: a more targeted search with a smaller, higher-quality candidate pool.

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Actual compensation depends on experience, scope, and country. We will give you a specific range at the start of a search. For salaries for more roles, see our US vs. LatAm Salary Guide.

How to Hire Remote Talent for Healthcare Roles Through Hire With Near

We start with a detailed kickoff call to understand your company, the scope of the role, and what a successful hire looks like for your specific situation. From there, we draft or refine the job description, set realistic compensation expectations based on the Latin American market, and begin sourcing.

You see only candidates who have cleared our screening process, including English assessments and experience verification. You interview two or three finalists, make the call, and we handle the offer logistics. You can pay the hire directly or run payroll through us.

There is no retainer and no fee until you hire.

If you are running a health practice and your back office needs remote talent, this hiring in Latin America is worth exploring.

Schedule a free, no-commitment consultation call to find out how we can help you hire top remote LatAm talent.