Clinical Finance - Care Delivery Assets Director

Job Summary:
GuideWell is seeking a clinically fluent, performance-driven Clinical Finance Director to serve as a dedicated financial partner and industry-benchmarking authority for its portfolio of care delivery assets. This role is distinct from traditional FP&A functions: Enterprise budgeting, forecasting, and financial reporting activities are executed through GuideWell's matrixed Enterprise FP&A organization, freeing this leader to focus where it matters most — on the ground, inside the clinics. The Director will operate as an embedded financial strategist within the Care Delivery business, benchmarking clinic financial and operational performance against industry standards (MGMA, HFMA, Kaufman Hall), driving margin improvement at the asset level, and ensuring the GuideWell clinic portfolio performs at or above peer benchmarks across key clinical finance KPIs including provider productivity, revenue cycle efficiency, staffing ratios, and contribution margin.

Essential Functions:

• The essential functions listed represent the major duties of this role, additional duties may be assigned. (5%)
• Industry Benchmarking & Clinical Financial Standards
  Serve as the organization’s subject matter expert on primary care and specialty clinic financial benchmarks, leveraging MGMA, HFMA, Kaufman Hall, AMGA, and other industry databases to establish performance standards for the GuideWell clinic portfolio.
  Define and maintain a comprehensive clinic-level financial KPI framework calibrated to industry standards, covering: provider productivity (wRVUs, visits/physician/year), revenue cycle health (net collection rate, days in A/R, denial rate), staffing efficiency (clinical support FTE ratios, benefit load benchmarks), facility cost as a percent of revenue, and operating margin by site and service line.
  Conduct regular gap analyses comparing GuideWell clinic performance to industry medians and best-practice benchmarks, translating findings into prioritized, actionable improvement initiatives for clinical and operational leadership.
  Produce an annual Clinical Finance Benchmark Report for Health Services executive leadership, providing a comprehensive view of portfolio performance relative to peers and driving strategic resource allocation decisions. 
• Clinic-Level Financial Strategy & Advisory:
  Serve as the primary financial advisor to asset-level operational and clinical leaders — present, engaged, and fluent in the day-to-day realities of clinic operations.
  Develop a deep understanding of each asset’s clinical model, patient population, care delivery structure, and cost drivers to provide highly relevant, site-specific financial guidance, referenced against applicable industry benchmarks for practices of similar size, specialty mix, and geography.
  Translate operational decisions — staffing changes, service line expansions, provider productivity, scheduling models — into financial impact assessments that inform real-time decision-making.
  Identify and communicate financial risks and opportunities at the clinic level before they surface in formal reporting.
• Financial Performance & Margin Improvement:
  Monitor and assess clinic-level financial performance, including revenue cycle health, provider productivity, staffing efficiency, and contribution margin by site — benchmarked against MGMA and peer group standards for each metric.
  Lead structured margin improvement initiatives at the asset level — identifying root causes of underperformance (e.g., below-median visit volumes, above-benchmark benefit loads, elevated facility costs, underperforming revenue cycle metrics), designing interventions, and partnering with operations to execute.
  Establish clinic-specific KPIs and financial benchmarks that go beyond standard FP&A metrics to capture the nuances of care delivery performance. Set improvement targets at or above industry median performance for all key metrics, with a path to top-quartile positioning over a defined multi-year horizon.
  Conduct regular financial performance reviews with asset leaders, providing context, accountability, and forward-looking guidance.
• Strategic Financial Direction & Planning Oversight:
  Define the financial strategic priorities for the Care Delivery portfolio and direct the enterprise FP&A team on how to align planning, forecasting, and reporting activities to those priorities.
  Support the development of multi-year financial strategy for the care delivery assets, including growth modeling, margin improvement roadmaps, and capital deployment recommendations. Anchor all multi-year targets to industry benchmark trajectories, ensuring internal financial goals are calibrated to the competitive and regulatory environment.
  Own the financial narrative for the portfolio — synthesizing FP&A-produced outputs into executive-ready insights, recommendations, and strategic storylines for senior leadership.
  Shape annual budget targets and performance thresholds in partnership with asset leaders, ensuring financial goals reflect clinical and operational realities. Budget targets should reflect meaningful progress toward industry benchmark performance levels, not just incremental improvement over prior year. 
• Cross-Functional Partnership & Matrix Coordination:
  Partner closely with the enterprise FP&A team to ensure the right data, models, and analyses are being produced to support asset-level decision-making — directing priorities, providing clinical context, and reviewing outputs for relevance.
  Serve as the connective tissue between Care Delivery operations, enterprise finance, revenue cycle, and GuideWell corporate strategy.
  Coordinate with accounting, actuarial, and data analytics partners to ensure financial information is accurate, timely, and actionable at the clinic level.
  Represent the Care Delivery Finance perspective in enterprise planning cycles, capital committees, and executive forums.
  Partner with the Health Services Finance Lead on cross-cutting financial topics including MSO shared services cost allocation, transfer pricing impacts on clinic P&Ls, and total cost of care attribution. 
• Business Case Development & Investment Analysis:
  Lead financial evaluation of new clinic investments, site expansions, service line additions, and care model redesigns — building robust business cases that reflect both financial and clinical value. All business cases should include a benchmark-based performance baseline and define clear financial milestones tied to achieving industry-standard operating metrics post-investment.
  Assess build-versus-partner decisions, joint venture structures, and M&A opportunities involving care delivery assets.
  Develop and maintain investment performance tracking frameworks to evaluate returns on capital deployed across the portfolio.
   

Required Work Experience:
8+ years related work experience. Experience Details: of progressive finance experience, with at least 3 years in a senior or director-level role with direct exposure to clinic or healthcare operations finance. 
3+ years direct supervisory/management experience 
Related Bachelor's degree required Bachelor’s degree in Finance, Accounting, Business Administration, or a related field; Master’s degree or MBA strongly preferred. 
Demonstrated ability to operate as a clinically-informed financial strategist — not just a reporter of results, but a driver of operational accountability and performance improvement using industry financial benchmarks. 
Hands-on experience with clinic-level P&L management, provider economics, revenue cycle performance, and healthcare cost structures. 
Demonstrated expertise with clinical finance benchmarking tools and databases (e.g., MGMA DataDive, HFMA benchmarking, Kaufman Hall Physician Flash Reports, AMGA surveys) and the ability to translate benchmark findings into operational improvement priorities. 
Proven success in a matrixed organization, with the ability to direct and influence resources not under direct management. 
Strong executive communication and storytelling skills — able to distill complex financial analysis into clear strategic guidance for clinical and operational audiences. 
Experience supporting multi-site healthcare environments across diverse geographies or care models. 
Advanced proficiency in financial modeling; familiarity with FP&A and ERP platforms (e.g., Workday Adaptive, Oracle, SAP).

Additional Preferred Qualifications
CPA, CMA, or equivalent professional certification. Experience within managed care, value-based care, or integrated delivery network environments. Familiarity with Florida Blue, GuideWell, or health plan-aligned care delivery structures. Prior experience working directly within or embedded alongside clinical operations teams. Bilingual (English/Spanish) a plus, given the geographic and cultural breadth of the portfolio. Prior experience leading a clinical finance benchmarking program, practice management financial review, or similar initiative at a multi-site care delivery organization
 

General Physical Demands:
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. 
 

Physical/Environmental Activities:
Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally 

What We Offer: 
As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living. 

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: 
 

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. 

Annualized Salary Range: $136,000 - $221,000

Typical Annualized Hiring Range: $136,000 - $170,000

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.