Shared Services Careers

About Sound

Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live. With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine.

Why join us?

• A remote-first culture that values flexibility and collaboration
• Opportunities to grow your career while making a real impact
• A team that champions inclusivity, innovation, and excellence

Whether working virtually or onsite at one of our practices, you’ll be part of a purpose-driven organization shaping the future of healthcare.

Sound Physicians offers a competitive benefits package inclusive of the items below, and more:

• Medical insurance, Dental insurance, and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Self-managed PTO Plan OR Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per year

About the Role

The Senior Director of Finance – Emergency Medicine (EM) leads key Financial Operations initiatives, analyses, and performance improvement efforts across the Emergency Medicine service line. This role is central to supporting the continued expansion of the Emergency Medicine business through both organic growth and new hospital partnerships.

This position requires deep expertise in Emergency Medicine financial and operational drivers and the ability to translate insights into actionable strategies that drive performance. The ideal candidate has a proven track record of high-quality work, strong collaboration with clinical and operational leaders, a strategic and growth-oriented mindset, and a reputation for delivering value-added financial insights

In addition to core responsibilities such as budgeting, forecasting, and financial analysis, this role serves as a key strategic partner to Emergency Medicine leadership, helping to optimize site performance, inform contract strategy, and enable scalable growth. Reporting to the Senior Vice President, Finance, this highly visible role requires strong cross-functional collaboration, executive presence, advanced analytical skills, and a forward-looking, growth-minded mindset.

Essential Duties and Responsibilities

• Serve as the Finance leader for the Emergency Medicine service line, with deep expertise in EM-specific financial and operational drivers.
• Partner closely with the Emergency Medicine Leadership Team (CEO, Operations, Clinical, etc.) to drive financial performance, support growth initiatives, and optimize site-level performance.
• Act as a strategic thought partner, identifying opportunities to expand margins, improve performance, and support new business development within Emergency Medicine.
• Lead financial support for EM contract strategy, including pricing models, renewals, and amendments; challenge assumptions and influence negotiations to achieve favorable outcomes.
• Develop a comprehensive understanding of all Emergency Medicine hospital contracts, including key terms, performance expectations, and financial implications.
• Own detailed budgeting and forecasting processes for the Emergency Medicine service line, incorporating key operational drivers and growth assumptions.
• Perform monthly variance analysis (actual vs. budget/forecast), providing clear, actionable insights and recommendations to operational leaders.
• Support integration and financial optimization of new EM programs, ensuring strong transition from business development to operations.
• Create and deliver ad hoc analyses and reporting to support performance improvement initiatives and strategic decision-making.
• Partner cross-functionally with Accounting, Finance, Revenue Cycle, Operations, and Clinical teams to ensure alignment between financial results, operational activities, and contract terms.
• Lead or support enterprise-level projects focused on performance improvement, scalability, and growth within Emergency Medicine.
• Contribute to the development of a high-performing Financial Operations team by promoting knowledge sharing, mentorship, and continuous improvement.

Values

• Strategic thinker: Demonstrates the ability to look at the big picture and proactively develop a plan of action.
• Drive: Motivated to succeed and get things done at a high level of achievement.
• Self-starter: Demonstrates the ability to jump in and start a task or project with limited direction.
• Resourcefulness: Proactive willingness to utilize available information and tools to figure things out.

Knowledge, Skills, and Abilities

• Excellent written and oral communication skills
• Strong understanding of provider-based financial models, including staffing, productivity, payer mix, and cost drivers
• Experience supporting complex health system partnerships, new site development, or multi-site operations
• Demonstrated ability to translate clinical and operational inputs into financial models and actionable insights
• Ability to influence senior leaders and communicate complex financial concepts clearly across clinical, operational, and executive audiences
• Advanced Excel and financial modeling skills

Education and Experience

• BA/BS in Finance, Accounting, or related field required
• 10+ years of experience in healthcare finance, including FP&A, strategic finance, provider operations finance, or healthcare consulting

Salary Range

• $170,000 - $230,000 annually. Exact pay will be determined based on candidate experience, and geographical location.  This position is also eligible to participate in our Management Bonus Opportunity.

Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws. 

This job description reflects the present requirements of the position.  As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.