Finance Manager/Director

Come join Overstory Health as an Manager/Director of Finance

Overstory Health builds world-class patient-centric Partial Hospital & Intensive Outpatient (PHP & IOP) programs for those with high acuity mental health needs. Our mission is to provide more accessible and dignified behavioral health care for people when they need care the most. With a clinical model validated by McLean Hospital, we deliver comprehensive psychiatric, therapeutic, and community reintegration services to our patients. 

ABOUT THE ROLE

Overstory Health is seeking a strategic and detail-oriented Manager/Director of Finance to lead financial operations, vendor oversight, and strategic planning. You’ll manage our outsourced billing/RCM vendor, oversee accounts payable and payroll, validate expenses, and support financial modeling and long-range planning. This role ensures financial accuracy, cash-flow integrity, and operational clarity while partnering closely with the CEO and leadership team..

YOU’LL BE A GOOD FIT IF YOU

• Enjoy balancing hands-on financial oversight with strategic analysis.
• Can manage and hold external billing/RCM vendors accountable to performance standards.
• Communicate clearly, flag issues early, and drive follow-through.
• Take pride in precision and consistent financial accuracy.
• Translate financial insights into actionable recommendations for leadership.
• Want to grow with a mission-driven, fast-moving healthcare organization.

QUALIFICATIONS

• 5–7 years in healthcare finance, accounting, or related fields (behavioral health preferred).
• Experience overseeing billing/RCM vendors and tracking performance metrics.
• Strong background in AP, payroll, and general ledger processes.
• Familiarity with payroll/accounting tools (e.g., Gusto, QuickBooks, ADP).
• Solid analytical and Excel/Sheets modeling skills; forecasting experience a plus.
• Excellent communication and organizational skills.
• Mission-driven approach and comfort operating in a growing healthcare environment.

RESPONSIBILITIES

Revenue Cycle Management & Vendor Oversight

• Serve as primary point of contact for RCM vendor and monitor claim submission, AR follow-up, and payment posting.
• Review vendor reports to identify trends, delays, or issues requiring escalation.
• Partner with clinical/operations teams to ensure documentation and payer compliance.
• Build and maintain dashboards tracking clean claim rate, DSO, cash collections, and other KPIs.
• Support payer contracting and credentialing coordination.

Accounts Payable, Payroll, and Expense Management

• Oversee AP workflows, invoice validation, and expense coding.
• Approve expenses and ensure alignment with policies and budgets.
• Ensure timely payments to vendors, partners, and employees.
• Partner with HR/Chief of Staff on biweekly payroll processing and audits.
• Support monthly close and account reconciliations.

Operational Finance & Strategic Planning

• Develop and refine dashboards tracking revenue, expenses, and cash flow against plan.
• Contribute to annual budget development and provide variance analysis with recommendations.
• Assist in preparation of board materials, grant budgets, and investor or lender reporting.
• Identify and implement opportunities for financial process improvement and automation.

BENEFITS

• $100,000-$150,000 base and performance incentives
• Paid time off (PTO)
• Medical insurance coverage (health, dental, vision) with no waiting period for enrollment
• Short and long-term disability insurance at no cost to you
• 401K match up to 4% of income
• License renewal reimbursement (if applicable)
• Supplemental benefits

Mission: Overstory Health delivers compassionate and connected care to guide individuals through the most challenging times in their lives, one group at a time.

Vision: Transform Behavioral Healthcare to empower every individual and their community to heal, connect and thrive.

Values:

• Dignity
• Collaboration
• Connection
• Purposeful Innovation
• Caring Accountability