Senior Financial Analyst

MHC Mental Health Cooperative, Inc.; Nashville (TN); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical Insurance/Prescription Drug

Health Savings Account

Dental Insurance

Vision Insurance

403b - Retirement Plan

Calm App for mental health

Gym membership discounts

Pet Insurance

Job summary

Mental Health Cooperative, Inc. in Nashville, TN is seeking a Senior Financial Analyst to manage monthly financial results, analyze data from claims, budget, and operations, and deliver reports for management and the board.

The role requires healthcare domain knowledge and strong data interpretation with an emphasis on GAAP-compliant reporting. The position supports cross-functional finance teams, collaborates on month-end close, and develops financial models, forecasts, and dashboards to guide

Qualifications

• Bachelor’s Degree in Finance, Accounting, Economics, Business Administration, or a related field required.
• 3+ years of progressive experience in Finance, Accounting, FP&A, business analysis, or a related financial role is required.
• Healthcare experience is a plus.
• Experience preparing budgets, forecasts, variance analyses, and financial reports required.
• Strong understanding of financial planning, capital tracking, operating expense management, and financial reporting required.
• Experience with grant budgeting a plus.
• GAAP familiarity in financial reporting and month-end close.
• Advanced Excel skills (pivot tables, lookups, complex formulas) required; experience with financial reporting systems a plus.
• Ability to compile complex information, design reports, and analyze data.
• Strong communication and presentation skills.
• Experience applying AI tools to streamline recurring analysis, reporting, and documentation, with validation and PHI protection.
• Experience developing dashboards, recurring reports, financial trackers, or process documentation preferred.
• CPA, CFA, or HFMA CHFP is a plus.

Responsibilities

• Support monthly preparation of the financial reporting package, dashboards, and KPIs for management and the board.
• Collaborate with Accounting during month-end close, reviewing allocations, indirect costs, accrual reasonableness, and program-level P&L.
• Interpret monthly/year-to-date results, identify variances and drivers for planning.
• Serve as a cross-functional analytical resource to Accounting, Revenue Cycle, and program leadership.
• Assist in budgeting and forecasting, aligning with strategic goals.
• Partner with leadership to build financial models, scenarios, and business plans.
• Support grant management, including grant budgets and tracking expenditures.
• Maintain capital budget and track spend against budget.
• Conduct ad hoc analyses and proformas to address challenges and opportunities.
• Participate in team efforts to achieve goals.

Skills

Financial analysis

Data interpretation

Excel advanced

Presentation skills

Communication

Decision-making

AI tooling awareness

Education

Bachelor’s Degree in Finance/Accounting/Economics/Business Administration

Tools

Excel

Financial reporting systems

Job description

Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals. Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee. Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis. If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you!

Position Summary:

The Senior Financial Analyst plays a critical role in managing MHC’s monthly financial results, analyzing financial data on a routine and ad hoc basis, and preparing financial presentations and reports for management and the board. This position is responsible for analyzing and interpreting data from multiple sources (e.g., claims, budget, and operational data) to provide meaningful information that focuses and directs MHC’s operational initiatives. The role requires a strong understanding of healthcare operations, data analysis, and financial management, particularly within a managed-Medicaid-driven payer environment.

Schedule:

Monday to Friday, 8:00 AM - 4:30 PM, Hybrid schedule (4 days in office, 1 day WFH)

Location:

275 Cumberland Bend, Nashville, TN 37228

Position Responsibilities:

• Support the monthly preparation of the financial reporting package, dashboards, and key performance indicators (KPIs) for management and the board, providing regular updates on financial and operational performance.
• Partner with Accounting through the month-end close, owning the analytical review of results — for example, program and cost-center allocations, indirect cost allocation, accrual reasonableness, and program-level P&L review.
• Interpret monthly and year-to-date financial results, identifying variances, trends, and underlying drivers to inform management’s planning and operational decisions.
• Serve as a cross-functional analytical resource to Accounting, Revenue Cycle, and program leadership as needed — for example, analyzing denial trends and denial rate, days in accounts receivable, payer mix shifts, and reimbursement rate changes by payer and service line.
• Assist in the preparation, monitoring, and revision of annual budgets and financial forecasts, collaborating with department heads to ensure alignment with strategic goals.
• Partner with executive leadership to build financial models, forecasts, and business plans — including scenario and sensitivity analysis — that inform strategic direction, prioritization, and resource allocation.
• Support grant management, including developing grant budgets and tracking expenditures against awarded funds.
• Collaborate across functional areas to develop and maintain the capital budget, including assessing the financial feasibility of capital projects and tracking capital spend against budget.
• Conduct ad hoc financial analysis and pro formas, providing insight to address specific financial challenges and opportunities as they arise.
• Participate in proactive team efforts to achieve departmental and company goals.

Essential Skills and Experience:

• Bachelor’s Degree in Finance, Accounting, Economics, Business Administration, or a related field required.
• 3+ years of progressive experience in Finance, Accounting, FP&A, business analysis, or a related financial role is required.
• Experience in healthcare is a plus.
• Experience preparing budgets, forecasts, variance analyses, and financial reports required.
• Strong understanding of financial planning, capital tracking, operating expense management, and financial reporting required.
• Experience with grant budgeting a plus.
• Familiarity with Generally Accepted Accounting Principles (GAAP) as applied to financial reporting and month-end close.
• Advanced Excel skills (pivot tables, lookups, complex formulas) required; experience with financial reporting systems a plus.
• Ability to compile complex information, design reports, and analyze data.
• Strong communication and decision-making skills.
• Excellent presentation, organization, research, and analysis skills.
• Experience applying AI tools to streamline recurring analysis, reporting, and documentation, with appropriate validation of results and protection of confidential and protected health information.
• Experience developing dashboards, recurring reports, financial trackers, or process documentation preferred.
• Professional certification such as CPA, CFA, or HFMA’s Certified Healthcare Financial Professional (CHFP) is a plus.

Benefits:

• Medical Insurance/Prescription Drug Coverage
• Health Savings Account
• Dental Insurance
• Vision Insurance
• Basic Life and AD&D Insurance
• Short- & Long-Term Disability
• Supplemental Life Insurance
• Cancer Insurance
• Accident Insurance
• Critical Illness Insurance
• 403b - Retirement Plan
• Calm App for medication and mental health
• Gym membership discounts
• Pet Insurance

Mental Health Cooperative embraces inclusion, diversity and equal opportunity. We're committed to building a team that represents a variety of backgrounds, perspectives, and skills. Mental Health Cooperative is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

MHC was founded in Nashville, Tennessee, in response to the need for assertive community-based treatment for individuals who have required frequent inpatient psychiatric hospitalization. Since 1993, MHC has been passionately helping adults with severe mental illness to live quality lives in the community with our state-of-the-art treatment and support. In 1999, MHC recognized the need to support the whole family and expanded services to include children and youth. We established our non-profit agency by merging three community organizations: Urban Case Management of Meharry Community Health Center, Continuous Treatment Team of Council of Community Services, and Mobile Crisis Team of the Crisis Intervention Center. This fusion resulted in an innovative, comprehensive, and multidisciplinary approach that addresses the specialized needs of individuals living with severe behavioral health conditions and challenges related to poverty. MHC remains the only organization in the state focused solely on this population. To learn more, visit our website: https://www.mhc-tn.org/about-us/