Vice President, Finance – JV & MSA Operations

This is a fully remote position, open to applicants in Texas.

📋 Description

• Deliver strategic and operational leadership for the finance division supporting joint venture (JV) and management service agreement (MSA) partnerships in emergency and urgent care.

• Supervise a team tasked with financial reporting, budgeting, forecasting, operational analysis, and financial management for partners.

• Act as a liaison among executive leadership, hospital partner finance teams, operations leadership, and private equity stakeholders.

• Guide, mentor, and foster the development of Finance Managers who support JV and MSA operations.

• Set performance expectations, accountability standards, and professional development strategies.

• Develop scalable financial processes and organizational frameworks to facilitate company growth and market expansion.

• Serve as the senior escalation point and strategic resource for financial and operational challenges.

• Oversee financial reporting, forecasting, budgeting, and operational finance functions for assigned partnerships.

• Provide executive-level financial analysis and insights regarding operational performance, revenue trends, labor management, profitability, and growth prospects.

• Evaluate and communicate business drivers, risks, and financial performance metrics.

• Lead monthly and quarterly business reviews with hospital partners and company leadership.

• Assist with board-level and private equity investor reporting requests and presentations.

• Maintain strong relationships with hospital partner finance and operational leadership teams.

• Guarantee accurate and timely data collection from health system partners.

• Collaborate with Operations, Revenue Cycle, Accounting, and executive leadership to enhance outcomes.

• Offer financial guidance during the implementation of new partnerships, acquisitions, integrations, and expansions.

• Support Joint Operating Committee meetings and executive presentations for partners.

• Identify opportunities for operational efficiencies, reporting automation, standardization, and enhanced financial controls.

• Lead the optimization of the FP&A process, development of KPIs, and initiatives for scalable reporting infrastructure.

• Ensure uniformity and precision in financial reporting methodologies.

• Promote continuous improvement throughout finance operations and cross-functional workflows.

• Ensure adherence to company policies, financial controls, and reporting standards.

• Assist with audits, internal financial governance, strategic financial planning, and long-term forecasting.

⛳️ Requirements

• Bachelor's Degree in Finance or Accounting is mandatory.

• Over 10 years of progressive experience in finance and accounting.

• More than 5 years of leadership experience in managing finance teams.

• Experience in hospital or health system finance is required.

• Preferred experience in supporting joint ventures, partnerships, or management service organizations.

• Strong understanding of financial statements, budgeting, forecasting, operational analytics, and financial modeling.

• Proven experience in presenting financial performance and strategic recommendations to executive leadership and external partners.

• Successful track record in leading process improvement and organizational scalability initiatives.

• Advanced skills in Microsoft Excel and financial modeling are required.

• Preferred experience with FP&A and financial reporting systems.

• Ability to manage multiple priorities in a dynamic, high-growth environment.

• Excellent interpersonal, communication, and executive presentation skills.

• Experience working with multi-state locations.

• Comprehensive understanding of partnership-based finance functions, considerations, and metrics.

🏝️ Benefits

• Full-time exempt position.

• Opportunities for career advancement within an innovative, private equity-backed healthcare managed service organization.

• Commitment to equal opportunity employment.