SENIOR FP&A ANALYST

PatientCare EMS Solutions; Franklin (TN); Hybrid; USD 90,000 - 130,000; Full time

Job summary

PatientCare EMS Solutions is seeking a Senior FP&A Analyst to join the finance team, with a primary focus on support for Revenue Cycle Management. This role ties the RCM data to net revenue, forecasts, and actionable insights for operators and executives.

Reporting to the FP&A Manager, the role covers budgeting, modeling, and lender/board reporting, with responsibilities spanning variance analysis, cash flow, and AI-assisted analytics.

Qualifications

• 3–5 years of FP&A, corporate finance, or financial analysis experience.
• Advanced Excel modeling experience.
• Experience with budgeting, forecasting, and variance analysis.
• Ability to explain financial results to non-finance stakeholders.
• Strong attention to detail and ability to manage multiple deadlines.

Responsibilities

• Partner with the Revenue Cycle Management (RCM) team 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 the private equity sponsor.
• Prepare the annual budget and monthly forecast for assigned operating units, focusing on revenue and supporting 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.

Skills

Advanced Excel

Power Query

Budgeting

Forecasting

Variance Analysis

Data Analysis

Communication

Education

Bachelor's degree in Finance, Accounting, Economics, or related field

Tools

Power BI

ERP systems

Consolidation systems

Job description

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.
• 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.

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.

Qualifications

Education

Required

Bachelors or better.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.