[Remote] Vice President of Finance
Note: The job is a remote job and is open to candidates in USA. Greenbrook Medical is dedicated to providing high-touch, relationship-based primary care to seniors. The Vice President of Finance will act as the senior financial leader, responsible for financial strategy, planning, operations, and performance management to support the company's growth and complexity.ResponsibilitiesServe as a strategic advisor to the CEO and executive team on financial performance, growth planning, and operational decision-makingLead long-range financial planning, scenario modeling, and capital allocation strategiesPartner directly with clinical, operations, and growth leaders to ensure financial sustainability within a full-risk, value-based care modelSupport fundraising activities through financial modeling, diligence support, and investor communicationsOwn the annual budgeting process, ongoing reforecasting, and long-term financial modelsConduct deep FP&A analyses including: Budget vs. actual performance, CAC:LTV modeling, Churn and retention analysis, J-curve and cohort performance analysisProvide strategic insights to guide market entry, capacity planning, and resource allocationOversee all financial operations, including outsourced HR/Payroll support responsible for payroll processing, benefits administration, state tax filings, corporate insurance, and related complianceEnsure robust internal controls, financial accuracy, and compliance with federal, state, and payer requirementsManage the relationship with external bookkeeping and accounting partnersEnsure timely and accurate month-end closes, reconciliations, and financial statementsImprove systems, processes, and automation across accounting and reportingManage spend discipline across the organization, including: Budget adherence, Hiring salary approvals, Corporate credit card strategy, provisioning, rules, and controls, Vendor onboarding and vendor management, Receipt tracking and spend reportingLead cost-optimization initiatives and ensure responsible financial stewardshipOversee financial operations related to full-risk and value-based care contractsValidate that capitation payments, stop-loss charges, and shared savings distributions are accurateLead contestations and reconciliation processes with payers as neededGuide reserve fund allocation and risk corridor decision-makingPartner with clinical and operational teams to understand drivers of performance and financial outcomesDeliver accurate forecasts and budget vs. actual performance, ensuring financial targets are metMaintain disciplined spend, optimize cost efficiency, and ensure compliance with internal policiesEnsure accurate capitation, stop-loss, and shared savings payments while managing reserve funds effectivelyProvide actionable financial insights that drive growth, operational decisions, and strategic initiativesEnsure all financial operations meet regulatory, CPOM, and value-based care requirementsSkills10+ years of FP&A, strategic finance, and accounting experience5+ years of leadership experience building and scaling high-performing finance teams and overseeing strategic financial operationsStrong experience with value-based care or risk-bearing payment models (e.g., Medicare Advantage, global capitation, ACO REACH), including understanding of drivers of medical spend, capitation flows, and performance economicsWorking knowledge of MSO–PC structures and corporate practice of medicine (CPOM) considerations, with the ability to ensure compliant financial operations in a multi-entity environmentProven ability to translate financial analysis into clear operational levers and strategic decisions across the organizationComfort operating in a fast-paced, scaling healthcare startup, with a track record of instilling financial discipline and building scalable processesSound judgment and business acumen, with the ability to balance risk, investment, and long-term value creationClear, confident communicator who can articulate financial strategy and insights to executive leadership, the Board, and investorsCollaborative leadership style with the ability to influence across clinical and operational stakeholdersHands-on experience with accounting systems, reporting tools, or ERP platformsStrong judgment and business acumen, balancing financial risk with strategic opportunityYou embody our core values of Heart, Excellence, Accountability, Resilience, and TeamworkLocation: New York City strongly preferred (Hybrid). Open to remote candidates in FL, VA, NY, NJ MO or TXBenefitsPerformance-based bonusPaid time offHealth, dental and vision benefits401K with a company matchCompany OverviewGreenbrook Medical offers specialized healthcare for older adults, focusing on personalized medical services. It was founded in 1991, and is headquartered in Hudson, Florida, USA, with a workforce of 11-50 employees. Its website is https://greenbrookmedical.com.