Finance Manager

Midwest Vision Partners•,

4d•Remote

About The Position

The Finance Manager is a hands-on, build-oriented member of MVP’s finance team and a business partner to Operations, RCM, and Sales & Marketing. The role builds and maintains a bottoms-up doctor-level forecast, produces recurring reporting for leadership, and develops cohort, four-wall, and pod-level analytics to inform investment, consolidation, and exit decisions. The position is remote and limited to candidates in Illinois, Ohio, Michigan, or Indiana. The Finance Manager will design and establish analytical infrastructure that is not yet mature, then operate and improve it. The role requires working directly with data, building detailed models, and translating analysis into concise recommendations for CFO and COO audiences. It has exposure to executive leadership and the private equity sponsor, with analytical workstreams that reach the board and influence provider-performance measurement, capital allocation, and recapitalization preparation. Midwest Vision Partners is a private equity–backed, multi-platform ophthalmology company. The company was founded in 2019 in partnership with Alpine Investors and supports eye care professionals across multiple locations. Its stated mission is to improve and preserve vision by cultivating a network of ophthalmologists and optometrists who provide patient-centered care.

Requirements

Bachelor’s degree in finance, accounting, economics, or a related quantitative field.
4–7 years of progressive experience in corporate FP&A, management consulting, private equity, investment banking, or transaction advisory.
Demonstrated ownership of budgeting, forecasting, and variance analysis, ideally in a multi-site or multi-entity environment.
Advanced financial modeling capability, including building a driver-based operating model from a blank workbook.
Strong data fluency, including the ability to translate a business question into a SQL query, independently validate results against source systems, and work comfortably in a BI environment.
Strategic judgment paired with analytical rigor, including the ability to interpret analyses and recommend actions.
Strong written and verbal communication skills, including the ability to present to executive audiences and communicate effectively with operators and physicians.
Comfort with ambiguity, a bias toward building rather than waiting, and unquestionable integrity.

Nice To Haves

Healthcare experience is valued but not required.
Experience with a cloud FP&A or enterprise planning platform such as Workday Adaptive, Planful, Anaplan, Oracle Hyperion, or SAP BPC.
Experience supporting a planning system implementation.

Responsibilities

Build and maintain the bottoms-up doctor-level forecast, including volume, provider schedule assumptions, revenue per encounter, and payor mix drivers.
Support the Director of Finance & Strategy with the Annual Operating Plan, including assigned workstreams, template distribution, consolidation, and version control across platforms.
Produce weekly, monthly, and quarterly business review packages, developing them 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 explaining the causes of variances.
Support enterprise cash flow forecasting, reconcile forecasts to GL data, and investigate recurring variance drivers.
Serve as the day-to-day finance partner to Operations and Sales & Marketing, responding to provider and operator financial questions accurately and promptly.
Triage and resolve physician compensation and production questions, escalating structural issues to the Director and CFO with a recommended resolution.
Partner with the VP, Chief of Staff to add qualitative commentary about provider plans and conversations to the doctor CRM and translate it into forecast assumptions.
Contribute to the payor reporting suite with RCM to support contract review and renegotiation.
Establish referral cohort analysis and integrate it into monthly reporting to support improvement in cohort NPV retention.
Build patient cohort retention analysis and establish a baseline measurement.
Support indirect costing for four-wall EBITDA evaluation, including allocation methodology, documentation, and sensitivity testing.
Contribute to refinement of the pod P&L and indirect revenue and cost attribution, and help translate results into portfolio optimization recommendations.
Build ad hoc strategic analyses, including site-level profitability, de novo and acquisition modeling, and capital deployment scenarios.
Maintain the addback tracking schedule and supporting documentation for quality-of-earnings diligence.
Prepare recurring financial reporting for the sponsor and lender group to a standard that requires review rather than rework.
Partner with the Controller and Accounting Manager to support a high-quality close and test, validate, and adopt finance systems and related processes.
Support the enterprise data lake analytics build-out, validate migrated reporting logic, and retire legacy reporting tools.
Document owned processes in the corporate knowledge library to improve transparency and reduce key-person risk.