Senior Finance Manager
Remote
Full Time
Corporate
Experienced

Senior Finance Manager (Remote – U.S.)
About the Role
We are seeking a Senior Finance Manager to build and lead our financial planning, performance management, and decision support capabilities. This is a high-impact, hands-on role focused on translating operational performance into actionable financial insights.
This position is ideal for a finance professional who thrives in an environment where they can enhance and scale existing processes—someone who can create structure, drive accountability, and partner closely with operations to improve performance across a multi-site healthcare organization.
This role reports directly to the CFO and will work cross-functionally with Operations and Revenue Cycle Management (RCM) leadership.
What You’ll Do
Financial Planning & Forecasting
- Own the annual budgeting process across departments
- Build and maintain driver-based financial models
- Lead rolling forecasts and scenario planning
- Translate operational drivers (volume, payer mix, staffing) into financial projections
- Identify opportunities to improve efficiency and scalability through financial systems, tools, and automation
- Enhance and streamline reporting and forecasting processes using available technology
- Partner with internal stakeholders and external vendors on system implementations or tool enhancements as needed
- Leverage modern tools (including automation and emerging technologies) to reduce manual work and improve insight generation
- Partner with Operations and RCM leadership to monitor performance
- Develop department-level scorecards to track progress against plan
- Analyze variances and identify actionable insights
- Support decision-making with clear, data-driven recommendations
- Design and implement a dashboard suite across key areas:
- Revenue cycle performance
- Site and provider-level economics
- Labor and cost efficiency
- Ensure reporting is timely, consistent, and aligned with company strategy
- Own the monthly financial reporting package, including variance analysis and key insights
- Prepare leadership reporting and develop and maintain Board-level reporting decks
- Ensure outputs are accurate, timely, and clearly communicate business performance and drivers
- Identify trends, risks, and opportunities proactively
- Support strategic initiatives including growth, payer strategy, and cost optimization
- Help leadership understand the key drivers of financial performance
- Partner with internal accounting team to ensure data integrity for reporting
- Leverage existing accounting infrastructure for accurate financial inputs
- Focus on interpreting and utilizing financial data, not owning transactional accounting
- Dedicated in-house accounting team (AP/GL and Payroll/GL)
- This role will leverage and partner with accounting, not replace it
- CFO provides oversight of technical accounting and financial strategy
What We’re Looking For
Experience
- 5–10 years of experience in Finance, with strong FP&A focus
- Healthcare experience required, preferably in:
- Multi-site or practice-based environments
- Revenue cycle–driven organizations
- Experience in high-growth or private equity-backed environments is a plus
- Advanced financial modeling (Excel proficiency required)
- Experience building budgets and forecasts from the ground up
- Strong understanding of operational drivers in healthcare (volume, service and product mix, RCM, reimbursement)
- Experience with financial systems and reporting tools (e.g., NetSuite, Athena, Power BI, or similar), with the ability to integrate data across platforms to support reporting and decision-making
- Experience designing or owning KPI reporting and dashboards
- Experience preparing executive-level and Board-facing materials
- Demonstrated ability to improve processes through automation or system enhancements and translate data into clear, actionable insights
- Hands-on and self-directed; comfortable enhancing and building upon existing processes
- Strong business partner who engages effectively with non-finance leaders
- Curious, analytical, and proactive in identifying opportunities
- Able to balance strategic thinking with detailed execution
- Fully remote within the United States
- Preference for candidates located in states aligned with company operating footprint
- Occasional travel required for leadership meetings and on-site collaboration
First 90 Days
0–30 Days: Learn & Assess
- Develop a deep understanding of the business model, including RCM and multi-site operations
- Build relationships with Accounting, Operations, and RCM leadership
- Gain familiarity with existing financial reporting, forecasting tools, and data sources
- Assess current reporting, dashboards, and forecasting capabilities to identify opportunities for improvement
- Take ownership of the monthly financial reporting package and MOR process
- Refine and enhance existing reporting to improve clarity, usability, and insight
- Begin evolving the current forecasting approach into a more driver-based model
- Define and align key performance indicators across departments
- Start enhancing department-level scorecards to better track performance vs. plan
- Deliver an improved rolling forecast with clearer linkage to operational drivers
- Enhance and standardize dashboarding and KPI reporting
- Elevate investor reporting materials to more clearly communicate performance and key drivers
- Provide actionable insights to leadership tied to performance trends and variances
- Establish credibility as a trusted finance partner across the organization
Why This Role
This is a unique opportunity to step into a high-impact finance role at a pivotal stage of the company’s evolution. With strong accounting infrastructure already in place, the organization is focused on elevating how financial insights drive performance and decision-making.
Finance is a key priority for the leadership team, with a clear mandate to enhance visibility, improve accountability, and support operational execution across a multi-site healthcare platform.
You will play a central role in:
Shaping how performance is measured and managed across the organization
- Partnering directly with senior leadership on key operational and strategic decisions
- Building on an existing foundation to create a more scalable, insight-driven finance function
Compensation
- Competitive base salary aligned to experience and market
- Opportunity to grow with the organization as the finance function scales
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