Director, Strategic Finance

(Mosaic Shared Services) Millennium Healthcare Management Serv LLC; San Francisco (CA); On-site; USD 131,000 - 197,000; Full time

Job summary

Millennium Healthcare Management Serv LLC is seeking a Director of Strategic Finance to translate complex financial and operational data into decisive actions. You will lead driver-based models for growth, assess investments, and improve forecasting to support value-based care economics.

You will partner with senior leaders across finance, operations, clinical, and network teams, turning insights into executive recommendations and scalable reporting that drives performance and resource

Qualifications

• Bachelor’s degree in a related field; MBA a plus.
• 7+ years in strategic finance, FP&A, or healthcare analytics.
• Strong modeling, forecasting, and executive communication.

Responsibilities

• Serve as strategic finance partner to senior leaders with fact-based perspectives.
• Build driver-based models for growth initiatives and strategic investments.
• Analyze performance across markets by linking P&L, claims, utilization, and data.
• Evaluate medical cost trends, risk adjustment, and value-based arrangements.
• Lead business-case development and post-investment tracking (ROI, cost-benefit).
• Support annual planning, rolling forecasts, and long-range planning.
• Collaborate with clinical and operations teams to identify opportunities.
• Translate analyses into concise executive-ready insights.

Skills

Financial modeling

Excel proficiency

SQL/Databricks

Power BI/Tableau

Executive communication

Forecasting

Education

Bachelor’s degree in Finance/Economics/Accounting

MBA or advanced degree (preferred)

Tools

SQL/Databricks

Power BI

Tableau

Excel

Job description

Job Description SummaryThe Director, Strategic Finance will be a senior thought partner to leaders across Millennium, translating complex financial, medical claims, clinical, and operational data into decisions that drive growth and performance. The role will evaluate strategic investments, strengthen forecasting and decision support, improve the economics of value-based care, and help leaders understand where to allocate resources for the greatest impact. This is a hands-on role for someone who combines rigorous financial analysis with an operator mindset and enjoys moving from insight to action.WHY THIS ROLE• Enterprise visibility: Work on high-priority decisions spanning growth, market performance, physician economics, care delivery, and resource allocation.• Strategic + operating breadth: Move between business cases, forecasting, payer and risk economics, provider performance, and execution tracking.• Platform scale: Join Millennium during a period of continued expansion, with access to the capabilities and learning opportunities of a broader national care delivery platform.• Build and influence: Strengthen the models, metrics, and decision processes leaders use to run the business and measure value creation.How will you make an impact & RequirementsKEY RESPONSIBILITIES· Serve as a strategic finance partner to senior leaders across finance, operations, clinical, network, and growth teams, bringing a fact-based financial perspective to key business decisions.· Build and own driver-based financial models for growth initiatives, market expansion, physician partnerships, service-line opportunities, care programs, and other strategic investments; frame returns, risks, sensitivities, and trade-offs.· Analyze performance across markets, practices, providers, service lines, and patient populations by connecting P&L, claims, utilization, quality, and operational data to explain trends and identify opportunities.· Support value-based and risk-based arrangements by evaluating medical cost trends, utilization, quality performance, risk adjustment, shared savings, capitation assumptions, benchmarks, and contract economics.· Lead business-case development and post-investment tracking, including ROI, cost-benefit, scenario, and variance analysis, to ensure initiatives translate into measurable results.· Support annual planning, rolling forecasts, and long-range financial planning; improve the quality of assumptions, driver visibility, and accountability across the organization.· Partner with clinical, care management, network, and operations teams to identify, size, prioritize, and track opportunities that improve performance and reduce avoidable utilization and total cost of care.· Translate complex analysis into concise, executive-ready insights and recommendations for senior leadership, provider-facing teams, and cross-functional stakeholders.· Develop scalable reporting, KPI frameworks, and decision-support tools that increase transparency, accelerate decision-making, and strengthen financial discipline as the organization grows.QUALIFICATIONS· Bachelor's degree in Finance, Economics, Accounting, Business, Healthcare Administration, Analytics, or a related field; MBA or other advanced degree is a plus.· 7+ years of experience in strategic finance, FP&A, corporate development, investment banking, management consulting, healthcare finance/analytics, or a similarly rigorous analytical role.· Strong financial modeling and analytical skills, including the ability to build driver-based forecasts, investment cases, scenarios, and executive-level decision support from imperfect or complex data.· Advanced Excel proficiency. Experience with SQL/Databricks and visualization tools such as Power BI or Tableau is helpful but not required for the right finance leader.· Demonstrated ability to synthesize complex information into clear business recommendations, communicate with senior executives, and influence cross-functional teams without relying on formal authority.· High ownership, intellectual curiosity, and comfort operating in a fast-paced environment where priorities evolve and the finance team is expected to help shape the answer - not simply report the result.WHAT WILL SET YOU APART· Experience in physician organizations, MSOs/IPAs, health plans, risk-bearing entities, or other value-based care models, with a strong understanding of utilization, medical cost, capitation, and total cost of care.· A track record of pairing financial rigor with commercial and operating judgment - and of staying close enough to execution to understand whether the expected value is actually being realized.· Experience supporting multi-site growth, market expansion, partnerships, acquisitions/integrations, or other scaled healthcare delivery initiatives.· The range to move comfortably from detailed analysis to an executive narrative: you can interrogate a model, challenge assumptions, and then explain the answer simply and persuasively.WHAT SUCCESS LOOKS LIKE· Senior leaders have a clearer, faster view of the economic drivers behind performance and the actions that can change the trajectory.· Major growth and operating initiatives are supported by rigorous business cases, explicit assumptions, and disciplined follow-through on realized value.· Forecasting and performance management become more driver-based, connected to operating realities, and useful as decision tools rather than reporting exercises.· Financial, claims, and operational insights consistently translate into practical actions that improve growth, provider performance, affordability, and patient outcomes.Compensation Range:$131,243.00to$196,865.00The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.