Field Controller (Healthcare Finance / FP&A)Nexus Health Systems | Houston, TX | Full-Time | OnsiteDrive Operational Performance Across a Growing Healthcare SystemNexus Health Systems is seeking an experienced healthcare finance professional to partner directly with hospital leadership across our specialty hospitals. This is not a traditional accounting role-it's an operational finance position focused on helping hospital leaders improve financial performance through labor productivity, forecasting, KPI management, and data-driven decision making.
The ideal candidate has experience supporting multiple healthcare facilities and understands the financial drivers behind labor-intensive, census-based operations. If you're passionate about turning financial data into operational strategy, we'd love to hear from you.
What You'll Do- Partner with Hospital Administrators and executive leadership to improve financial and operational performance across multiple hospitals.
- Develop and maintain financial models, forecasts, and pro formas supporting operational and strategic initiatives.
- Analyze weekly and monthly KPIs, productivity, labor metrics, census trends, and financial performance.
- Provide actionable recommendations related to labor management, staffing efficiency, revenue, and operating expenses.
- Monitor productivity metrics including HPPD, overtime utilization, agency labor, and staffing trends.
- Conduct variance analysis and communicate performance drivers to facility leadership.
- Assist hospital leadership with budgeting, forecasting, scenario planning, and financial decision support.
- Identify operational improvement opportunities and implement financial best practices across facilities.
- Develop dashboards and reporting tools that help leaders make informed business decisions.
- Partner with Corporate Finance and hospital operations to ensure accurate financial reporting and consistent KPI tracking.
- Support capital planning and financial analysis for facility projects and operational initiatives.
What We're Looking ForRequired Qualifications- Bachelor's degree in Finance, Accounting, Business, Healthcare Administration, or a related field.
- Five or more years of progressive finance experience, including at least three years working directly within a healthcare operating company.
- Experience supporting multiple hospitals, clinics, or healthcare facilities simultaneously.
- Strong background in Financial Planning & Analysis (FP&A), budgeting, forecasting, financial modeling, and operational analytics.
- Experience using financial data to influence operational decisions and improve organizational performance.
- Advanced Excel and financial reporting skills.
- Excellent communication skills with the ability to present financial information to executive and operational leaders.
Preferred ExperienceCandidates with experience in one or more of the following environments are strongly preferred:
- Behavioral Health
- Pediatric Healthcare
- Rehabilitation Hospitals
- Long-Term Acute Care (LTAC)
- Post-Acute Care
- Specialty Hospital Systems
Ideal CandidateThe successful candidate will already understand the financial dynamics of healthcare operations and should have experience with:
- Hospital productivity metrics (HPPD)
- Overtime and premium labor management
- Agency staffing utilization
- Census-driven labor planning
- Operational variance analysis
- Scenario modeling and pro forma development
- Multi-site healthcare finance support
This is
not a traditional accounting or financial reporting position. We're looking for an operational finance professional who enjoys partnering with hospital leaders, solving business challenges, and improving financial performance.
