Field Controller - (Healthcare Finance / FP&A)

Nexus Health Systems Ltd•Houston, TX

18d•Onsite

About The Position

Nexus Health Systems is seeking an experienced healthcare finance professional to partner directly with hospital leadership across our specialty hospitals. This is not a traditional accounting role—it's an operational finance position focused on helping hospital leaders improve financial performance through labor productivity, forecasting, KPI management, and data-driven decision making. The ideal candidate has experience supporting multiple healthcare facilities and understands the financial drivers behind labor-intensive, census-based operations. If you're passionate about turning financial data into operational strategy, we'd love to hear from you.

Requirements

Bachelor's degree in Finance, Accounting, Business, Healthcare Administration, or a related field.
Five or more years of progressive finance experience, including at least three years working directly within a healthcare operating company.
Experience supporting multiple hospitals, clinics, or healthcare facilities simultaneously.
Strong background in Financial Planning & Analysis (FP&A), budgeting, forecasting, financial modeling, and operational analytics.
Experience using financial data to influence operational decisions and improve organizational performance.
Advanced Excel and financial reporting skills.
Excellent communication skills with the ability to present financial information to executive and operational leaders.

Nice To Haves

Behavioral Health
Pediatric Healthcare
Rehabilitation Hospitals
Long-Term Acute Care (LTAC)
Post-Acute Care
Specialty Hospital Systems
Hospital productivity metrics (HPPD)
Overtime and premium labor management
Agency staffing utilization
Census-driven labor planning
Operational variance analysis
Scenario modeling and pro forma development
Multi-site healthcare finance support

Responsibilities

Partner with Hospital Administrators and executive leadership to improve financial and operational performance across multiple hospitals.
Develop and maintain financial models, forecasts, and pro formas supporting operational and strategic initiatives.
Analyze weekly and monthly KPIs, productivity, labor metrics, census trends, and financial performance.
Provide actionable recommendations related to labor management, staffing efficiency, revenue, and operating expenses.
Monitor productivity metrics including HPPD, overtime utilization, agency labor, and staffing trends.
Conduct variance analysis and communicate performance drivers to facility leadership.
Assist hospital leadership with budgeting, forecasting, scenario planning, and financial decision support.
Identify operational improvement opportunities and implement financial best practices across facilities.
Develop dashboards and reporting tools that help leaders make informed business decisions.
Partner with Corporate Finance and hospital operations to ensure accurate financial reporting and consistent KPI tracking.
Support capital planning and financial analysis for facility projects and operational initiatives.