Head of Finance, Fractional Contract

Overview

This role is for a Part-Time Head of Finance (10–20 hours/week) supporting a remote, U.S.-based organization. The position reports to the CFO and serves as a hands-on finance leader, partnering with executive, payer, and operations teams on financial strategy, payer economics, forecasting, budgeting, and business planning.

Responsibilities

Financial Strategy & Business Planning

• Partner with the executive team to develop and execute financial strategy and growth plans.
• Build financial models and analyses to support strategic decisions, new market opportunities, partnerships, and investments.
• Evaluate unit economics, profitability, contribution margins, and the financial implications of different growth strategies.
• Establish financial KPIs and reporting frameworks to provide leadership clear visibility into business performance.

Payer Strategy & Contracting

• Support strategy and financial analysis related to national and regional health plan relationships and payer contracting.
• Analyze payer contracts, reimbursement structures, incentives, risk arrangements, and financial performance.
• Develop financial models to evaluate proposed payer agreements and inform negotiation strategy.
• Partner with leadership and clinical/operations teams to understand how payer terms impact overall economics and patient outcomes.

Forecasting & Budgeting

• Own and improve financial forecasting and budgeting processes.
• Develop and maintain rolling forecasts across revenue, expenses, cash flow, and operating metrics.
• Partner with functional leaders to develop budgets and establish financial accountability.
• Identify trends, risks, and opportunities and translate them into actionable recommendations.
• Support cash planning, scenario modeling, and longer-term financial planning.

MSO / PC Healthcare Model

• Provide financial leadership within an MSO/PC structure, including understanding the financial and operational relationship between the MSO and professional entity.
• Understand the financial considerations, reporting requirements, management arrangements, and operational complexities inherent in this structure.

Finance Operations & Leadership

• Coordinate with accounting, operations, clinical leadership, and external advisors to ensure accurate and timely financial information.
• Partner with external accounting and finance resources as needed.
• Improve financial reporting, dashboards, processes, and controls as the organization scales.
• Serve as a trusted financial thought partner to the CEO and leadership team.

Requirements

• 7+ years experience in healthcare finance, preferably in healthcare services, physician practices, value-based care, or healthcare technology/services.
• Proven experience with national health plans/payors and payer contracting.
• Direct experience working within an MSO/PC healthcare model is required.
• Strong experience with financial forecasting, budgeting, financial modeling, and scenario analysis.
• Demonstrated ability to understand healthcare unit economics, reimbursement, and payer/provider economics.
• Strategic thinker who can also execute hands-on.
• Excellent communication skills, including the ability to explain complex financial concepts clearly to non-financial stakeholders.
• Comfort working in a part-time/fractional capacity on a 1099 contract.

Preferred Qualifications

• Experience with value-based care, risk arrangements, shared savings, or other alternative payment models.
• Experience supporting a healthcare company through growth, fundraising, market expansion, or organizational scaling.
• Experience working directly with CEOs and executive teams.
• Experience building finance functions and processes in an entrepreneurial or growth-stage environment.

Compensation & Benefits

• Classification: Independent Contractor

Location

• Fully remote; must be based in the U.S.

Scheduling

• Hours: 10–20 hours per week; flexible scheduling.
• Availability for occasional real-time calls is expected.