Job DetailsLevel: ExperiencedJob Location: ESP Executive Offices - Dallas, TX 75038Position Type: Full TimeEducation Level: 4 Year DegreeTravel Percentage: NoneJob Shift: DayJob Category: FinanceFinancial Planning and Analysis (FP&A) Manager Job Summary: The Financial Planning and Analysis (FP&A) Manager, reporting to the Director of Financial Planning & Analysis, will lead operational FP&A and own the organization’s recurring management reporting process. This is a hands-on individual contributor role with no direct reports. The role is responsible for delivering timely, accurate, and decision-useful reporting; analyzing financial and operational performance; translating results into actionable insights; and supporting executive and operational leaders in driving business performance for a prominent national group of ENT practices during a period of rapid organizational and financial growth. The FP&A Manager will establish clear, scalable processes, maintain high standards, and follow through on commitments. The ideal candidate has experience in healthcare finance, particularly within a physician MSO environment, and understands the nuances of physician practice management, reimbursement models, and operational efficiency. Key Responsibilities: Financial Planning & Analysis: Support the development of budgeting and forecasting capabilities, including establishing assumptions, coordinating inputs across the organization, and creating scalable processes for future planning cycles. Develop financial models to support strategic initiatives, cost-saving measures, revenue optimization, and business decisions. Monitor key performance indicators (KPIs), financial trends, and operational metrics to identify opportunities for improvement. Provide variance analysis and insights into financial performance, identifying risks and opportunities. Ownership & Execution: Serve as a hands-on FP&A leader with direct ownership of key analyses, reporting deliverables, and process execution. Establish scalable processes, documentation, and quality standards that improve efficiency, consistency, and continuity across the FP&A function. Balance competing priorities and deadlines, proactively communicate risks or delays, and ensure commitments are completed accurately and on time. Business & Operational Analysis: Build strong relationships with operational leaders, understand key business drivers, and provide practical financial guidance to improve performance. Identify and implement improvements to FP&A processes, controls, and workflows to increase efficiency, consistency, and accuracy. Lead or support ad hoc analyses and strategic initiatives identified by business and executive leadership. Financial Reporting: Own the end-to-end monthly and quarterly management reporting process, including the reporting calendar, coordination of inputs, data validation, variance analysis, management commentary, and leadership review. Establish and maintain consistent reporting definitions, templates, source data, and quality-control procedures across practices and divisions. Develop clear, executive-ready dashboards, operating reviews, financial presentations, and KPI reporting that communicate the business story, key risks, opportunities, and recommended actions. Collaborate cross-functionally with Accounting to ensure reported results are accurate and reconciled; with IT and Data teams to enhance reporting systems and automation; and with Operations to translate insights into action.  QualificationsQualifications & Experience: Education: Bachelor’s degree in Finance, Accounting, or a related field (MBA or CPA preferred, but not required). Experience: 5–7 years of progressive FP&A, healthcare finance, or financial analysis experience, with demonstrated ownership of recurring reporting deliverables and complex cross-functional projects. Technical Skills: Strong proficiency in financial modeling, forecasting, and data analysis. Advanced Microsoft Excel skills and strong proficiency across the Microsoft Office suite. Familiarity with financial planning, ERP, and business intelligence platforms (e.g., NetSuite, CUBE, Tableau, or Power BI) is preferred but not required. Familiarity with EHR, practice management, and revenue cycle management systems is preferred but not required. Soft Skills: Excellent written and verbal communication and presentation skills, with the ability to translate complex financial information into clear, concise messages for varied audiences. Strong interpersonal skills and the ability to build credibility and work effectively across Operations, Accounting, Data, and executive leadership teams. Proactive, accountable, and highly dependable, with a strong work ethic, sound judgment, attention to detail, and a willingness to take ownership from problem identification through resolution. Comfortable operating in a fast-paced, evolving environment; able to prioritize effectively, adapt to changing needs, and maintain accuracy under tight deadlines. Strong problem-solving and analytical skills, intellectual curiosity, and a continuous-improvement mindset. Other Preferred Experience: Experience with physician-practice financial management, multi-site reporting, and operational performance analysis. Prior experience in an MSO, private equity-backed healthcare group, or multi-site physician practice.
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