Finance Manager

The Finance Manager serves as the primary financial partner to Behavioral Health leadership, providing financial analysis, budgeting, forecasting, and performance reporting to support business decisions and improve financial results.

This role works closely with Operations, Revenue Cycle Management (RCM), Accounting, and Shared Services to monitor revenue, expenses, program profitability, staffing costs, and financial risks. The Finance Manager also leads financial due diligence and integration activities for Behavioral Health acquisitions.

Key Responsibilities

1. Financial Planning & Business Partnership

• Partner with Behavioral Health leaders to review financial performance and identify opportunities for improvement.

• Lead monthly financial reviews, including revenue, expenses, labor costs, profitability, and budget variances.

• Explain financial trends, identify risks, and recommend solutions.

• Evaluate the financial impact of staffing changes, new programs, service expansions, and other business decisions.

• Develop action plans with Operations to improve underperforming programs.

2. Budgeting, Forecasting & Reporting

• Lead annual budgeting and ongoing forecasting for Behavioral Health.

• Prepare financial reports comparing actual results against budgets and forecasts.

• Analyze revenue, expenses, staffing, and operational trends to support accurate financial projections.

• Identify financial risks and opportunities and communicate their potential impact to leadership.

• Maintain accurate financial assumptions and supporting documentation.

3. Program Profitability & Revenue Analysis

• Monitor financial performance across programs, service lines, locations, and funding sources.

• Identify underperforming programs and determine the reasons for financial challenges.

• Analyze reimbursement rates, service volumes, staffing costs, and operating expenses.

• Evaluate opportunities to improve profitability and support decisions regarding program growth, restructuring, or investment.

• Ensure revenue and reimbursement trends are reflected in financial forecasts.

4. Revenue Cycle Management (RCM) Oversight

• Partner with RCM and Operations to monitor revenue performance for county-funded and fee-for-service programs.

• Compare expected revenue with amounts billed, recorded, and collected.

• Identify billing delays, denied claims, unbilled services, collection issues, and other potential revenue losses.

• Analyze reimbursement and collection trends and assess their impact on financial performance.

• Ensure significant revenue risks are included in forecasts and communicated to leadership.

Note: RCM remains responsible for day-to-day billing, claims, denials, and collections. The Finance Manager focuses on financial analysis, reporting, forecasting, and identifying revenue risks.

5. Labor & Shared Services Cost Management

• Monitor staffing levels, vacancies, overtime, contract labor, and other workforce costs.

• Analyze the relationship between staffing, productivity, service delivery, and revenue.

• Partner with Operations, HR, IT, Facilities, Procurement, and other Shared Services teams to understand costs affecting Behavioral Health.

• Identify cost-saving opportunities and explain significant spending variances.

• Incorporate staffing changes and shared service expenses into budgets and forecasts.

6. Acquisition Due Diligence & Integration

• Lead the financial due diligence process for prospective Behavioral Health acquisitions under senior Finance leadership.

• Review financial statements, revenue, profitability, staffing, reimbursement, contracts, accounts receivable, and financial risks.

• Evaluate acquisition assumptions and prepare financial analyses and recommendations for leadership.

• Coordinate with Accounting, Tax, Legal, HR, Compliance, IT, and Operations during the due diligence process.

• Develop and manage financial integration plans for completed acquisitions.

• Transition acquired operations into Chimes' financial reporting, budgeting, forecasting, and profitability processes.

• Track financial performance against acquisition projections and identify integration risks and improvement opportunities.

7. Financial Reporting & Controls

• Partner with Accounting to ensure financial results are accurate and complete.

• Review significant financial estimates, accruals, revenue adjustments, and allocations.

• Investigate unusual financial trends and discrepancies.

• Improve financial reporting processes and ensure key financial risks are appropriately documented and communicated.

Ongoing Deliverables

The Finance Manager is responsible for maintaining regular reporting and analysis, including:

• Monthly financial performance reports

• Budget and forecast variance analysis

• Program profitability reports

• Revenue and reimbursement analysis

• RCM and collections performance reports

• Labor and productivity analysis

• Financial risk and opportunity tracking

• Shared Services cost reviews

• Acquisition due diligence and integration reporting, as needed