Director Clinical FP&A

Envision Healthcare•Nashville, TN

30d

About The Position

The Director of Clinical FP&A oversees comprehensive revenue and expense budgeting, forecasting, and financial modeling to support strategic and operational decision‑making for the specialties. This role partners across various functions within Finance & Operations to ensure accuracy, transparency, and alignment with organizational goals. The Director will deliver customized financial analyses and insights in response to evolving business needs and priorities. Additionally, the Director oversees the preparation, analysis, and reconciliation of subsidies and other revenue contracts across the specialties. The Director plays a critical role in ensuring the accuracy of accruals, billings and reporting for these revenue streams.

Requirements

Proven expertise in revenue and expense forecasting, budgeting, and proforma financial modeling, ideally within a complex or highly regulated industry.
Demonstrated ability to analyze financial statements and variance drivers, and to translate data into clear, actionable insights for senior leadership.
Proficient in financial systems, data visualization tools (e.g., Tableau, Power BI), and advanced Excel modeling; experience with ERP or EHR systems preferred.
Exceptional communication and collaboration skills with the ability to influence cross-functional stakeholders and drive strategic outcomes.
Comfortable managing multiple priorities in a fast-paced environment with a high level of accuracy, attention to detail, and accountability.
Bachelor's Degree from four-year college or university required.
10 years of relevant work experience required; including 3 years of leadership required.
Healthcare experience preferred
Knowledge of Microsoft Office Suite
Knowledge of Hyperion

Nice To Haves

experience with ERP or EHR systems preferred

Responsibilities

Directs employees by supporting, coaching, training, assisting with time management and performing evaluations; should conduct regular meetings with all direct reports.
Oversees the preparation of the annual plan and quarterly revenue and expense forecasts for the specialties, partnering with leadership and cross ‑ functional teams to ensure alignment with strategic objectives, financial targets, and the corporate planning calendar.
Ensures accuracy, efficiency and alignment in the key deliverables of the department.
Leads the reporting of monthly, quarterly, and annual financial results compared to plan, forecast and/or prior year for the specialties, identifying key variance drivers and delivering clear, actionable reporting to Clinical Finance.
Leads select month ‑ end close activities, including volume accruals and provider compensation, reclassifications, to ensure accurate and timely financial results.
Oversees the preparation, analysis, and reconciliation of subsidies and other revenue contracts across the specialties, ensuring accuracy and completeness of monthly accruals, billings & reporting.
Reviews month-end subsidy and other revenue accruals & monthly, quarterly and annual subsidy reconciliations
Oversees the maintenance of complex subsidy models, ensuring precision in inputs, assumptions and resulting financial data
Collaborates closely with Accounting, Clinical Finance & Operations to support subsidy revenue recognition and billings.
Monitors A/R aging and contract statuses to assess financial exposure and impact
Oversees and ensures the accuracy of variance analyses comparing actuals to forecast and budget, highlighting material drivers.
Participates in monthly financial performance meetings.
Creates customized financial analyses in response to emerging business needs and executive requests.
Collaborates with the Clinical Finance directors/principals to drive the specialties planning and reporting process.
Supports ad hoc financial modeling and analysis for Clinical Finance & other leaders.
Drives process efficiency and automation identifying opportunities to streamline planning, forecasting, and reporting workflows; implements scalable solutions that reduce manual effort, improve cycle times, and enhance data accuracy.