FP&A Manager

Vaco is hiring for an FP&A Manager of Budget, Reimbursement, and Compliance in Cleveland OH

Direct Hire

Salary : 100-130,000 / yr

Key Responsibilities and Duties

Lead a cross-functional team of budget, reimbursement, and compliance professionals, ensuring effective coordination and accurate financial planning and reporting.

Oversee preparation, monitoring, and analysis of the annual operating and departmental budgets, ensuring alignment with strategic goals and financial performance targets.

Manage and analyze hospital and physician reimbursement results, including preparation, review, and analysis of Medicare, Medicaid, and commercial payer contracts.

Direct preparation and submission of annual Medicare and Medicaid cost reports, ensuring accuracy and compliance with all regulatory requirements.

Serve as the primary liaison for governmental and third-party audits related to cost reporting and reimbursement.

Develop, maintain, and enforce financial policies, procedures, and internal controls to ensure integrity and compliance with federal, state, and local regulations.

Oversee preparation of tax filings and ensure compliance with not-for-profit hospital and healthcare organization tax requirements.

Provide analysis and guidance on changes in reimbursement regulations and their potential financial impact.

Collaborate with departments to ensure accurate capture of cost, revenue, and statistical data used for cost reporting, rate setting, and decision-making.

Develop and maintain financial forecasts related to reimbursement and payer mix to support operational and strategic planning.

Present financial and regulatory compliance updates to senior leadership and governing boards as requested.

Build and maintain strong relationships with internal stakeholders, government agencies, and external consultants to support compliance and maximize reimbursement opportunities.

Minimum Qualifications

Education :

Bachelor’s degree in Accounting or Finance required.

Master’s degree preferred.

Experience :

Minimum of three (3) years of managerial experience in finance or accounting, preferably in healthcare or a similarly regulated industry.

Licensure / Certification :

CPA preferred.

Determining compensation for this role (and others) at Vaco / Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco / Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan.

Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice

Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and / or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal .

By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.

California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here .

• Virginia residents may access our state specific policies here .
• Residents of all other states may access our policies here .
• Canadian residents may access our policies in English here and in French here .
• Residents of countries governed by GDPR may access our policies here .

Pay Transparency Notice

Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to :

With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.