Finance Manager

San Antonio

Job Description Job Description Texas Health Action (THA) is a community-informed non-profit organization dedicated to providing access to culturally affirming, quality health services in a safe and supportive environment, with an expertise in serving LGBTQIA+ people and those impacted by HIV. THA's programs include Kind Clinic, Waterloo Counseling Center, and TeleKind. Read more about THA here: http://texashealthaction.org.

As THA continues to expand its impact, we seek a highly skilled and experienced Finance Manager responsible for financial planning, analysis, and reporting to support strategic decision-making and drive the organization's financial performance. Serving as a trusted financial advisor and key contributor to our overall strategy and success, the ideal incumbent is knowledgeable, analytical, collaborative, ethical, diligent, entrepreneurial, and focused on mission.

Reporting to the Chief Financial & Administrative Officer, the Finance Manager plays a key role in budgeting, forecasting, financial modeling, developing effective financial strategies, and ensuring proper management of healthcare revenue streams aligned with Texas Health Action’s mission and strategic objectives. This role partners closely with the leadership team to provide financial insights and recommendations to optimize resource use and achieve organizational goals.

This is a full-time, exempt position. Remote work is allowed, but the incumbent must reside in the state of Texas and will occasionally be required to attend meetings and perform certain portions of its duties on-site at our administrative headquarters in Austin, Texas. Please note that this job posting may appear in multiple regions, but there is only one position to be filled. All postings will be removed once the position has been filled.

Key Responsibilities: Financial Planning & Analysis

Lead the annual budgeting process in coordination with department leaders to develop comprehensive organizational budgets

Conduct financial modeling, analysis, and forecasting to project future performance and assess financial impacts of strategic initiatives

Analyze financial data, identify trends and key drivers, and provide actionable insights to guide operational and business decisions

Develop financial plans, business cases, and presentations to evaluate investments, program expansions, and growth opportunities

Monitor financial performance against budget and provide variance analysis with recommended actions

Healthcare Revenue Management

Manage the 340B pharmacy program to maximize savings on outpatient drug costs while ensuring full compliance

Design effective processes, controls and audits related to revenue cycle and other healthcare revenue mechanisms.

Develop strategies and initiatives to enhance revenue capture, optimize reimbursements, and reduce revenue leakage

Analyze revenue data, reimbursement trends, and payer contracts to identify opportunities for improvement

Financial Leadership & Strategy

Collaborate with leadership to establish financial goals, KPIs, and overall financial strategies aligned with mission and goals

Identify opportunities to enhance profitability, manage expenses, streamline operations, and maximize utilization of resources

Build and mentor a team of analysts, fostering an environment of continuous improvement

Maintain expert knowledge of nonprofit accounting standards (GAAP), regulations, and relevant best practices

Reporting & Compliance

Prepare detailed management reports, financial analyses, and presentations for leadership and the Board of Directors

Develop robust reports, dashboards, and visualizations to monitor financial performance and identify any bottlenecks effectively

Ensure compliance with relevant laws, regulations, policies, and funder/grantor requirements

Compensation: Based on job duties and requirements, this position is placed in pay grade 48 with a full-time, annual salary range of $85,000 to $110,000 plus a performance incentive structure. The actual salary will be based on the candidate's qualifications and experience.

Requirements

Education & Experience Bachelor's degree in Finance, Accounting, Business or a related field

Minimum of 5 years of progressive finance experience

Demonstrated experience with healthcare revenue cycle management and/or 340B program administration

Proven experience supervising a team

Experience leading organizational budgeting process

Skills & Abilities Strong financial modeling, forecasting, and financial analysis capabilities

Excellent problem-solving, decision-making, and strategic thinking skills

Proficiency with financial systems, databases, and advanced Excel/reporting tools

Outstanding communication and presentation abilities to convey complex financial information

Outstanding interpersonal and relationship-building skills.

Ability to communicate complex financial information to diverse stakeholders.

Comfort in a fast-paced, dynamic environment with changing priorities.

High level of ethics, integrity, and commitment to the mission of Texas Health Action and the communities it serves.

EOE Statement: Texas Health Action is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Benefits

Health Care Plan (Medical, Dental & Vision)

Employee Assistance Program

No-cost telehealth Visits via HealthiestYou

Retirement Plan with employer contribution and matching

Life Insurance (Basic, Voluntary & AD&D)

Paid Time Off (Vacation, Sick & Holidays)

Disability (Short Term & Long Term)

Training & Development Budget

Family Leave

Flexible Work Schedule