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