Clinical Finance - Care Delivery Assets Director

Job Summary:
GuideWell is seeking a clinically fluent, performance-driven Clinical Finance Director to serve as a dedicated financial partner and industry-benchmarking authority for its portfolio of care delivery assets. This role is distinct from traditional FP&A functions: Enterprise budgeting, forecasting, and financial reporting activities are executed through GuideWell's matrixed Enterprise FP&A organization, freeing this leader to focus where it matters most — on the ground, inside the clinics. The Director will operate as an embedded financial strategist within the Care Delivery business, benchmarking clinic financial and operational performance against industry standards (MGMA, HFMA, Kaufman Hall), driving margin improvement at the asset level, and ensuring the GuideWell clinic portfolio performs at or above peer benchmarks across key clinical finance KPIs including provider productivity, revenue cycle efficiency, staffing ratios, and contribution margin.

Essential Functions:

• The essential functions listed represent the major duties of this role, additional duties may be assigned. (5%)
• Industry Benchmarking & Clinical Financial Standards
  Serve as the organization’s subject matter expert on primary care and specialty clinic financial benchmarks, leveraging MGMA, HFMA, Kaufman Hall, AMGA, and other industry databases to establish performance standards for the GuideWell clinic portfolio.
  Define and maintain a comprehensive clinic-level financial KPI framework calibrated to industry standards, covering: provider productivity (wRVUs, visits/physician/year), revenue cycle health (net collection rate, days in A/R, denial rate), staffing efficiency (clinical support FTE ratios, benefit load benchmarks), facility cost as a percent of revenue, and operating margin by site and service line.
  Conduct regular gap analyses comparing GuideWell clinic performance to industry medians and best-practice benchmarks, translating findings into prioritized, actionable improvement initiatives for clinical and operational leadership.
  Produce an annual Clinical Finance Benchmark Report for Health Services executive leadership, providing a comprehensive view of portfolio performance relative to peers and driving strategic resource allocation decisions. 
• Clinic-Level Financial Strategy & Advisory:
  Serve as the primary financial advisor to asset-level operational and clinical leaders — present, engaged, and fluent in the day-to-day realities of clinic operations.
  Develop a deep understanding of each asset’s clinical model, patient population, care delivery structure, and cost drivers to provide highly relevant, site-specific financial guidance, referenced against applicable industry benchmarks for practices of similar size, specialty mix, and geography.
  Translate operational decisions — staffing changes, service line expansions, provider productivity, scheduling models — into financial impact assessments that inform real-time decision-making.
  Identify and communicate financial risks and opportunities at the clinic level before they surface in formal reporting.
• Financial Performance & Margin Improvement:
  Monitor and assess clinic-level financial performance, including revenue cycle health, provider productivity, staffing efficiency, and contribution margin by site — benchmarked against MGMA and peer group standards for each metric.
  Lead structured margin improvement initiatives at the asset level — identifying root causes of underperformance (e.g., below-median visit volumes, above-benchmark benefit loads, elevated facility costs, underperforming revenue cycle metrics), designing interventions, and partnering with operations to execute.
  Establish clinic-specific KPIs and financial benchmarks that go beyond standard FP&A metrics to capture the nuances of care delivery performance. Set improvement targets at or above industry median performance for all key metrics, with a path to top-quartile positioning over a defined multi-year horizon.
  Conduct regular financial performance reviews with asset leaders, providing context, accountability, and forward-looking guidance.
• Strategic Financial Direction & Planning Oversight:
  Define the financial strategic priorities for the Care Delivery portfolio and direct the enterprise FP&A team on how to align planning, forecasting, and reporting activities to those priorities.
  Support the development of multi-year financial strategy for the care delivery assets, including growth modeling, margin improvement roadmaps, and capital deployment recommendations. Anchor all multi-year targets to industry benchmark trajectories, ensuring internal financial goals are calibrated to the competitive and regulatory environment.
  Own the financial narrative for th