FP&A Senior Manager

Job Type

Full-time

Description

The Senior Manager, FP&A reports to the VP, Finance and partners closely with operational leadership across healthcare services-including physician practices, outpatient care, and related entities-to drive budgeting, forecasting, variance analysis, strategic planning, and overall business performance. This role delivers clear, actionable insights that inform decisions around cost management, revenue growth, staffing efficiency, and capital investments. The ideal candidate combines strong financial modeling expertise with a deep understanding of healthcare operational drivers and the ability to communicate effectively with senior leadership and key stakeholders.

This role is Hybrid, 3 days in office 2 days remote in Nashville, TN.

• Lead & own the budgeting and forecasting process for healthcare operations (monthly, quarterly, annual), working closely with operations, clinical, and accounting leadership.
• Build, maintain, and enhance financial models and scenario analyses for operational decisions (staffing, capacity planning, new services, capital expenses).
• Monitor actual vs. budget/forecast; perform variance analysis, root cause investigations, and communicate findings & recommendations to leadership.
• Work cross-functionally: collaborate with accounting, operations, clinical, and other departments to gather data, assumptions, and ensure financial plans align with strategic goals.
• Prepare reports and presentations for senior leadership (monthly/quarterly business reviews, dashboards, executive summaries).
• Support month-end close activities and ensure financial data accuracy for operations / practice financials.
• Develop and maintain dashboards / KPI tracking tools to monitor operational performance (productivity, utilization, cost KPIs, revenue per practice, etc.).
• Provide ad-hoc financial analysis for operational investments, strategic initiatives, mergers / acquisitions, service expansion.

Requirements

• Bachelor's degree in Finance, Accounting, Economics, Business, or a related field;
  Master's or MBA preferred.
• Minimum of 5 years of FP&A or corporate finance experience, ideally within healthcare, healthcare operations, or multi-site practice environments;
  Experience in PE-backed environments a plus.
• Proven expertise in financial modeling and forecasting, including scenario analysis and performance tracking.
• Advanced proficiency in Excel; experience with financial planning systems such as Planful is a plus.
• Strong analytical skills with the ability to identify trends, risks, and opportunities, and translate findings into clear, actionable insights.
• Excellent written and verbal communication skills, with the ability to present complex financial information to senior leadership effectively.