Envision Healthcare Holdings, Inc

Director Clinical FP&A

Envision Healthcare Holdings, Inc$120K — $150K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in revenue forecasting and financial modeling, preferably in a complex industry
  • Strong ability to analyze financial data and deliver actionable insights to senior leadership
  • Skilled in financial systems and data visualization tools such as Tableau and Power BI
  • Excellent communication and collaboration abilities to influence stakeholders
  • Ability to handle multiple priorities with precision and attention to detail

Responsibilities

  • Support, coach, and evaluate employees while conducting regular team meetings
  • Prepare annual and quarterly revenue and expense forecasts in alignment with strategic goals
  • Ensure accuracy and efficiency in departmental deliverables
  • Lead reporting of financial results and identify variance drivers
  • Supervise month-end close activities, assuring accuracy of financial reporting
  • Oversee subsidy and revenue contract reconciliation ensuring accuracy
  • Collaborate with teams to enhance subsidy revenue recognition and manage financial exposure

Benefits

  • Wide range of health and welfare benefits available from day one
  • Accrued Paid Time Off (PTO), earning up to 25 days per year
  • Includes medical, dental, vision, life insurance, and disability coverage
  • Flexible spending accounts (FSA) options for healthcare, dependent care, transportation, and parking
  • Paid family leave and observed holidays included in benefits package
Full Job Description
Job Description

The Director of Clinical FP&A oversees comprehensive revenue and expense budgeting, forecasting, and financial modeling to support strategic and operational decision-making for the specialties. This role partners across various functions within Finance & Operations to ensure accuracy, transparency, and alignment with organizational goals. The Director will deliver customized financial analyses and insights in response to evolving business needs and priorities. Additionally, the Director oversees the preparation, analysis, and reconciliation of subsidies and other revenue contracts across the specialties. The Director plays a critical role in ensuring the accuracy of accruals, billings and reporting for these revenue streams.

Benefits: At Envision Healthcare, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right ones for you and your family. Best of all, qualifying employees are eligible to enroll from day one, so you can rest easy knowing you and your loved ones are protected. Envision Healthcare offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. The benefits offered include but not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs.

Paid Time Off: Envision Healthcare offers paid time off, 9 observed holidays and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.

Responsibilities

  • Directs employees by supporting, coaching, training, assisting with time management and performing evaluations; should conduct regular meetings with all direct reports.
  • Oversees the preparation of the annual plan and quarterly revenue and expense forecasts for the specialties, partnering with leadership and cross-functional teams to ensure alignment with strategic objectives, financial targets, and the corporate planning calendar.
  • Ensures accuracy, efficiency and alignment in the key deliverables of the department.
  • Leads the reporting of monthly, quarterly, and annual financial results compared to plan, forecast and/or prior year for the specialties, identifying key variance drivers and delivering clear, actionable reporting to Clinical Finance.
  • Leads select month-end close activities, including volume accruals and provider compensation, reclassifications, to ensure accurate and timely financial results.
  • Oversees the preparation, analysis, and reconciliation of subsidies and other revenue contracts across the specialties, ensuring accuracy and completeness of monthly accruals, billings & reporting.
  • Reviews month-end subsidy and other revenue accruals & monthly, quarterly and annual subsidy reconciliations
  • Oversees the maintenance of complex subsidy models, ensuring precision in inputs, assumptions and resulting financial data
  • Collaborates closely with Accounting, Clinical Finance & Operations to support subsidy revenue recognition and billings.
  • Monitors A/R aging and contract statuses to assess financial exposure and impact
  • Oversees and ensures the accuracy of variance analyses comparing actuals to forecast and budget, highlighting material drivers.
  • Participates in monthly financial performance meetings.
  • Creates customized financial analyses in response to emerging business needs and executive requests.
  • Collaborates with the Clinical Finance directors/principals to drive the specialties planning and reporting process.
  • Supports ad hoc financial modeling and analysis for Clinical Finance & other leaders.
  • Drives process efficiency and automation identifying opportunities to streamline planning, forecasting, and reporting workflows; implements scalable solutions that reduce manual effort, improve cycle times, and enhance data accuracy.


Qualifications

To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
  • Proven expertise in revenue and expense forecasting, budgeting, and proforma financial modeling, ideally within a complex or highly regulated industry.
  • Demonstrated ability to analyze financial statements and variance drivers, and to translate data into clear, actionable insights for senior leadership.
  • Proficient in financial systems, data visualization tools (e.g., Tableau, Power BI), and advanced Excel modeling; experience with ERP or EHR systems preferred.
  • Exceptional communication and collaboration skills with the ability to influence cross-functional stakeholders and drive strategic outcomes.
  • Comfortable managing multiple priorities in a fast-paced environment with a high level of accuracy, attention to detail, and accountability.

Education/Experience
  • Bachelor's Degree from four-year college or university required.
  • 10 years of relevant work experience required; including 3 years of leadership required.
  • Healthcare experience preferred

Computer Skills

To perform this job successfully, an individual should have knowledge of:
  • Microsoft Office Suite
  • Hyperion


If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive salary and a comprehensive benefits package.

About Envision Healthcare Holdings, Inc

Envision Healthcare is a healthcare company that provides physician-led services, ambulatory surgery center management, post-acute care and medical transportation services. The company was founded in 2018 and is headquartered in Plano, Texas. Envision Healthcare operates in 46 states in the United States and has a workforce of over 69,000 employees. The company's physician-led services include emergency medicine, hospital medicine, anesthesia, radiology, and surgical services. Envision Healthcare's ambulatory surgery center management services include the management of surgery centers and surgical hospitals. The company's post-acute care services include rehabilitation, hospice, and home health services. Envision Healthcare's medical transportation services include ambulance and air medical services.
Learn more about Envision Healthcare Holdings, Inc
Size
69,000 employees
Industry
Founded
2005

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