VP FP&A

PatientCare EMS•Franklin, TN

1d•Remote

About The Position

PatientCare EMS Solutions is a private-equity-backed emergency medical transportation company with roughly 3,000 employees, more than 450,000 annual transports, seven operating companies across multiple states, and an ambulance refurbishment shop. The VP FP&A serves as the CFO’s direct finance partner and leads financial planning, forecasting, reporting, analysis, and related finance processes across the organization. The role supports executive leadership, the board, the private equity sponsor, lenders, and operating leaders with accurate, actionable financial information. The position owns the annual budget and monthly forecast; consolidated financial reporting and driver-based variance analysis; sponsor and lender reporting; financial modeling for strategic decisions; revenue, cash flow, and liquidity analysis; and preparation of management and board materials. It also supports external audit and tax work, leads and develops the FP&A team, and drives process and internal-control improvements as the company grows through acquisition. The role uses AI tools to improve financial analysis and reporting. This is a full-time, mostly remote position. Candidates should be based near Nashville, Tennessee, for periodic in-person collaboration with the CFO.

Requirements

Bachelor’s degree in Finance, Accounting, or Economics.
10 or more years of progressive FP&A, corporate finance, or finance leadership experience, including at least 3 years leading budgeting and forecasting for a multi-entity organization.
Direct experience in a private-equity-backed company, including budget presentations to and day-to-day information requests from a sponsor or board.
Experience producing consolidated financial statements and driver-based volume, rate, and mix variance analysis for executive leadership.
Experience with lender reporting, including credit agreement and covenant compliance calculations.
Advanced financial modeling skills in Excel and Power Query, including M&A, bid, and scenario models.
Working knowledge of U.S. GAAP, including revenue recognition, and experience working with external auditors.
Strong executive communication skills, including the ability to present to a CFO, board, and private equity sponsor and translate financial data into decisions for non-finance leaders.
Proven ability to lead and develop a finance team and set standards.
Sound judgment and discretion with confidential financial information, and ability to manage multiple deadline-driven priorities.

Nice To Haves

MBA or advanced degree in a related field.
Healthcare services experience, ideally ambulance or medical transportation (EMS, NEMT), or other healthcare services with a high payor mix.
Experience with healthcare revenue cycle, including net revenue estimation, payor mix, collections, and Medicare/Medicaid billing.
M&A diligence and post-close integration experience.
Multi-state, multi-entity operating company experience.
Experience with consolidation and reporting systems, such as ERP and BI tools, and use of AI tools to improve analysis.

Responsibilities

Serve as the CFO’s direct finance partner and liaison across the organization, advising on financial strategy, performance, and capital allocation, and representing Finance in executive and sponsor discussions.
Own annual budgeting and monthly forecasting across all operating companies, including assumptions, supporting analyses, and presentations to the private equity sponsor, with emphasis on labor and overtime, revenue, and capital expenditures.
Lead financial statement generation, consolidation, and analysis, ensuring accurate, timely monthly reporting and driver-based volume, rate, and mix variance analysis for executive leadership.
Manage private equity sponsor requests from receipt through completion and ensure timely, consistent, and accurate responses.
Lead financial modeling for strategic decisions, including RFP bids, M&A diligence and post-close integration, transport-volume growth scenarios, cost-reduction initiatives, staffing and labor strategy, and labor negotiations.
Partner with Revenue Cycle Management to determine monthly net revenue and oversee analysis of payor mix, collections, and revenue variances; lead revenue recognition review with the CFO and external auditors.
Own monthly management reporting packages for operators, executive leadership, and the private equity sponsor; lead preparation of Board of Directors materials and other executive presentations.
Oversee cash flow forecasting, working capital analysis, and liquidity management in support of the CFO.
Lead quarterly credit agreement and covenant compliance reporting and serve as a day-to-day finance contact for lenders, including reviewing calculation workpapers and responding to lender inquiries.
Support external audit and tax processes by coordinating with outside auditors and advisors on audit planning, deliverables, and technical accounting matters.
Build, develop, and lead the FP&A team; establish standards for advanced Excel and Power Query models, reporting quality, and review discipline.
Drive finance process and internal-control improvements, including approval authority, budgeting, and close processes, to scale reporting as the company grows through acquisition.
Advise operating leaders and translate financial data into decisions for non-finance operators.
Use AI tools such as Claude and Microsoft Copilot to accelerate and improve the quality of financial analysis and reporting.