Finance Manager/Director
Come join Overstory Health as an Manager/Director of Finance Overstory Health builds world-class patient-centric Partial Hospital & Intensive Outpatient (PHP & IOP) programs for those with high acuity mental health needs. Our mission is to provide more accessible and dignified behavioral health care for people when they need care the most. With a clinical model validated by McLean Hospital, we deliver comprehensive psychiatric, therapeutic, and community reintegration services to our patients. ABOUT THE ROLE Overstory Health is seeking a strategic and detail-oriented Manager/Director of Finance to lead financial operations, vendor oversight, and strategic planning. You'll manage our outsourced billing/RCM vendor, oversee accounts payable and payroll, validate expenses, and support financial modeling and long-range planning. This role ensures financial accuracy, cash-flow integrity, and operational clarity while partnering closely with the CEO and leadership team.. YOU'LL BE A GOOD FIT IF YOU
- Enjoy balancing hands-on financial oversight with strategic analysis.
- Can manage and hold external billing/RCM vendors accountable to performance standards.
- Communicate clearly, flag issues early, and drive follow-through.
- Take pride in precision and consistent financial accuracy.
- Translate financial insights into actionable recommendations for leadership.
- Want to grow with a mission-driven, fast-moving healthcare organization.
QUALIFICATIONS
- 5–7+ years in healthcare finance, accounting, or related fields (behavioral health preferred).
- Experience overseeing billing/RCM vendors and tracking performance metrics.
- Strong background in AP, payroll, and general ledger processes.
- Familiarity with payroll/accounting tools (e.g., Gusto, QuickBooks, ADP).
- Solid analytical and Excel/Sheets modeling skills; forecasting experience a plus.
- Excellent communication and organizational skills.
- Mission-driven approach and comfort operating in a growing healthcare environment.
RESPONSIBILITIES Revenue Cycle Management & Vendor Oversight
- Serve as primary point of contact for RCM vendor and monitor claim submission, AR follow-up, and payment posting.
- Review vendor reports to identify trends, delays, or issues requiring escalation.
- Partner with clinical/operations teams to ensure documentation and payer compliance.
- Build and maintain dashboards tracking clean claim rate, DSO, cash collections, and other KPIs.
- Support payer contracting and credentialing coordination.
Accounts Payable, Payroll, and Expense Management
- Oversee AP workflows, invoice validation, and expense coding.
- Approve expenses and ensure alignment with policies and budgets.
- Ensure timely payments to vendors, partners, and employees.
- Partner with HR/Chief of Staff on biweekly payroll processing and audits.
- Support monthly close and account reconciliations.
Operational Finance & Strategic Planning
- Develop and refine dashboards tracking revenue, expenses, and cash flow against plan.
- Contribute to annual budget development and provide variance analysis with recommendations.
- Assist in preparation of board materials, grant budgets, and investor or lender reporting.
- Identify and implement opportunities for financial process improvement and automation.
BENEFITS
- $100,000-$150,000 base and performance incentives
- Paid time off (PTO)
- Medical insurance coverage (health, dental, vision) with no waiting period for enrollment
- Short and long-term disability insurance at no cost to you
- 401K match up to 4% of income
- License renewal reimbursement (if applicable)
- Supplemental benefits
Mission: Overstory Health delivers compassionate and connected care to guide individuals through the most challenging times in their lives, one group at a time. Vision: Transform Behavioral Healthcare to empower every individual and their community to heal, connect and thrive. Values:
- Dignity
- Collaboration
- Connection
- Purposeful Innovation
- Caring Accountability
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