Director, Strategic Finance

Shields Advanced TherapiesNew York, NY
$160,000 - $200,000Remote

About The Position

Shields Advanced Therapies is a new platform launched by Shields Health Innovations, focused on providing commercial, operational, and financial solutions to health systems to accelerate cell and gene therapies. The business is led by a seasoned leadership team and aims to scale better care for patients at the lowest cost possible. This opportunity offers the growth potential of an early-stage startup with the backing of a proven team and commercial traction, including partnerships with top US academic medical centers. The Director, Strategic Finance will oversee the development of financial infrastructure, including strategic planning and financial operations, as well as payer-related solutions such as medical benefit network access, reimbursement strategy, financial clearance, and revenue cycle management. This is a high-visibility role reporting directly to the executive team, and candidates can be based anywhere within New England.

Requirements

  • 8+ years of relevant healthcare and financial leadership experience in a high growth setting.
  • Prior experience in healthcare services.
  • Prior experience in fast-paced business environments such as consulting, investment banking, or institutional investing is strongly preferred.

Responsibilities

  • Establish and lead the FP&A function for Shields Advanced Therapies, building scalable financial infrastructure to support rapid growth.
  • Serve as a strategic partner to Shields' regional operations leadership teams, contributing to business plans, value creation lever identification & continuous performance improvement.
  • Spearhead cross-company annual budgeting, quarterly forecasting, and long‑range financial planning processes.
  • Partner with health system clients to develop program‑level forecasts, business plans, and analyses that drive data‑driven decision‑making.
  • Underwrite new partnerships, product launches, and program expansion initiatives to support intelligent and sustainable growth.
  • Track financial and operational performance through structured weekly and monthly business reviews.
  • Lead the development and execution of a national payer operations function, covering network access, reimbursement strategy, financial clearance, and revenue cycle management.
  • Spearhead single case agreements, center‑of‑excellence network initiatives, and other payer contracting efforts in partnership with health system managed care leaders.
  • Develop streamlined, network‑level pathways for access and reimbursement on behalf of Shields partners.
  • Partner with regional operators to oversee the national financial clearance function, including benefits investigation, prior authorization, and financial assistance management for advanced therapy encounters.
  • Direct revenue cycle management efforts to mitigate delays and denials in partnership with health system clients.
  • Partner with operations and technology teams to enhance visibility into patient journey metrics such as time to therapy, authorization status, adherence, and reimbursement outcomes.
  • Partner with accounting leadership to manage financial statements, monthly close, consolidated reporting, and GAAP compliance.
  • Oversee monthly invoicing with health system partners, ensuring accuracy, timeliness, and adherence to contractual requirements.
  • Manage accounts payable and accounts receivable workflows in coordination with the accounting team.
  • Support corporate audits, tax filings, and internal controls to ensure compliance with audit and reporting standards.
  • Drive continuous improvement of financial systems and processes, leveraging best practices and emerging technologies where appropriate.

Benefits

  • Annual performance bonus
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