Finance Manager
Thousand Branches Wellness
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Brentwood, TN
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Mid-Senior level
Posted April 4, 2026
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Responsibilities
- Finance Manager- Behavioral Health- Hybrid schedule This role will provide financial leadership and oversight of new service offerings within a large, matrixed healthcare organization.
- Additionally, this will require hands-on input, review and oversight within the month-end close and annual budget process while coordinating with finance and operational counterparts and leaders.
- This role partners closely with clinical, operational, and executive leadership to ensure financial sustainability, compliance, and performance optimization.
- Responsibilities: Financial Reporting & Month-End Close
- Close multiple sets of books each month following the UHS corporate close guidelines
- Lead and manage the monthly, quarterly, and annual close process
- Prepare and review financial statements (income statement, balance sheet, cash flow)
- Ensure accuracy of journal entries, accruals, allocations, and reconciliations
- Maintain compliance with GAAP, healthcare accounting standards, and internal controls Budgeting, Forecasting & Planning
- Develop and manage operating and capital budgets
- Lead forecasts and long-range financial planning
- Partner with department leaders to:
- Build realistic budgets
- Monitor variance drivers
- Identify cost containment and efficiency opportunities
- Understand opportunities for volume growth Financial Analysis & Decision Support
- Deliver monthly variance analysis (budget vs. actual (MTD and YTD), prior period)
- Analyze key healthcare metrics:
- Provide data-driven recommendations to leadership
- Support business cases, ROI analysis, and growth initiatives Operational & Strategic Support
- Collaborate with clinical and operational leaders to improve financial performance
- Support contract modeling, payer negotiations, and reimbursement analysis
- Monitor revenue cycle performance in partnership with billing and operations teams
- Assist with capital planning and cash flow management Systems, Controls & Process Improvement
- Maintain and improve financial systems (ERP, budgeting tools, BI dashboards)
- Oversee and strengthen internal controls and financial processes
- Automate reporting where possible to increase efficiency and accuracy
- Ensure compliance with healthcare regulations and organizational policies Benefit Highlights:
Commitments
Finance Manager- Behavioral Health- Hybrid schedule This role will provide financial leadership and oversight of new service offerings within a large, matrixed healthcare organization.
This position will work 3 days on site and 2 days remote.
For more information email Courtney Eble, Horizon Health Recruiter at courtney.eble@horizonhealth.com Requirements:
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Requirements
- 5+ years of progressive finance or accounting experience
- 2+ years in a healthcare environment
- Demonstrated experience with month-end close ownership, budgeting and forecasting, and financial modeling and variance analysis.
- Strong knowledge of GAAP and healthcare financial practices
- Experience with healthcare financial systems.
Preferred Skills
- CPA preferred
- Demonstrated experience with month-end close ownership, budgeting and forecasting, and financial modeling and variance analysis.
- Experience partnering with non-finance leaders strongly preferred.
- Experience with healthcare financial systems.
Education
- (Required) – Bachelor's degree required, master's degree preferred
- (Not required) – CPA preferred
Finance Manager- Behavioral Health- Hybrid schedule This role will provide financial leadership and oversight of new service offerings within a large, matrixed healthcare organization. Additionally, this will require hands-on input, review and oversight within the month-end close and annual budget process while coordinating with finance and operational counterparts and leaders. This role partners closely with clinical, operational, and executive leadership to ensure financial sustainability, compliance, and performance optimization. This position will work 3 days on site and 2 days remote. Responsibilities: Financial Reporting & Month-End Close
Close multiple sets of books each month following the UHS corporate close guidelines
Lead and manage the monthly, quarterly, and annual close process
Prepare and review financial statements (income statement, balance sheet, cash flow)
Ensure accuracy of journal entries, accruals, allocations, and reconciliations
Maintain compliance with GAAP, healthcare accounting standards, and internal controls Budgeting, Forecasting & Planning
Develop and manage operating and capital budgets
Lead forecasts and long-range financial planning
Partner with department leaders to:
Build realistic budgets
Monitor variance drivers
Identify cost containment and efficiency opportunities
Understand opportunities for volume growth Financial Analysis & Decision Support
Deliver monthly variance analysis (budget vs. actual (MTD and YTD), prior period)
Analyze key healthcare metrics:
Labor productivity
Cost per visit / procedure
Contribution margin
Payer mix and reimbursement trends
Provide data-driven recommendations to leadership
Support business cases, ROI analysis, and growth initiatives Operational & Strategic Support
Collaborate with clinical and operational leaders to improve financial performance
Support contract modeling, payer negotiations, and reimbursement analysis
Monitor revenue cycle performance in partnership with billing and operations teams
