Overstory Health
Come join Overstory Health as a Manager/Director of Finance
Overstory Health builds world‑class patient‑centric Partial Hospital & Intensive Outpatient (PHP & IOP) programs for individuals with high acuity mental health needs. Our mission is to provide more accessible and dignified behavioral health care when they need it most. With a clinical model validated by McLean Hospital, we deliver comprehensive psychiatric, therapeutic, and community reintegration services.
About the Role
Overstory Health seeks 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're 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
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. 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. 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 401(k) match up to 4% of income License renewal reimbursement (if applicable) 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 Connection Caring Accountability Equal Employment Opportunity Statement
As set forth in Overstory Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.
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Overstory Health seeks 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're 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
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. 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. 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 401(k) match up to 4% of income License renewal reimbursement (if applicable) 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 Connection Caring Accountability Equal Employment Opportunity Statement
As set forth in Overstory Health’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.
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