Vice President of Finance

About Us

At Greenbrook Medical we believe seniors deserve more from the healthcare systemmore time more care more coordination and more heart. We provide high-touch relationship-based primary care to seniors built around one simple idea: deliver the kind of care wed want for our own parents.

Founded by two brothers inspired by their fathers pioneering work in Medicare Advantage Greenbrook is deeply personal and proudly modern. We quarterback our patients through their healthcare journey making sure theyre never alone in a complex system. Our business model is designed around patient outcomes not volumeso we only succeed when our patients thrive.

With roots in Tampa Bay and a partnership with Tampa General Hospital were growing thoughtfully to bring our model to more communities. Our team is the heart of it all: mission-driven values-oriented and relentlessly committed to taking the best care of our patients.

About the Role

The Vice President of Finance will serve as the organizations senior financial leader responsible for financial strategy planning operations and performance management across the business. As our first financial leader youll help guide the organization through its next stage of scale and complexity. This role will play a critical part in elevating the Finance function from a tactical function to a strategic driver of the businessbringing financial rigor leadership and insight. The ideal leader will help build the foundation for a world-class finance organization that can support the companys ambitious trajectory.

This leader will guide the company through rapid growth evolving risk-based contracts and the complexities of value-based care economics. The VP of Finance will oversee all financial functionsFP&A accounting spend management risk arrangementsand serve as a key thought partner to the CEO and executive team. As a VP of Finance youll report directly to the Chief Executive Officer.

Location: New York City strongly preferred (Hybrid). Open to remote candidates in FL VA NY NJ MO or TX.

Key Responsibilities

Financial Leadership & Strategy

• Serve as a strategic advisor to the CEO and executive team on financial performance growth planning and operational decision-making.
• Lead long-range financial planning scenario modeling and capital allocation strategies.
• Partner directly with clinical operations and growth leaders to ensure financial sustainability within a full-risk value-based care model.
• Support fundraising activities through financial modeling diligence support and investor communications.

Financial Planning & Analysis

• Own the annual budgeting process ongoing reforecasting and long-term financial models.
• Conduct deep FP&A analyses including:
• Budget vs. actual performance
• CAC:LTV modeling
• Churn and retention analysis
• J-curve and cohort performance analysis
• Provide strategic insights to guide market entry capacity planning and resource allocation.

Financial Operations

• Oversee all financial operations including outsourced HR/Payroll support responsible for payroll processing benefits administration state tax filings corporate insurance and related compliance.
• Ensure robust internal controls financial accuracy and compliance with federal state and payer requirements.

Bookkeeping & Accounting Oversight

• Manage the relationship with external bookkeeping and accounting partners.
• Ensure timely and accurate month-end closes reconciliations and financial statements.
• Improve systems processes and automation across accounting and reporting.

Spend Management

• Manage spend discipline across the organization including:
• Budget adherence
• Hiring salary approvals
• Corporate credit card strategy provisioning rules and controls
• Vendor onboarding and vendor management
• Receipt tracking and spend reporting
• Lead cost-optimization initiatives and ensure responsible financial stewardship.

Risk-Based Contract Financial Management

• Oversee financial operations related to full-risk and value-based care contracts.
• Validate that capitation payments stop-loss charges and shared savings distributions are accurate.
• Lead contestations and reconciliation processes with payers as needed.
• Guide reserve fund allocation and risk corridor decision-making.
• Partner with clinical and operational teams to understand drivers of performance and financial outcomes.

Accountabilities

• Financial Planning & Analysis: Deliver accurate forecasts and budget vs. actual performance ensuring financial targets are met.
• Operational & Spend Management: Maintain disciplined spend optimize cost efficiency and ensure compliance with internal policies.
• Risk-Based Contract Oversight: Ensure accurate capitation stop-loss and shared savings payments while managing reserve funds effectively.
• Strategic Leadership: Provide actionable financial insights that drive growth operational decisions and strategic initiatives.
• Compliance & Controls: Ensure all financial operations meet regulatory CPOM and value-based care requirements.

About You

• Experience:
• 10 years of FP&A strategic finance and accounting experience.
• 5 years of leadership experience building and scaling high-performing finance teams and overseeing strategic financial operations.
• Strong experience with value-based care or risk-bearing payment models (e.g. Medicare Advantage global capitation ACO REACH) including understanding of drivers of medical spend capitation flows and performance economics.
• Working knowledge of MSOPC structures and corporate practice of medicine (CPOM) considerations with the ability to ensure compliant financial operations in a multi-entity environment.
• Skills:
• Proven ability to translate financial analysis into clear operational levers and strategic decisions across the organization
• Comfort operating in a fast-paced scaling healthcare startup with a track record of instilling financial discipline and building scalable processes.
• Sound judgment and business acumen with the ability to balance risk investment and long-term value creation
• Clear confident communicator who can articulate financial strategy and insights to executive leadership the Board and investors
• Collaborative leadership style with the ability to influence across clinical and operational stakeholders.
• Hands-on experience with accounting systems reporting tools or ERP platforms.
• Strong judgment and business acumen balancing financial risk with strategic opportunity.
• Values: You embody our core values of Heart Excellence Accountability Resilience and Teamwork.

Why You Should be Excited

• Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive patient-first environment that values quality care.
• Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors.
• Growth: Were building more than a company - were building careers. As we grow were creating meaningful opportunities for you to expand your skills take on new challenges and shape your path forward.
• Compensation & Benefits: Competitive base salary and performance-based bonus paid time off health dental and vision benefits and 401K with a company match.

Our Selection Process

Our selection process typically includes an online application initial interview second round interview values interview case study submission and final interview and reference check.

Equal Employment Opportunity and Commitment to Diversity

At Greenbrook Medical we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging ensuring our teammates feel cared for first and foremost.

We will extend equal employment opportunity to all applicants without regard to age race ethnicity sex religion sexual orientation gender identity socioeconomic background disability status military affiliation pregnancy or any other status protected under federal state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance do not hesitate to contact our People team at .