Field Controller, Healthcare Finance / FP&A

Field Controller (Healthcare Finance / FP&A)

Nexus Health Systems | Houston, TX | Full-Time | Onsite

Drive Operational Performance Across a Growing Healthcare System

Nexus Health Systems is seeking an experienced healthcare finance professional to partner directly with hospital leadership across our specialty hospitals. This is not a traditional accounting role—it's an operational finance position focused on helping hospital leaders improve financial performance through labor productivity, forecasting, KPI management, and data-driven decision making.

The ideal candidate has experience supporting multiple healthcare facilities and understands the financial drivers behind labor-intensive, census-based operations. If you're passionate about turning financial data into operational strategy, we'd love to hear from you.

What You'll Do

• Partner with Hospital Administrators and executive leadership to improve financial and operational performance across multiple hospitals.
• Develop and maintain financial models, forecasts, and pro formas supporting operational and strategic initiatives.
• Analyze weekly and monthly KPIs, productivity, labor metrics, census trends, and financial performance.
• Provide actionable recommendations related to labor management, staffing efficiency, revenue, and operating expenses.
• Monitor productivity metrics including HPPD, overtime utilization, agency labor, and staffing trends.
• Conduct variance analysis and communicate performance drivers to facility leadership.
• Assist hospital leadership with budgeting, forecasting, scenario planning, and financial decision support.
• Identify operational improvement opportunities and implement financial best practices across facilities.
• Develop dashboards and reporting tools that help leaders make informed business decisions.
• Partner with Corporate Finance and hospital operations to ensure accurate financial reporting and consistent KPI tracking.
• Support capital planning and financial analysis for facility projects and operational initiatives.

What We're Looking For

Required Qualifications

• Bachelor's degree in Finance, Accounting, Business, Healthcare Administration, or a related field.
• Five or more years of progressive finance experience, including at least three years working directly within a healthcare operating company.
• Experience supporting multiple hospitals, clinics, or healthcare facilities simultaneously.
• Strong background in Financial Planning & Analysis (FP&A), budgeting, forecasting, financial modeling, and operational analytics.
• Experience using financial data to influence operational decisions and improve organizational performance.
• Advanced Excel and financial reporting skills.
• Excellent communication skills with the ability to present financial information to executive and operational leaders.

Preferred Experience

Candidates with experience in one or more of the following environments are strongly preferred:

• Behavioral Health
• Pediatric Healthcare
• Rehabilitation Hospitals
• Long-Term Acute Care (LTAC)
• Post-Acute Care
• Specialty Hospital Systems

Ideal Candidate

The successful candidate will already understand the financial dynamics of healthcare operations and should have experience with:

• Hospital productivity metrics (HPPD)
• Overtime and premium labor management
• Agency staffing utilization
• Census-driven labor planning
• Operational variance analysis
• Scenario modeling and pro forma development
• Multi-site healthcare finance support

This is not a traditional accounting or financial reporting position. We're looking for an operational finance professional who enjoys partnering with hospital leaders, solving business challenges, and improving financial performance.

Why Nexus Health Systems?

At Nexus Health Systems, you'll work alongside executive leadership to influence the financial performance of a growing network of specialty hospitals. You'll have a direct impact on strategic decisions that support exceptional patient care while helping shape the future of our organization.