Finance Manager

The Finance Manager is a core analytical engine of MVP's finance team and a visible business partner to Operations, RCM, and Sales & Marketing. MVP is a private equity-backed, multi-platform ophthalmology company operating roughly 75 clinic and ASC locations, and this role sits at the point where operational activity becomes financial outcome. The person in this seat builds the bottoms-up doctor forecast, produces the recurring reporting cadence that leadership runs the business on, and develops the cohort, four-wall, and pod-level analytics that inform where the company invests, consolidates, or exits.

This is a hands-on, build-oriented role rather than a maintenance role. Much of the analytical infrastructure described below does not yet exist in mature form, and the expectation is that the Finance Manager will design it, stand it up, and then run it. The ideal candidate is intellectually curious, comfortable working directly in data rather than waiting for a clean extract, and able to move between a detailed model and a concise recommendation for a CFO or COO audience.

MVP's North Star is to be the best place for doctors to work, and this role advances that aim by making provider economics transparent, accurate, and actionable.

Remote: IL, OH, MI, IN Only

• Own the build and maintenance of the bottoms-up doctor-level forecast, including volume, provider schedule assumptions, revenue per encounter, and payor mix drivers.
• Support the Director of Finance & Strategy in executing the Annual Operating Plan (AOP), owning assigned work streams, template distribution, consolidation, and version control across platforms.
• Produce the weekly, monthly, and quarterly business review packages (W /M /Q ), evolving them from backward-looking reporting into forecast reviews that connect operational KPIs to financial outcomes.
• Deliver monthly budget-to-actual variance analysis on volume, revenue, and contribution, with written commentary that explains cause rather than restating the variance.
• Support enterprise cash flow forecasting, including reconciliation of forecast to GL data and investigation of recurring variance drivers.

• Serve as the day-to-day finance partner to Operations and Sales & Marketing, responding to provider and operator financial questions with accuracy and speed.
• Triage and resolve physician compensation and production questions, escalating structural issues to the Director and CFO with a recommended resolution rather than an open question.
• Partner with the VP, Chief of Staff to enrich the doctor CRM with qualitative commentary on provider plans and conversations, and translate that commentary into forecast assumptions.
• Contribute to the payor reporting suite in partnership with RCM to support contract review and renegotiation.

• Stand up referral cohort analysis and integrate it into the monthly reporting cadence, with the objective of improving cohort NPV retention.
• Build patient cohort retention analysis from the ground up, establishing the baseline measurement the organization currently lacks.
• Support the indirect costing process that underpins four-wall EBITDA evaluation, including allocation methodology, documentation, and sensitivity testing of allocation choices.
• Contribute to refinement of the pod P&L and indirect revenue and cost attribution, and help translate the output into portfolio optimization recommendations.
• Build ad hoc strategic analyses on request, including site-level profitability, de novo and acquisition modeling, and capital deployment scenarios.

• Maintain the addback tracking schedule with supporting documentation sufficient to withstand quality of earnings diligence.
• Prepare recurring financial reporting delivered to the sponsor and lender group, working to a standard where the package requires review rather than rework.
• Partner with the Controller and Accounting Manager to support a high-quality close and to test, validate, and adopt new finance systems (ERP, Workday) and the processes that surround them.
• Support the analytics build-out of the enterprise data lake, including validation of migrated reporting logic and retirement of legacy reporting tools.
• Document owned processes into the corporate knowledge library to increase transparency and reduce key-person risk.

• Bachelor's degree in finance, accounting,…