About The Position

The Vice President is the analytical engine of every engagement it runs. This role sits between the Senior Associates executing the work and the Directors managing the client. The primary responsibility is to elevate the analysis coming up, take direction efficiently so the engagement moves with precision, and ensure that nothing falls through the cracks on a live deal. This is an execution-layer role with real sector responsibility, focused on running the analytical work with healthcare-informed judgment, developing Senior Associates, and delivering diligence that holds up under sponsor scrutiny. Ownership at the execution level is key, where the individual takes a workstream, structures it, and delivers it.

Requirements

  • 4+ years of experience in financial due diligence, transaction advisory, or public accounting with meaningful healthcare deal exposure.
  • Working knowledge of the financial mechanics that drive healthcare businesses: payor mix and reimbursement structures, revenue cycle dynamics, managed care contracting, and provider compensation models.
  • Hands-on experience with QoE analysis, NWC assessments, and debt-like item identification in a diligence context.
  • Ability to read healthcare financial statements with sector-informed judgment.
  • Bachelor’s degree in Accounting or Finance.
  • Strong Excel proficiency — clean, accurate, well-structured workpapers without significant rework.
  • Clear written communication — report sections are logically organized and don’t require heavy editing.
  • Ability to assign work with clear expectations, review it to a high standard, and provide feedback that improves output.
  • Ability to surface issues early and manage workstreams without waiting to be asked.
  • Ability to handle compressed timelines and shifting priorities — recalibrate and keep the work moving.
  • Detail-oriented without losing sight of the headline finding.
  • Genuinely curious about how healthcare businesses work.
  • Takes feedback directly and applies it; gives feedback that is specific enough to be useful.

Nice To Haves

  • CPA licensed or actively pursuing.

Responsibilities

  • Build and review QoE analyses, NWC assessments, debt-like item schedules, and revenue trend exhibits through a healthcare lens.
  • Assess payor mix impact on revenue quality, identify revenue cycle irregularities in the historical financials, and evaluate provider cost and compensation structures.
  • Surface the sector-specific adjustments that change how a sponsor thinks about normalized earnings on a healthcare target.
  • Bring working knowledge of healthcare financial mechanics — reimbursement structures, managed care contracting, cost reporting — to bear on the numbers.
  • Direct the day-to-day work of Senior Associates and Associates — assign clearly, review thoroughly, and keep the engagement on pace.
  • Set the quality standard for work product before it reaches the Director.
  • Manage the data room: track incoming documents, maintain the open request list, and keep the deal team moving.
  • Know when to resolve issues independently and when to escalate — and act accordingly without being prompted.
  • Draft sections of healthcare financial due diligence reports under Director direction.
  • Connect financial findings to sector-specific drivers: what a reimbursement rate change means for forward earnings, what a revenue cycle backlog signals about collectability, what payor concentration creates in terms of risk.
  • Self-review thoroughly — ensure sections are accurate, well-organized, and require minimal editing.
  • Build financial exhibits and develop sector-informed questions that support management calls and client discussions.
  • Participate in client calls and financial discussions under Director direction — present findings with clarity and respond to follow-up with precision.
  • Coordinate across workstreams — tax advisors, legal teams, other third parties — keeping your workstream aligned without losing the narrative thread.
  • Orient Senior Associates to engagement workpapers and healthcare-specific analytical questions.
  • Provide direct, substantive feedback on Senior Associates' work — specific enough to change how they approach the next engagement.
  • Model the precision, pace, and healthcare judgment the practice demands.

Benefits

  • Medical, dental, and vision insurance
  • 401(k) plan with employer contribution
  • Paid time off, including vacation, sick leave, and company holidays
  • Paid parental leave
  • Hybrid and remote work flexibility
  • Professional development support and continuing education reimbursement
  • Participation in the firm's employee ownership model
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