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DIRECTOR CLINICAL FP&A

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, this position spearheads financial planning transformation initiatives, enhances FP&A systems and processes.

Company Overview: Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

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.


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.

Envision Healthcare uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify .

Envision Healthcare is an Equal Opportunity Employer.


  • 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 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.
  • Other duties as assigned

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