Healthcare Finance Senior Manager/Director

Our mission at Facktor is to revolutionize community health. Not your typical briefcase consultants, we bring a backpack with us to our clients, because we’re ready to get to work. We partner with mission-driven organizations—including Federally Qualified Health Centers (FQHCs), hospitals, health plans, medical groups, academic programs, IPAs, and foundations—to help them deliver high-quality, sustainable care. We meet clients where they are, offering hands‑on, customized support to solve operational challenges, strengthen financial performance, and scale impact. Our consultants bring deep expertise in strategic planning, clinic development, financial modeling and management, quality improvement, and more. From our interim management roles to project‑based support, we work across functions to ensure organizations are compliant, resilient, and positioned for growth. At Facktor, we’re not just advisors—we’re collaborators, committed to advancing equitable care and stronger health systems.

What You’ll Do:

You’ll work shoulder-to-shoulder with colleagues across divisions, gaining exposure to all aspects of healthcare consulting—from strategy, finance, and operations to quality improvement, clinical optimization, business intelligence, and beyond. Cross‑divisional collaboration isn’t just encouraged, it’s core to how we work. This is an environment for people who thrive in a fast‑paced consulting setting, enjoy solving complex problems, and are energized by learning something new every day, while being supported by a team that truly cares.

In close partnership with other Facktor team members, the Healthcare Finance Senior Manager will support delivery of high‑profile, technical projects that drive positive outcomes for clients in community healthcare. This is a dynamic, client‑facing role ideal for someone who thrives in collaborative environments, brings sharp analytical and strategic thinking skills, leverages creativity to overcome obstacles, and is passionate about strengthening community health.

The candidate must have a growth mindset, eager to learn every day. They bring a background in financial planning & analysis, accounting, fiscal compliance, revenue cycle, or related fields and should be able to work independently, managing tasks with minimal supervision. Attention to detail and strong written and verbal communication skills are essential, as they will be expected to effectively document and present complex information to both internal teams and clients. They will be expected to proactively contribute to multiple projects simultaneously, from start to finish, ensuring seamless integration into client operations and delivering financial, strategic, and operational success. Consulting projects will span pro forma development for health center and pharmacy operations, financial analysis and scenario planning, development of operating budgets, grants management, data analysis, developing and implementing process improvements, systems development and implementation, fiscal compliance and audit support, and financial due diligence for mergers and acquisitions. Additionally, they will support Facktor’s own product development, client relationship building, and business strategy as needed.

Our Core Values:

• Better Than Yesterday: We embody a commitment to continuous improvement. "Better Than Yesterday" is our shared philosophy. We strive to elevate ourselves, enhance the experiences of our clients, and contribute positively to our community and team. Each day is an opportunity for progress, and our work reflects a relentless pursuit of excellence.
• Shoulder to Shoulder: We stand side by side, working towards common goals, and solving problems collectively. "Shoulder to Shoulder" encapsulates our collaborative spirit. Your success is our success, and we support you, not only in triumphs but also during challenges, meeting you where you are with understanding and solidarity.
• With Heart: We don’t just perform tasks; we make a meaningful difference "With Heart." While we strive for innovative solutions and drive toward quality results, we lead by caring for our fellow team members, our clients, and our community.

Responsibilities:

• Demonstrate and uphold the firm's core values in all interactions, ensuring professionalism, integrity, and collaboration with both clients and colleagues.
• Contribute to Interim/Fractional CFO work by working closely with the executive team and other key stakeholders to provide financial leadership, maintain financial stability, and help drive the company's financial goals.
• Manage client staff and coordinate with Facktor team to deliver work product including but not limited to assessment, audit support, capital management, financial modeling and forecasting, policy and procedure development, and rate optimization.
• Provide strategic financial guidance to Facktor clients, working independently and within a team environment.
• Ensure accuracy and completeness of financial reports, client deliverables, and project documentation; meticulously review all work to address discrepancies.
• Communicate complex financial information effectively to internal teams and clients, ensuring clarity and understanding.
• Build and maintain long-term relationships with senior executive management and key external resources.
• Assist clients in preparing mitigation or growth strategies, interpreting policy developments, and managing compliance in Community Health.
• Conduct process analysis to assess key departments or functions, identifying challenges and creating improvement plans.
• Develop and implement actionable interventions that are integrated with client operations.
• Conduct thorough investigations using document analysis, research, interviews, and observations, and present clear, precise recommendations.
• Prepare and present financial reports and analysis to senior management and boards of directors.
• Analyze healthcare utilization, costs, reimbursement/billing, and population health to identify opportunities for financial improvement.
• Manage multiple client engagements (on average 4-8) simultaneously, providing exceptional client experience and maintaining organization.
• Excel under pressure with professionalism.
• Embrace a high-expectation consulting culture where agility, responsiveness, and precision are key to client trust and impact.
• Adapt schedule to fluctuating demand and intensity in order to tackle tough problems clients cannot address on their own.
• Communicate with clients in a way that creates enthusiasm and turns complex ideas into understandable tasks.
• Superior written and verbal communication skills.
• While this position is primarily remote, you could be asked to travel 10% of the time.
• Other duties as assigned.

What We Look For:

• Warm, energetic personality with an ability to connect with clients and thrive in a team environment.
• 3-7 years of experience in healthcare finance or financial analytics.
• Bachelor’s Degree required; MHA or MBA preferred.
• Prior experience in community healthcare finance is a plus.
• The ability to think critically and be resourceful.
• Strong attention to detail, especially in writing, analytics, and compliance.
• High-level proficiency in Excel.
• Flexibility to work various time zones, primarily Pacific Time.
• Ability to manage tasks and projects with minimal guidance.
• Ability to oversee complex client engagements by planning, coordinating cross-functional teams, managing timelines and budgets, mitigating risks, and ensuring high-quality deliverables aligned with client objectives.
• Ability to work an average of 48 hours a week.
• Ability to balance client work and internal contributions while meeting expected utilization goals.
• Proven problem-solving skills, independent decision-making, and ability to navigate ambiguity.
• Ability to build trusted relationships with clients and colleagues.
• Strong organizational skills and mission-driven focus to work with non-profits delivering high-quality care.

Location:

Facktor supports a remote office environment. Ideally located in California.

Schedule:

Full-Time

Salary Range:

$130,000-$170,000. The salary range is subject to adjustments based on individual skills, experience, and geographic location.

Benefits:

At Facktor, we believe in supporting our employees both inside and outside of work. Our benefits are designed to promote health, financial security, and work-life balance.

• Paid Time Off & Holidays: 10 Paid Holidays and generous PTO accrual; Summer Fridays: Friday afternoons off between Independence Day and Labor Day; Winter Soft Close: Facktor unofficially closes between Christmas Day and New Year’s Day
• Insurance Coverage: 100% of medical, dental, and vision insurance premiums covered for full-time employees
• Fitness Benefit: $500 annual reimbursement per calendar year
• Retirement: 401(k) Plan – Facktor contributes 3% of your annual earnings each year, regardless of employee contribution
• Bonuses (Discretionary): End of Year Bonus; Performance Based GEM (Go the Extra Mile) Bonus
• Sabbatical: After 5 years of full-time employment, employees are eligible for a 4-week paid sabbatical
• Mobile Stipend: $30 per month for personal cell phone use

Equal Employment Opportunity Statement:

Facktor provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Facktor complies with applicable state and local laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.