Senior FP&A Analyst

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 six states — plus an ambulance refurbishment shop. Our Finance team turns 400,000+ patient encounters a year into numbers the C-suite, the board, and our lenders can act on.

The Senior FP&A Analyst is a hands-on member of the FP&A team with a primary focus on supporting Revenue Cycle Management (RCM). This role is the finance link to our RCM team, turning billing, payor, and collections data into accurate net revenue, forecasts, and insights that operators and executive leadership can act on. The role reports to the FP&A Manager and also supports budgeting, modeling, and lender and board reporting.

Key Responsibilities

• Partner with the Revenue Cycle Management (RCM) team each month to determine net revenue and analyze payor mix, collections, and revenue variances across operating units.
• Build and maintain revenue forecasts and models that translate transport volume, payor mix, and collection trends into net revenue and cash expectations.
• Analyze accounts receivable, collection rates, and contractual adjustments and write-offs; identify trends, risks, and opportunities and communicate them to RCM and finance leadership.
• Develop and maintain RCM performance reporting and KPIs for operators, executive leadership, and (as applicable) the private equity sponsor.
• Prepare the annual budget and monthly forecast for assigned operating units, with a focus on revenue, and support labor/overtime and capex planning.
• Support cash flow forecasting and working capital analysis, including the timing of collections.
• Build and maintain financial models to support RFP bids, M&A diligence, transport-volume growth scenarios, cost-reduction initiatives, and labor negotiations.
• Prepare monthly management reporting packages and variance analysis for operators and executive leadership.
• Prepare calculation workpapers for quarterly credit agreement / covenant compliance reporting and assist with lender inquiries.
• Build and maintain advanced Excel / Power Query models, with clear documentation and appropriate controls.
• Assist with Board of Directors reporting materials and other executive-level presentations.
• Serve as a trusted finance point of contact for RCM and assigned operating units, translating data into decisions for non-finance stakeholders.
• Use AI tools (e.g., Claude) to accelerate and improve the quality of financial analysis and reporting.

Required Qualifications

• Bachelor's degree in Finance, Accounting, Economics, or a related field.
• 3–5 years of progressive FP&A, corporate finance, or financial analysis experience.
• Advanced Excel skills, including complex financial modeling; Power Query experience preferred.
• Demonstrated experience with budgeting, forecasting, and variance analysis.
• Strong analytical skills working with large revenue, billing, or collections datasets, and the ability to learn healthcare revenue cycle concepts quickly.
• Clear written and verbal communication skills, with the ability to explain financial results to non-finance stakeholders.
• Strong attention to detail, sound judgment, and the ability to manage multiple deadlines.

Preferred Qualifications

• Healthcare revenue cycle experience (e.g., EMS/ambulance billing, payor mix, accounts receivable, collections, or denials analysis).
• Experience in a healthcare services environment.
• Experience in a private-equity-backed company or with lender covenant reporting.
• Experience with BI / reporting tools and ERP or consolidation systems.
• CPA, CMA, CFA, or MBA.

Work Environment

• Full-time, hybrid position based out of the Franklin, TN office, which is expected to open in Q1.
• Remote work expectations prior to the office opening, and the in-office schedule thereafter, will be confirmed by the hiring manager.

Equal Employment Opportunity

PatientCare EMS Solutions 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.