FP&A Manager

Patient Care EMS Solutions is a private-equity-backed emergency medical transportation company with roughly 3,000 employees, 450,000+ annual transports, and seven operating companies across six states — plus an ambulance refurbishment shop. Our Finance team turns 400,000+ patient encounters a year into numbers the C-suite, the board, and our lenders can act on.

• Support and help run the annual budget and monthly forecast processes across all transport operations, with particular focus on labor/overtime, revenue, and capex.
• Build and maintain financial models for RFP bids, M&A diligence, transport-volume growth scenarios, cost-reduction initiatives, and labor negotiations.
• Partner with the Revenue Cycle Management (RCM) team to determine monthly net revenue and analyze payor mix, collections, and revenue variances across operations.
• Prepare monthly management reporting packages and variance analysis for operators, executive leadership, and (as applicable) the private equity sponsor.
• Support cash flow forecasting, working capital analysis, and day-to-day cash management.
• Assist with quarterly credit agreement / covenant compliance reporting to lenders, including calculation work papers and follow-up on lender inquiries.
• Build and maintain advanced Excel / Power Query models
• Contribute to Board of Directors reporting materials and other executive-level presentations.
• Act as a trusted finance point of contact for assigned operating units, translating data into decisions for non-finance operators.
• Use AI tools (e.g., Claude, Microsoft Copilot) to accelerate and improve the quality of financial analysis and reporting.

• Experience in payroll, benefits, or HR operations with responsibility for confidential employee information and deadline-driven work.
• Ability to review complex records for accuracy, resolve discrepancies, and follow an issue through completion.
• Clear communication, sound judgment, and the ability to coach an employee while maintaining service to a 24/7 workforce.
• Proficiency with HR, payroll, and office systems; experience with UKG, Benefit solver, and similar platforms preferred.
• Prior lead or supervisory experience preferred; equivalent experience coordinating work and training others may be considered.

• Experience in healthcare services environment
• Full-time, mostly remote position. Candidates should be based near Nashville, TN to allow for periodic in-person collaboration with CFO.

Patient Care is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable law. Reasonable accommodations are available to qualified individuals with disabilities.

Equal Opportunity Employer
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