Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals.

Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness.  Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee.

Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis. 

If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you!

Position Summary: The Senior Financial Analyst plays a critical role in managing MHC’s monthly financial results, analyzing financial data on a routine and ad hoc basis, and preparing financial presentations and reports for management and the board. This position is responsible for analyzing and interpreting data from multiple sources (e.g., claims, budget, and operational data) to provide meaningful information that focuses and directs MHC’s operational initiatives. The role requires a strong understanding of healthcare operations, data analysis, and financial management, particularly within a managed-Medicaid-driven payer environment.

Schedule: Monday to Friday, 8:00 AM - 4:30 PM, Hybrid schedule (4 days in office, 1 day WFH)

Location: 275 Cumberland Bend, Nashville, TN 37228

Position Responsibilities:

• Support the monthly preparation of the financial reporting package, dashboards, and key performance indicators (KPIs) for management and the board, providing regular updates on financial and operational performance.

• Partner with Accounting through the month-end close, owning the analytical review of results — for example, program and cost-center allocations, indirect cost allocation, accrual reasonableness, and program-level P&L review.

• Interpret monthly and year-to-date financial results, identifying variances, trends, and underlying drivers to inform management’s planning and operational decisions.

• Serve as a cross-functional analytical resource to Accounting, Revenue Cycle, and program leadership as needed — for example, analyzing denial trends and denial rate, days in accounts receivable, payer mix shifts, and reimbursement rate changes by payer and service line.

• Assist in the preparation, monitoring, and revision of annual budgets and financial forecasts, collaborating with department heads to ensure alignment with strategic goals.

• Partner with executive leadership to build financial models, forecasts, and business plans — including scenario and sensitivity analysis — that inform strategic direction, prioritization, and resource allocation.

• Support grant management, including developing grant budgets and tracking expenditures against awarded funds.

• Collaborate across functional areas to develop and maintain the capital budget, including assessing the financial feasibility of capital projects and tracking capital spend against budget.

• Conduct ad hoc financial analysis and pro formas, providing insight to address specific financial challenges and opportunities as they arise.

• Participate in proactive team efforts to achieve departmental and company goals.

Essential Skills and Experience:

• Bachelor’s Degree in Finance, Accounting, Economics, Business Administration, or a related field required.

• 3+ years of progressive experience in Finance, Accounting, FP&A, business analysis, or a related financial role is required. Experience in healthcare is a plus.

• Experience preparing budgets, forecasts, variance analyses, and financial reports required.

• Strong understanding of financial planning, capital tracking, operating expense management, and financial reporting required. Experience with grant budgeting a plus.

• Familiarity with Generally Accepted Accounting Principles (GAAP) as applied to financial reporting and month-end close.

• Advanced Excel skills (pivot tables, lookups, complex formulas) required; experience with financial reporting systems a plus.

• Ability to compile complex information, design reports, and analyze data.

• Strong communication and decision-making skills.

• Excellent presentation, organization, research, and analysis skills.

• Experience applying AI tools to streamline recurring analysis, reporting, and documentation, with appropriate validation of results and protection of confidential and protected health information.

• Experience developing dashboards, recurring reports, financial trackers, or process documentation preferred.

• Professional certification such as CPA, CFA, or HFMA’s Certified Healthcare Financial Professional (CHFP) is a plus.

Benefits: Mental Health Cooperative offers a full comprehensive benefit plan for you to participate in. The following products are available:

• Medical Insurance/Prescription Drug Coverage

• Health Savings Account

• Dental Insurance

• Vision Insurance

• Basic Life and AD&D Insurance

• Short- & Long-Term Disability

• Supplemental Life Insurance

• Cancer Insurance

• Accident Insurance

• Critical Illness Insurance

• 403b - Retirement Plan

• Calm App for medication and mental health

• Gym membership discounts 

• Pet Insurance

Mental Health Cooperative embraces inclusion, diversity and equal opportunity. We're committed to building a team that represents a variety of backgrounds, perspectives, and skills. Mental Health Cooperative is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.