Surgical Care Affiliates

Director Finance

Job Locations US-AL-Birmingham | US-TN-Brentwood
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Enterprise Services


Surgical Care Affiliates (SCA) is transforming specialty care in our communities. We relentlessly create value by aligning physicians, health plans and health systems around a common goal: delivering exceptional care and healing to our patients and communities we serve. We are driven to achieve the quadruple aim in health care: high quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As a national leader in surgical care, SCA’s 10,000 teammates operate more than 250 surgical facilities that serve nearly 1 million patients per year. For more information on SCA, visit


Why join SCA? Consider the following fantastic benefits…

  • Positive work culture
  • Career growth opportunities
  • Comprehensive medical, vision and dental insurance – eligible on Day 1 of employment
  • Paid time off plus 8 paid holidays
  • Maternity/paternity/adoption benefits
  • Employer-paid life and short- and long-term disability insurance
  • Excellent 401(k) Plan

Accountabilities / Responsibilities

Reporting to the Senior Director of Finance, the Director of Finance will directly support multiple Operations leads and will have financial responsibility for managing all aspects of multiple Management Service Organizations (“MSO”) partnerships for the growing Optum Specialty Practice (“OSP”) group.


OSP partners with specialty physician groups, through MSOs to support their migration into value-based healthcare as part of the OptumCare team.  OSP partners to provide practice management and clinical performance support, referral and payer alignment, data analytics, and strategic capital while the practices themselves provide physician leadership, market knowledge and clinical excellence to create market-leading specialty care delivery systems.  OSP is responsible for delivering high-value specialty care networks that overlay and integrate with SCA, OptumCare Care Delivery Organizations (CDOs), and other OptumCare partners. 


Responsibility Description:


The successful candidate is responsible for all financial aspects for a portfolio of MSO partnerships,  including, but not limited to:

  • Support consistently growing EBITDA through leading profitable top-line growth initiatives, developing new partnerships, effectively managing expenses, and supporting development process (M&A)
  • Acting as a strategic business partner with Operations leads to identify performance improvement opportunities and helping them “think around the corner” financially
  • Speaking with authority on behalf of the Senior Director of Operations and representing him/her at partnership, or board meetings
  • Creating, implementing and pulling through opportunities which drive financial growth and operational performance
  • Build positive relationships with MSO and operational leads; working closely with them as a business partner


Key Activities:

  • Assess and evaluate financial performance of portfolio of MSO partnerships with regard to long- and short-term financial goals, budgets, and forecasts
  • Perform operational variance analyses to identify favorable or unfavorable business trends
  • Partner with accounting team to ensure accuracy of monthly financial statements
  • Coach facility leaders on financial matters and areas of improvement
  • Participate in pivotal decisions as they relate to strategic initiatives and operational models
  • Prepare and present monthly financial results by region & MSO to internal and external leaders
  • Review and analyze monthly financial results and provide insight and recommendations on trajectory of business
  • Oversee cash, investments, lending and leasing needs, and asset management for the region
  • Manage special transactions including equity changes, debt arrangements, and relocations
  • Perform proforma analyses of growth opportunities within existing MSOs
  • Work closely with the development team to pull through acquisitions and joint venture partnerships across the nation
  • Identify areas of opportunity to standardize, simplify, and streamline to drive our value of Continuous Improvement



  • An undergraduate or graduate degree in Accounting/Finance/Economics is required
  • A minimum of seven years of financial experience is required with healthcare experience being desirable
  • Experience with large multisite medical groups is highly desirable
  • Ability to digest financial information, render judgment, create context, pattern recognition
  • Ability to meet deadlines and manage conflicting priorities
  • Executive presence to deliver financial results and provide financial advice with confidence
  • Ability to collaborate within other support service departments (revenue cycle, legal, supply chain, development, etc.) and with operations
  • Build relationships and collaborate with physicians and MSO leadership
  • Travel requirements: 25%





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