Regional Finance Manager

Overview

This role serves as a strategic finance partner to regional operations and physician leadership for a ~$150M portfolio of emergency departments.

Responsibilities

Financial Planning & Analysis

• Own monthly close review, variance analysis, and reporting for the assigned region (~20 sites, $150M revenue)
• Lead the annual budget and quarterly forecast with regional VPs and leaders
• Build and own site-level P&Ls that connect visits, labor cost, and contribution margin to operational drivers
• Identify margin improvement opportunities, quantify impact, and hold initiatives accountable to delivery

Operational & Contract Economics

• Evaluate provider compensation, scheduling, and coverage models against productivity benchmarks; recommend changes
• Own hospital contract economics (stipends, subsidies, renewal profitability) and provide analysis to support renegotiations

Growth & Sponsor Reporting

• Drive the financial work behind new sites (acquired or launched): diligence, integration, and transition models
• Prepare board and PE sponsor materials, including KPIs and EBITDA bridges

Required Qualifications

• Bachelor’s degree in Finance, Accounting, or a related field
• 5+ years in FP&A, operational finance, or financial analysis, including 2+ years in healthcare services
• Advanced Excel and financial modeling skills
• Strong communication skills with non-finance stakeholders, including physicians

Preferred Qualifications

• Experience in physician practice management, emergency medicine, or other hospital-based specialties
• Familiarity with professional fee revenue cycle (CPT/E&M coding, payer contracting, collections)
• Experience in a PE-backed or multi-site environment
• MBA, CPA, or CFA
• Experience with Hyperion, NetSuite, and Power BI or Tableau
• Interest in using AI and automation to work more efficiently

Core Competencies

• Analytical rigor and attention to detail
• Business partnership mindset and ability to influence without direct authority
• Comfort with ambiguity in a fast-growth environment
• Ability to clearly and concisely communicate complex financial concepts

Compensation & Benefits

• Full-time, exempt

Location

• Pensacola, FL or remote (Central or Eastern time zone)
• ~10% travel

Reporting

• Reports to the Director of Finance

Department

• FP&A