FP&A Manager

Kolmac Integrated Behavioral Health•Burtonsville, MD

13h•$150,000 - $165,000•Hybrid

About The Position

The FP&A Manager will lead budgeting, forecasting, and performance management for a ~$50M, multi-site behavioral health and addiction treatment organization. This role owns the driver-based forecast, monthly variance analysis and KPI narrative, and the recurring private equity and lender reporting cadence. The FP&A Manager partners closely with Operations, Clinical Leadership, and Revenue Cycle to translate volumes, staffing, payer mix, and reimbursement dynamics into actionable financial insights. This is a hands-on individual contributor role with no direct reports and will leverage Sage Intacct, DOMO, and SSRS to enhance reporting accuracy, timeliness, and automation.

Requirements

Bachelor’s degree in Finance, Accounting, Economics, or a related field.
5+ years of FP&A or corporate finance experience; healthcare services experience strongly preferred.
Advanced Excel modeling skills including driver-based forecasting and scenario analysis.
Demonstrated experience producing executive-ready reporting and variance analysis.
Experience working with ERP and BI/reporting tools.
Strong communication and business partnering skills.

Nice To Haves

Experience in behavioral health, addiction treatment, outpatient multi-site, or healthcare services organizations.
Experience in a private equity-backed environment and familiarity with lender reporting expectations.
Hands-on experience with Sage Intacct, DOMO, and/or SSRS.
Working knowledge of revenue cycle management concepts.

Responsibilities

Own the annual budget process end-to-end, including calendar management, templates, assumptions, and cross-functional coordination.
Maintain a rolling forecast (12–18 months) with scenario modeling for key sensitivities such as volume, payer mix, reimbursement rates, staffing, denials, and collections timing.
Build and maintain driver-based financial models by program and site (e.g., MAT, IOP, OP, MH, PHP/PRP), incorporating capacity, utilization, scheduling, and clinician productivity assumptions.
Develop standardized planning inputs and documentation to reduce cycle time and improve forecast accuracy.
Produce the monthly management reporting package, including consolidated and site-level P&Ls, KPI scorecards, variance analyses (vs. budget, forecast, and prior year), and clear narrative commentary.
Support monthly private equity and lender reporting with high-quality, tie-out-ready schedules, consistent definitions, and on-time delivery.
Identify operational and financial risks and opportunities early and quantify their financial impact.
Lead monthly performance review meetings with key stakeholders and ensure follow-up actions are tracked and outcomes measured.
Partner with Revenue Cycle to incorporate billing and collections dynamics into forecasting.
Analyze payer mix shifts, reimbursement changes, contract terms, and rate updates, translating impacts to net revenue.
Develop and maintain dashboards and metrics that link clinical throughput to financial performance.
Monitor labor and staffing drivers and productivity metrics by program and site.
Lead cost discipline initiatives with department leaders.
Build business cases for new initiatives including ROI and payback analyses.
Own FP&A data and reporting workflows ensuring accuracy, repeatability, and auditability.
Partner with Accounting to align close processes and FP&A outputs.
Automate recurring reporting and improve data quality and governance.
Maintain robust model controls including versioning and assumption logs.