FP&A Manager (Behavioral Health / Addiction Treatment)

Reports To: Chief Financial Officer (CFO)

Position Summary

The FP&A Manager will lead budgeting, forecasting, and performance management for a ~$50M, multi-site behavioral health and addiction treatment organization. This role owns the driver-based forecast, monthly variance analysis and KPI narrative, and the recurring private equity and lender reporting cadence.

The FP&A Manager partners closely with Operations, Clinical Leadership, and Revenue Cycle to translate volumes, staffing, payer mix, and reimbursement dynamics into actionable financial insights. This is a hands-on individual contributor role with no direct reports and will leverage Sage Intacct, DOMO, and SSRS to enhance reporting accuracy, timeliness, and automation.

Key Responsibilities

Planning, Budgeting, and Forecasting

• Own the annual budget process end-to-end, including calendar management, templates, assumptions, and cross-functional coordination.
• Maintain a rolling forecast (12–18 months) with scenario modeling for key sensitivities such as volume, payer mix, reimbursement rates, staffing, denials, and collections timing.
• Build and maintain driver-based financial models by program and site (e.g., MAT, IOP, OP, MH, PHP/PRP), incorporating capacity, utilization, scheduling, and clinician productivity assumptions.
• Develop standardized planning inputs and documentation to reduce cycle time and improve forecast accuracy.

Monthly Reporting, PE/Lender Deliverables, and Executive Insights

• Produce the monthly management reporting package, including consolidated and site-level P&Ls, KPI scorecards, variance analyses (vs. budget, forecast, and prior year), and clear narrative commentary.
• Support monthly private equity and lender reporting with high-quality, tie-out-ready schedules, consistent definitions, and on-time delivery.
• Identify operational and financial risks and opportunities early and quantify their financial impact.
• Lead monthly performance review meetings with key stakeholders and ensure follow-up actions are tracked and outcomes measured.

Revenue, Volume, and RCM-Linked Analytics

• Partner with Revenue Cycle to incorporate billing and collections dynamics into forecasting.
• Analyze payer mix shifts, reimbursement changes, contract terms, and rate updates, translating impacts to net revenue.
• Develop and maintain dashboards and metrics that link clinical throughput to financial performance.

Cost Management and Productivity

• Monitor labor and staffing drivers and productivity metrics by program and site.
• Lead cost discipline initiatives with department leaders.
• Build business cases for new initiatives including ROI and payback analyses.

Systems, Data, and Process Improvement (Sage Intacct / DOMO / SSRS)

• Own FP&A data and reporting workflows ensuring accuracy, repeatability, and auditability.
• Partner with Accounting to align close processes and FP&A outputs.
• Automate recurring reporting and improve data quality and governance.
• Maintain robust model controls including versioning and assumption logs.

Qualifications

Required

• Bachelor's degree in Finance, Accounting, Economics, or a related field.
• 5+ years of FP&A or corporate finance experience; healthcare services experience strongly preferred.
• Advanced Excel modeling skills including driver-based forecasting and scenario analysis.
• Demonstrated experience producing executive-ready reporting and variance analysis.
• Experience working with ERP and BI/reporting tools.
• Strong communication and business partnering skills.

Preferred

• Experience in behavioral health, addiction treatment, outpatient multi-site, or healthcare services organizations.
• Experience in a private equity-backed environment and familiarity with lender reporting expectations.
• Hands-on experience with Sage Intacct, DOMO, and/or SSRS.
• Working knowledge of revenue cycle management concepts.

Core Competencies

• High ownership mindset with collaborative, low-ego approach.
• Strong analytical rigor and attention to detail.
• Ability to translate complex data into clear, actionable insights.
• Process improvement orientation.
• Discretion and professionalism with sensitive information.

Key Performance Indicators (KPIs)

• Forecast accuracy and improved predictability of EBITDA and cash flow drivers.
• On-time delivery of tie-out-ready reporting.
• Reduced budget and forecast cycle times.
• Enhanced visibility into site and program-level performance drivers.
• Identification of actionable cost, productivity, and revenue optimization opportunities.

Working Conditions

Hybrid or on-site presence as required.

Occasional travel to clinic locations.

Location: Burtonsville, MD

Schedule: Hybrid

Compensation: $150,000–$165,000 base salary plus bonus eligible. Factors, such as but not limited to, geographical location, relevant experience, licensure, education, and skill level may impact the pay for this position.

We Offer 

• Competitive Compensation 

• Full Benefits: Medical/Dental/Vision 

• Life Insurance 

• 401K 

• Tuition Reimbursement 

• Paid Professional Development Time 

• Student Loan Repayment Program 

• Paid Vacation Time 

• And More! 

Kolmac Integrated Behavioral Health has been a leader in Outpatient Treatment since 1973. Patient care is at the heart of what we do. Kolmac Outpatient Recovery and Concerted Care Group (CCG) have merged to provide addiction treatment and behavioral health treatment services for individuals, families, couples, and groups. We serve communities across Maryland, DC, Virginia, Delaware, and Pennsylvania. We are still growing!