Finance Manager- Behavioral Health

The Finance Manager- Behavioral Health role provides day-to-day financial leadership across new service offerings, supporting financial sustainability and performance improvement in a matrixed healthcare organization. The position includes hands-on ownership of month-end close activities and involvement in annual budgeting.

Role Overview

In this hybrid position in Brentwood, TN, you will collaborate with clinical, operational, and executive leaders to ensure accurate financial reporting, compliance, and effective planning. The scope includes managing close processes, preparing financial statements, supporting forecasting and long-range planning, and translating financial results into actionable insights.

Key Responsibilities

• Close multiple sets of books each month in accordance with UHS corporate close guidelines
• Lead and manage the monthly, quarterly, and annual close process
• Prepare and review key financial statements, including the income statement, balance sheet, and cash flow
• Ensure the accuracy of journal entries, accruals, allocations, and reconciliations
• Maintain compliance with GAAP, healthcare accounting standards, and internal controls
• Develop and manage operating and capital budgets, including building realistic budgets
• Lead forecasts and long-range financial planning
• Monitor variance drivers and deliver monthly variance analysis for budget versus actual (MTD and YTD) and prior period comparisons
• Identify cost containment and efficiency opportunities, and evaluate opportunities for volume growth
• Analyze healthcare performance metrics, including labor productivity, cost per visit or procedure, contribution margin, and payer mix and reimbursement trends
• Provide data-driven recommendations to leadership
• Support business cases, ROI analysis, and growth initiatives
• Collaborate with clinical and operational leaders to improve financial performance
• Support contract modeling, payer negotiations, and reimbursement analysis
• Monitor revenue cycle performance in partnership with billing and operations teams
• Assist with capital planning and cash flow management
• Maintain and improve financial systems (ERP, budgeting tools, and BI dashboards)
• Oversee and strengthen internal controls and financial processes, and automate reporting where possible to improve efficiency and accuracy
• Ensure compliance with healthcare regulations and organizational policies

Requirements

• Bachelor’s degree required; master’s degree preferred
• CPA preferred
• 5+ years of progressive finance or accounting experience
• 2+ years of experience in a healthcare environment
• Demonstrated experience owning month-end close, budgeting and forecasting, and financial modeling and variance analysis
• Experience partnering with non-finance leaders strongly preferred
• Strong knowledge of GAAP and healthcare financial practices
• Experience with healthcare financial systems
• Comfort working with large datasets and BI tools

Benefits

• Competitive Compensation
• Excellent Medical, Dental, Vision, and Prescription Drug Plan
• 401(K) with company match and discounted stock plan
• Long and Short-term Disability
• Flexible Spending Accounts; Healthcare Savings Account
• Life Insurance
• Career development opportunities within the company
• Tuition Assistance
• Rewarding work environment

Work Schedule and Location

• Hybrid schedule: 3 days on site and 2 days remote
• Work location: In person in Brentwood, TN