Senior Director of Finance, Emergency Medicine

Sound Physicians

11d • Remote

About The Position

The Senior Director of Finance – Emergency Medicine (EM) leads key Financial
Operations initiatives, analyses, and performance improvement efforts across the
Emergency Medicine service line. This role is central to supporting the
continued expansion of the Emergency Medicine business through both organic
growth and new hospital partnerships.

This position requires deep expertise in Emergency Medicine financial and
operational drivers and the ability to translate insights into actionable
strategies that drive performance. The ideal candidate has a proven track record
of high-quality work, strong collaboration with clinical and operational
leaders, a strategic and growth-oriented mindset, and a reputation for
delivering value-added financial insights

In addition to core responsibilities such as budgeting, forecasting, and
financial analysis, this role serves as a key strategic partner to Emergency
Medicine leadership, helping to optimize site performance, inform contract
strategy, and enable scalable growth. Reporting to the Senior Vice President,
Finance, this highly visible role requires strong cross-functional
collaboration, executive presence, advanced analytical skills, and a
forward-looking, growth-minded mindset.

Requirements

• Excellent written and oral communication skills
• Strong understanding of provider-based financial models, including staffing, productivity, payer mix, and cost drivers
• Experience supporting complex health system partnerships, new site development, or multi-site operations
• Demonstrated ability to translate clinical and operational inputs into financial models and actionable insights
• Ability to influence senior leaders and communicate complex financial concepts clearly across clinical, operational, and executive audiences
• Advanced Excel and financial modeling skills
• BA/BS in Finance, Accounting, or related field required
• 10+ years of experience in healthcare finance, including FP&A, strategic finance, provider operations finance, or healthcare consulting

Responsibilities

• Serve as the Finance leader for the Emergency Medicine service line, with deep expertise in EM-specific financial and operational drivers.
• Partner closely with the Emergency Medicine Leadership Team (CEO, Operations, Clinical, etc.) to drive financial performance, support growth initiatives, and optimize site-level performance.
• Act as a strategic thought partner, identifying opportunities to expand margins, improve performance, and support new business development within Emergency Medicine.
• Lead financial support for EM contract strategy, including pricing models, renewals, and amendments; challenge assumptions and influence negotiations to achieve favorable outcomes.
• Develop a comprehensive understanding of all Emergency Medicine hospital contracts, including key terms, performance expectations, and financial implications.
• Own detailed budgeting and forecasting processes for the Emergency Medicine service line, incorporating key operational drivers and growth assumptions.
• Perform monthly variance analysis (actual vs. budget/forecast), providing clear, actionable insights and recommendations to operational leaders.
• Support integration and financial optimization of new EM programs, ensuring strong transition from business development to operations.
• Create and deliver ad hoc analyses and reporting to support performance improvement initiatives and strategic decision-making.
• Partner cross-functionally with Accounting, Finance, Revenue Cycle, Operations, and Clinical teams to ensure alignment between financial results, operational activities, and contract terms.
• Lead or support enterprise-level projects focused on performance improvement, scalability, and growth within Emergency Medicine.
• Contribute to the development of a high-performing Financial Operations team by promoting knowledge sharing, mentorship, and continuous improvement.

Benefits

• Medical insurance, Dental insurance, and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Self-managed PTO Plan OR Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per year

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level