Director of Finance

Director of Finance Protera Health | Remote | Full-Time About Us Protera Health is a technology-enabled musculoskeletal healthcare company partnering with health plans to improve outcomes, reduce unnecessary utilization, and deliver a better member experience through value-based specialty care. We operate within a multi-entity MSO/Professional Corporation structure and work closely with Medicare Advantage and commercial health plans to scale high-quality, data-driven care delivery. The Role We are seeking a highly analytical, operationally rigorous Director of Finance & Payer Contracting to help build and scale the financial infrastructure of the company during a critical growth phase. This is a high-visibility role reporting directly to executive leadership with exposure to enterprise payer partnerships, healthcare regulatory strategy, and company-level operational planning. Dual reporting to the CEO and CFO. Position Overview The Director of Finance will lead day-to-day finance operations, financial planning and analysis, multi-entity accounting coordination, payer contract financial modeling, and cross-functional support for health plan partnerships. This individual will also serve as a key liaison between executive leadership, legal counsel, and internal stakeholders on payer contracting workflows and MSO-PC operational alignment. The ideal candidate combines: Strong healthcare finance capabilities Operational discipline and comfort navigating ambiguity Strategic thinking paired with hands-on execution Willingness to operate in a fast-paced startup environment Experience in healthcare services, provider organizations, value-based care, digital health, MSOs, or payer contracting environments is strongly preferred. Key Responsibilities Financial Operations & Accounting Lead budgeting, forecasting, and monthly financial reporting processes Develop and maintain operational and financial KPI dashboards Manage cash flow forecasting and runway analyses Support board and investor reporting preparation Coordinate accounting operations across MSO and affiliated PC entities Oversee intercompany reconciliations and management fee tracking Partner with external accounting firms on monthly close and audit readiness Payer Contracting & Financial Modeling Build and maintain financial models for payer contracts and enterprise partnerships Analyze reimbursement structures, PMPM arrangements, implementation costs, utilization assumptions, and profitability by client Support pricing analyses and strategic scenario modeling Track payer contract obligations, renewals, and performance metrics Partner cross-functionally with operations and clinical leadership to evaluate contract economics Legal & Cross-Functional Coordination Serve as a primary finance liaison with healthcare regulatory counsel and contracting attorneys Coordinate financial inputs and operational workflows related to payer agreements and MSO-PC structures Help operationalize legal and compliance requirements into finance and reporting processes Support diligence efforts related to partnerships, audits, and strategic initiatives Systems & Process Development Improve finance infrastructure, controls, and operational reporting systems Implement scalable processes suitable for a rapidly growing healthcare organization Support vendor management, procurement workflows, and expense oversight Assist in development of commission tracking and incentive compensation structures Qualifications Required 5+ years of experience in finance, FP&A, strategic finance, healthcare finance, accounting, or related fields Experience working within healthcare services, provider organizations, digital health, MSOs, health plans, or value-based care environments Strong financial modeling and analytical capabilities Advanced Excel / Google Sheets proficiency Experience managing complex operational workflows with strong attention to detail Excellent communication and cross-functional collaboration skills Ability to thrive in a fast-moving startup environment Preferred Experience supporting payer contracting workflows or reimbursement modeling Familiarity with MSO-PC structures Understanding of healthcare reimbursement mechanics, claims/payment timing, and provider compensation structures Exposure to Medicare Advantage and value-based care arrangements Experience serving as a liaison with healthcare legal counsel NetSuite or healthcare ERP experience Experience supporting board reporting, fundraising diligence, or strategic planning CPA, MBA, or healthcare finance background is a plus What Success Looks Like Financial operations become increasingly scalable, organized, and proactive Leadership gains clear visibility into payer economics and company performance Payer contracting workflows become more coordinated and analytically rigorous MSO-PC financial operations are managed with strong operational discipline Finance evolves into a strategic function that supports enterprise growth Compensation & Benefits Competitive base salary based on expertise Performance bonus opportunity Equity participation Remote flexibility Opportunity to help shape a rapidly growing healthcare company at an early stage