FP&A Manager

Regional Finance Manager

Emergency Medicine | Physician-Led, PE-Backed

Location: Pensacola, FL or remote (Central or Eastern time zone); ~10% travel

Reports to: Director of Finance

Employment type: Full-time, exempt

Department: FP&A

Company: Emergency Care Partners

Role Summary

As Regional Finance Manager, you’ll be the strategic finance partner to regional operations and physician leadership for a ~$150M portfolio of emergency departments. You’ll own the numbers end to end, from budget and forecast through monthly performance, and turn site-level drivers like volume, acuity, payer mix, provider productivity, and hospital subsidies into decisions that improve margin and fuel growth. This is a high-visibility seat: your work will reach regional VPs, the executive team, and our PE sponsor.

Key Responsibilities

Financial Planning & Analysis

• Own monthly close review, variance analysis, and reporting for the assigned region (~20 sites, $150M revenue)

• Lead the annual budget and quarterly forecast with regional VPs and leaders

• Build and own site-level P&Ls that tie visits, labor cost, and contribution margin to operational drivers

• Identify margin improvement opportunities, quantify the impact, and hold initiatives accountable to delivery

Operational & Contract Economics

• Evaluate provider compensation, scheduling, and coverage models against productivity benchmarks, and recommend changes

• Own hospital contract economics (stipends, subsidies, renewal profitability) and arm leadership with the analysis for renegotiations

Growth & Sponsor Reporting

• Drive the financial work behind new sites, whether acquired or launched: diligence, integration, and transition models

• Prepare board and PE sponsor materials, including KPIs and EBITDA bridges

Qualifications

Required

• Bachelor’s degree in Finance, Accounting, or a related field

• 5+ years in FP&A, operational finance, or financial analysis, including 2+ years in healthcare services

• Advanced Excel and financial modeling skills

• Strong communication skills with non-finance stakeholders, including physicians

Preferred

• Experience in physician practice management, emergency medicine, or other hospital-based specialties

• Familiarity with professional fee revenue cycle (CPT/E&M coding, payer contracting, collections)

• Experience in a PE-backed or multi-site environment

• MBA, CPA, or CFA

• Experience with Hyperion, NetSuite, and Power BI or Tableau

• Curiosity about using AI and automation to work more efficiently

Core Competencies

• Analytical rigor and attention to detail

• Business partnership and ability to influence without direct authority

• Comfort with ambiguity in a fast-growth environment

• Clear, concise communication of complex financial concepts

Why Join ECP

• Join a physician-led, PE-backed group operating ~60 ERs across 10 states, in a growth phase with active M&A

• Own a region as its finance lead, not a slice of someone else’s model

• Get direct exposure to executive leadership and sponsor reporting

• Be part of an FP&A team that’s being built out now, with room to grow alongside it