Strategic Finance Manager

Job Title: Strategic Finance Manager

Position Type: Full-time

Department: Finance

Reports to: Controller

FLSA Status: Exempt

Location: Remote, Chicago area strongly preferred

Clarity Clinic is an interdisciplinary group private practice of Psychiatrists, Psychiatric Advanced Practice Providers (PAs, NPs), Psychologists, and Therapists, offering outpatient psychiatry and therapy, PHP/IOP, TMS, Spravato, and psychological testing across multiple Chicago-area locations. Our mission is to thoughtfully guide the whole person on their journey to find clarity and mental wellness by providing exceptional holistic care.

The Strategic Finance Manager combines core FP&A with forward‑looking strategic finance. This person completes the budget, forecast, variance narrative, site P&Ls, and reporting packages, and builds the models behind decisions on new sites, service lines, payer rates, and provider compensation. Reporting to the Controller, who owns the accuracy and sign‑off of all financial reporting, this role explains what the numbers mean and what to do next.

It also serves as the finance business partner to department heads. This is a hands‑on modeling role, not a chief of staff role.

Clarity is building its finance infrastructure as it grows. We run on Quick Books today, are implementing Sage Intacct, and pay vendors through several channels. This role helps build planning and reporting that holds up through that transition.

FP&A Core

• Build and complete the annual budget with department heads, using a driver‑based model tied to provider capacity, payer mix, ramp curves, and headcount. The Controller reviews and proposes the final budget to the CEO for approval.
• Maintain the rolling monthly forecast, updating revenue, expense, and cash projections, and surface risks and opportunities 60 to 90 days ahead.
• Build and maintain site‑level P&Ls and provider productivity analysis.
• Own the provider and PA demand models and recommended hiring triggers for CEO approval.
• Provide hiring timing, spend pacing, and collection assumptions to the Controller's 13‑week cash forecast.

Strategic Finance & Decision Support

• Build pro formas for de novo sites and leases, and service‑line economics for PHP/IOP, TMS, and Spravato.
• Model provider‑level profitability (revenue, collections, utilization, and allocated costs) and provider compensation structures.
• Analyze payer rate changes, capital planning scenarios, and incentive plan design.
• Turn executive questions into models and recommendations quickly.

Reporting & Business Partnering

• Complete the monthly variance narrative and P&L bridge once the Controller locks the trial balance, for Controller review.
• Present the P&L bridge in the monthly operating review. Department heads present their own KPIs, and this role quantifies the financial impact.
• Build and complete board and lender reporting packages for Controller review and sign‑off, and present them alongside the Controller.
• Serve as the front door for department data and reporting requests. Hold regular check‑ins and monthly budget reviews with department heads, and lead site P&L reviews with Center Operations Managers.
• Maintain clear definitions for core financial KPIs so finance and operations use the same language.
• Define financial dashboard requirements for the Data & Analytics team, covering provider productivity, payer mix, collections performance, no‑show impact, CPT‑level margin, and cost per visit, and write the commentary.
• Pull and structure data from AdvancedMD, Rippling, the general ledger, and Clarity's data platform to answer questions without waiting for a clean dataset.
• Track budget against actual and committed spend across all payment channels.

Systems & Close Support

• Support the Sage…