Senior Director of Finance, Emergency Medicine

Sound Physicians

Senior Director of Finance leading the Emergency Medicine service line at Sound Physicians. Driving financial performance and supporting growth initiatives in healthcare finance.

Posted 4/15/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $170,000 - $230,000 per yearWebsite

About the role

Key responsibilities & impact

Serve as the Finance leader for the Emergency Medicine service line, with deep expertise in EM-specific financial and operational drivers.
Partner closely with the Emergency Medicine Leadership Team (CEO, Operations, Clinical, etc.) to drive financial performance, support growth initiatives, and optimize site-level performance.
Act as a strategic thought partner, identifying opportunities to expand margins, improve performance, and support new business development within Emergency Medicine.
Lead financial support for EM contract strategy, including pricing models, renewals, and amendments; challenge assumptions and influence negotiations to achieve favorable outcomes.
Develop a comprehensive understanding of all Emergency Medicine hospital contracts, including key terms, performance expectations, and financial implications.
Own detailed budgeting and forecasting processes for the Emergency Medicine service line, incorporating key operational drivers and growth assumptions.
Perform monthly variance analysis (actual vs. budget/forecast), providing clear, actionable insights and recommendations to operational leaders.
Support integration and financial optimization of new EM programs, ensuring strong transition from business development to operations.
Create and deliver ad hoc analyses and reporting to support performance improvement initiatives and strategic decision-making.
Partner cross-functionally with Accounting, Finance, Revenue Cycle, Operations, and Clinical teams to ensure alignment between financial results, operational activities, and contract terms.
Lead or support enterprise-level projects focused on performance improvement, scalability, and growth within Emergency Medicine.
Contribute to the development of a high-performing Financial Operations team by promoting knowledge sharing, mentorship, and continuous improvement.

Requirements

What you’ll need

BA/BS in Finance, Accounting, or related field required
10+ years of experience in healthcare finance, including FP&A, strategic finance, provider operations finance, or healthcare consulting
Excellent written and oral communication skills
Strong understanding of provider-based financial models, including staffing, productivity, payer mix, and cost drivers
Experience supporting complex health system partnerships, new site development, or multi-site operations
Demonstrated ability to translate clinical and operational inputs into financial models and actionable insights
Ability to influence senior leaders and communicate complex financial concepts clearly across clinical, operational, and executive audiences
Advanced Excel and financial modeling skills

Benefits

Comp & perks

Medical insurance
Dental insurance
Vision insurance
Health care and dependent care flexible spending account
401(k) retirement savings plan with a company match
Self-managed PTO Plan OR Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
Ten company-paid holidays per year

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

financial modelingbudgetingforecastingvariance analysispricing modelscontract strategyperformance improvementhealthcare financeFP&Aprovider operations finance

Soft Skills

communication skillsstrategic thinkinginfluencingmentorshipcollaborationanalytical skillsproblem-solvingleadershipknowledge sharingcontinuous improvement