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