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VP, Financial Planning & Analysis

Harbor Health

Harbor Health

Accounting & Finance
Remote
Posted on Nov 19, 2025

VP of Financial Planning & Analysis

POSITION OVERVIEW

Harbor Health is seeking a strategic and hands-on VP of Financial Planning & Analysis to lead financial operations across our integrated payvider model. Reporting to the CFO, you'll own the full FP&A function across multiple business entities including our health insurance plan, 5 medical entities, and ACO operations. This is an opportunity for a healthcare finance leader who thrives in startup environments and wants to build the financial infrastructure of an innovative organization transforming healthcare delivery in Austin.

POSITION DUTIES & RESPONSIBILITIES

Financial Planning & Analysis Leadership

  • Own and manage the annual budget process across all Harbor Health entities
  • Lead quarterly forecasting cycles with timely, accurate updates
  • Conduct monthly budget-to-actual analysis and variance reporting
  • Provide daily and weekly financial insights to business leaders, flagging early warning signs of budget deviation
  • Build comparative analyses across actuals, budget, and forecast to inform strategic decisions

Strategic Financial Management

  • Manage collective financial oversight over operations for multiple legal entities
  • Support financial aspects of IBNR management and ACO program operations
  • Provide financial analysis for risk and underwriting decisions
  • Lead strategic planning and operational forecasting initiatives

Cross-Functional Collaboration & Leadership

  • Partner with Accounting team and Harbor Health leadership team to ensure accurate financial data flows
  • Build strong working relationships with the Accounting Team
  • Communicate financial constraints while managing competing resource requests
  • Balance budget discipline with responding to the growth needs of the business
  • Provide mentorship and leadership to the Finance Team

Systems & Process Development

  • Lead implementation of FP&A software to replace Excel-based processes (top priority)
  • Participate in selection and implementation of financial systems to support business complexity
  • Develop scalable financial processes appropriate for a growing startup

DESIRED PROFESSIONAL SKILLS & EXPERIENCE

Required:

  • 10+ years of progressive finance experience with significant healthcare industry exposure
  • Understanding of healthcare payer economics, preferably from a health insurance company, large medical practice, or ACO
  • Proven experience owning the full FP&A function in a complex, multi-entity organization
  • Strong financial modeling and analytical skills with advanced Excel proficiency
  • Experience implementing FP&A software and building scalable financial processes
  • Ability to work independently and take full ownership of your scope of responsibilities
  • Excellent communication skills to convey financial insights for non-finance stakeholders
  • Collaborative leadership style with ability to influence without authority
  • Proactive mindset to identify business interdependencies and issues early
  • Comfort with ambiguity in a fast-paced startup environment

Preferred:

  • Healthcare finance leadership experience at a payer organization or provider group
  • Experience managing FP&A across multiple legal entities with different business models
  • Familiarity with ACO structures and value-based care financial models
  • Background in both strategic planning and operational forecasting
  • Track record of mentoring and developing finance team members
  • Experience in early-stage or high-growth healthcare startups

WHAT WE OFFER

  • Opportunity to build and own the FP&A function for an innovative payvider model, directly shaping Harbor Health's financial strategy and infrastructure
  • Collaborative and dynamic work environment
  • An organization made of people who are passionate about changing the healthcare landscape
  • Competitive salary and benefits package
  • Professional development and growth opportunities
  • A transparent and unique culture