VP FP&A at PATIENTCARE EMS SOLUTIONS in Franklin, TN

POSITION SUMMARY

PatientCare EMS Solutions is a private-equity-backed emergency medical transportation company with roughly 3,000 employees, 450,000+ annual transports, and seven operating companies across multiple states — plus an ambulance refurbishment shop. Our Finance team turns 450,000+ patient encounters a year into numbers the C-suite, the board, and our lenders can act on.

Key Responsibilities

• Serve as the CFO's direct finance partner and liaison across the organization, advising on financial strategy, performance, and capital allocation, and representing Finance in executive and sponsor discussions.
• Own the end-to-end annual budget and monthly forecast processes across all operating companies, including assumptions, supporting analyses, and the final presentation to the private equity sponsor, with particular focus on labor/overtime, revenue, and capex.
• Lead financial statement generation, consolidation, and analysis, ensuring accurate and timely monthly reporting and driver-based variance analysis (volume, rate, mix) that explains results to executive leadership.
• Act as the primary point of contact for private equity sponsor requests; receive, prioritize, and manage each request through completion, and ensure timely, consistent, and accurate responses.
• Lead the financial modeling that supports strategic decisions, including RFP bids, M&A diligence and post-close integration, transport-volume growth scenarios, cost-reduction initiatives, staffing and labor strategy, and labor negotiations.
• Partner with the Revenue Cycle Management (RCM) team to determine monthly net revenue and oversee analysis of payor mix, collections, and revenue variances; lead revenue recognition review in coordination with the CFO and external auditors.
• Own monthly management reporting packages for operators, executive leadership, and the private equity sponsor, and lead preparation of Board of Directors materials and other executive-level presentations.
• Oversee cash flow forecasting, working capital analysis, and liquidity management in support of the CFO.
• Lead quarterly credit agreement / covenant compliance reporting and serve as a day-to-day finance contact for lenders, including review of calculation workpapers and response to lender inquiries.
• Support the external audit and tax process by coordinating with outside auditors and advisors on audit planning, deliverables, and technical accounting matters.
• Build, develop, and lead the FP&A team; set standards for advanced Excel / Power Query models, reporting quality, and review discipline.
• Drive finance process and internal control improvements (e.g., approval authority, budget and close processes) to scale reporting as the company grows through acquisition.
• Act as a trusted finance advisor to operating leaders, translating data into decisions for non-finance operators.
• Use AI tools (e.g., Claude, Microsoft Copilot) to accelerate and improve the quality of financial analysis and reporting.

Required Qualifications

• Bachelor's degree in Finance, Accounting, or Economics.
• 10+ years of progressive FP&A, corporate finance, or finance leadership experience, including 3+ years leading budgeting and forecasting for a multi-entity organization.
• Direct experience in a private-equity-backed company, including budget presentations to, and day-to-day information requests from, a sponsor or board.
• Demonstrated experience producing consolidated financial statements and driver-based variance analysis (volume, rate, mix) for executive leadership.
• Experience with lender reporting, including credit agreement and covenant compliance calculations.
• Advanced financial modeling skills (Excel and Power Query), including M&A, bid, and scenario models.
• Working knowledge of U.S. GAAP, including revenue recognition, and experience working with external auditors.
• Strong executive communication skills: able to present to a CFO, board, and PE sponsor and translate financial data into decisions for non-finance leaders.
• Proven ability to lead, develop, and set standards for a finance team.
• Sound judgment and discretion with confidential financial information, and the ability to manage multiple deadline-driven priorities.

Preferred Qualifications

• MBA or advanced degree in a related field.
• Healthcare services experience, ideally ambulance/medical transportation (EMS, NEMT) or other healthcare services with a high payor mix.
• Experience with healthcare revenue cycle (net revenue estimation, payor mix, collections, Medicare/Medicaid billing).
• M&A diligence and post-close integration experience.
• Multi-state, multi-entity operating company experience.
• Experience with consolidation and reporting systems (e.g., ERP and BI tools) and using AI tools to improve analysis.

Work Environment

• Full-time, mostly remote position. Candidates should be based near Nashville, TN to allow for periodic in-person collaboration with CFO.

Equal Employment Opportunity

Patient Care is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable law. Reasonable accommodations are available to qualified individuals with disabilities.