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in Seattle, WA

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Hours Full-time
Location Seattle, Washington

About this job

Category: Corporate


Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:

  • We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
  • We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
  • We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
  • We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.

The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.


Reporting to the Vice President of Finance, the Associate Director of Finance will directly support multiple the financial success of practice operations in the Pacific Northwest. This position will have financial responsibility for managing all aspects of multiple Management Service Organizations (“MSO”) partnerships for the growing Optum Specialty Practice (“OSP”) group in the Pacific Northwest.

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
  • Manage the development of physician compensation calculations, report performance to practices, and develop new models as needed
  • 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 5-7 years of financial experience is required with healthcare experience being desirable
  • Experience with large multisite medical groups is highly desirable
  • Physician compensation experience 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: 10% - 25%

Candidates based in Seattle preferred.

USD $115,000.00/Yr. USD $145,000.00/Yr.