Head of Finance, Fractional Contract

Protera Health

5d•Remote

About The Position

Protera Health is seeking an experienced, strategic, part-time Head of Finance to guide the company through its next stage of growth. This hands-on leadership role combines strategic and operational work, partnering closely with leadership on financial strategy, payer economics, forecasting, budgeting, and business planning. The role requires deep experience in healthcare finance, value-based care, national payer contracting, and the MSO/PC healthcare model, as well as the ability to turn complex financial and operational data into clear recommendations and decisions. The Head of Finance will support financial strategy and business planning, payer strategy and contracting, forecasting and budgeting, and financial leadership within the MSO/PC structure. The role will also work with accounting, operations, clinical leadership, and external advisors to improve reporting, dashboards, processes, and controls, and serve as a trusted financial thought partner to the CEO and leadership team. This is a remote, U.S.-based independent contractor position for 10–20 hours per week, with flexible scheduling and occasional real-time calls expected.

Requirements

At least 7 years of experience in healthcare finance, preferably in healthcare services, physician practices, value-based care, or healthcare technology or services.
Proven experience with national health plans/payors and payer contracting.
Direct experience working within an MSO/PC healthcare model; required.
Strong experience with financial forecasting, budgeting, financial modeling, and scenario analysis.
Ability to understand healthcare unit economics, reimbursement, and payer/provider economics.
Ability to work strategically while also executing hands-on.
Excellent communication skills and ability to explain complex financial concepts clearly to non-financial stakeholders.
Comfort working part-time or fractionally on a 1099 contract in a fast-moving healthcare company.
Must be based in the United States.

Nice To Haves

Experience with value-based care, risk arrangements, shared savings, or other alternative payment models.
Experience supporting a healthcare company through growth, fundraising, market expansion, or organizational scaling.
Experience working directly with CEOs and executive teams.
Experience building finance functions and processes in an entrepreneurial or growth-stage environment.

Responsibilities

Partner with the executive team to develop and execute the company's financial strategy and growth plans.
Build financial models and analyses to support strategic decisions, new market opportunities, partnerships, and investments.
Evaluate unit economics, profitability, contribution margins, and the financial implications of growth strategies.
Establish financial KPIs and reporting frameworks for leadership visibility into business performance.
Support strategy and financial analysis for national and regional health plan relationships and payer contracting.
Analyze payer contracts, reimbursement structures, incentives, risk arrangements, and financial performance.
Model proposed payer agreements and inform negotiation strategy.
Partner with leadership and clinical and operations teams to understand how payer terms affect business economics and patient outcomes.
Own and improve financial forecasting and budgeting processes.
Develop and maintain rolling forecasts for revenue, expenses, cash flow, and operating metrics.
Partner with functional leaders on budgets and financial accountability.
Identify trends, risks, and opportunities and translate them into actionable recommendations.
Support cash planning, scenario modeling, and longer-term financial planning.
Provide financial leadership within an MSO/PC structure, including understanding the financial and operational relationship between the MSO and professional entity.
Address financial considerations, reporting requirements, management arrangements, and operational complexities of the MSO/PC structure.
Work with accounting, operations, clinical leadership, and external advisors to ensure accurate and timely financial information.
Partner with external accounting and finance resources as needed.
Improve financial reporting, dashboards, processes, and controls as the organization scales.
Serve as a trusted financial thought partner to the CEO and leadership team.