Assist with capital planning and cash flow management Systems, Controls & Process Improvement
Maintain and improve financial systems (ERP, budgeting tools, BI dashboards)
Oversee and strengthen internal controls and financial processes
Automate reporting where possible to increase efficiency and accuracy
Ensure compliance with healthcare regulations and organizational policies Benefit Highlights:
Competitive Compensation
Excellent Medical, Dental, Vision, and Prescription Drug Plan
401(K) with company match and discounted stock plan
Long and Short-term Disability
Flexible Spending Accounts; Healthcare Savings Account
Life Insurance
Career development opportunities within the company
Tuition Assistance
Rewarding work environment - Enjoy going to work everyday! About Thousand Branches Wellness: Thousand Branches Wellness offers outpatient mental health programming for adolescents ages 12-17 and adults 18 years and older. Highly trained providers, comfortable treatment spaces, evidence-based programming, and caring staff support an environment for you to both heal and thrive. A frictionless intake and admissions process, along with flexible treatment options, including in-person services, virtual program options, traditional therapy, medication management appointment options and evidence-informed practices support ease of access to care and whole-person wellness. Thousand Branches Website: https://thousandbrancheswellness.com/?redirect=branchesoutpatient.com About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. For more information email Courtney Eble, Horizon Health Recruiter at courtney.eble@horizonhealth.com Requirements:
Bachelor's degree required, master's degree preferred
CPA preferred
5+ years of progressive finance or accounting experience
2+ years in a healthcare environment
Demonstrated experience with month-end close ownership, budgeting and forecasting, and financial modeling and variance analysis.
Experience partnering with non-finance leaders strongly preferred.
Strong knowledge of GAAP and healthcare financial practices
Experience with healthcare financial systems.
Comfort working with large datasets and BI tools EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Close multiple sets of books each month following the UHS corporate close guidelines
Lead and manage the monthly, quarterly, and annual close process
Prepare and review financial statements (income statement, balance sheet, cash flow)
Ensure accuracy of journal entries, accruals, allocations, and reconciliations
Maintain compliance with GAAP, healthcare accounting standards, and internal controls Budgeting, Forecasting & Planning
Develop and manage operating and capital budgets
Lead forecasts and long-range financial planning
Partner with department leaders to:
Build realistic budgets
Monitor variance drivers
Identify cost containment and efficiency opportunities
Understand opportunities for volume growth Financial Analysis & Decision Support
Deliver monthly variance analysis (budget vs. actual (MTD and YTD), prior period)
Analyze key healthcare metrics:
Labor productivity
Cost per visit / procedure
Contribution margin
Payer mix and reimbursement trends
Provide data-driven recommendations to leadership
Support business cases, ROI analysis, and growth initiatives Operational & Strategic Support
Collaborate with clinical and operational leaders to improve financial performance
Support contract modeling, payer negotiations, and reimbursement analysis
Monitor revenue cycle performance in partnership with billing and operations teams
Assist with capital planning and cash flow management Systems, Controls & Process Improvement
Maintain and improve financial systems (ERP, budgeting tools, BI dashboards)
Oversee and strengthen internal controls and financial processes
Automate reporting where possible to increase efficiency and accuracy
Ensure compliance with healthcare regulations and organizational policies Benefit Highlights:
Competitive Compensation
Excellent Medical, Dental, Vision, and Prescription Drug Plan
401(K) with company match and discounted stock plan
Long and Short-term Disability
Flexible Spending Accounts; Healthcare Savings Account
Life Insurance
Career development opportunities within the company
Tuition Assistance
Rewarding work environment - Enjoy going to work everyday! About Thousand Branches Wellness: Thousand Branches Wellness offers outpatient mental health programming for adolescents ages 12-17 and adults 18 years and older. Highly trained providers, comfortable treatment spaces, evidence-based programming, and caring staff support an environment for you to both heal and thrive. A frictionless intake and admissions process, along with flexible treatment options, including in-person services, virtual program options, traditional therapy, medication management appointment options and evidence-informed practices support ease of access to care and whole-person wellness. Thousand Branches Website: https://thousandbrancheswellness.com/?redirect=branchesoutpatient.com About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. For more information email Courtney Eble, Horizon Health Recruiter at courtney.eble@horizonhealth.com Requirements:
Bachelor's degree required, master's degree preferred
CPA preferred
5+ years of progressive finance or accounting experience
2+ years in a healthcare environment
Demonstrated experience with month-end close ownership, budgeting and forecasting, and financial modeling and variance analysis.
Experience partnering with non-finance leaders strongly preferred.
Strong knowledge of GAAP and healthcare financial practices
Experience with healthcare financial systems.
Comfort working with large datasets and BI tools EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.