The Role
Why join Nextech?
We are a leader in specialty healthcare technology solutions.
We’re committed to hiring and retaining talent, which is why we invest in our employees through competitive pay, a generous bonus structure, great healthcare, a comprehensive wellness program, and many other benefits.
If you are a software engineer, finance or accounting professional, customer support specialist, or a business development expert with a passion for healthcare technology (just to name a few), we want to hear from you.
We are an equal opportunity employer with a commitment to diversity. All individuals, regardless of personal characteristics are encouraged to apply. If you are a candidate in need of assistance or an accommodation in the application process, please contact [email protected].
Job Summary
Nextech Payments is more than a feature—it is a core enabler of financial performance and operational efficiency for thousands of healthcare practices across the United States. Processing billions in annual volume, Nextech Payments sits at the intersection of software, fintech, and healthcare workflows—where pricing, unit economics, conversion, retention, and risk discipline directly determine long-term growth and profitability.
As Finance Manager – Payments Business Partner, you will be the embedded business leader for the Payments business. Equal parts finance leader, data analyst, and embedded payments subject-matter expert. In the role you will translate complex payment flows and datasets into clear insights and actions that improve margin, increase attach/activation, strengthen retention, and sharpen pricing/packaging discipline.
In this role, you will partner closely with Payments leadership, Enterprise BI, FP&A, Accounting, Product, Marketing, Sales, Customer Success, and Risk/Compliance. You will drive actionable intelligence for decision-makers, scalable Reporting and KPIs, rigorous business cadence, and strategic modeling—ensuring Nextech can operate payments like a world-class fintech platform inside a vertical SaaS business.
All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate.
Essential Functions
- Business Partnering & Decision Support:
- Serve as the primary finance point of contact for the payments business, including Stripe-enabled operations, supporting both day-to-day and strategic planning.
- Translate complex business questions into analytical frameworks and deliver clear, actionable recommendations.
- Elevate financial and metric fluency across Payments, Product, and GTM leaders by coaching stakeholders on payment economics, fee drivers, conversion mechanics, and trade-offs.
- Partner with FP&A and Accounting to align forecasts, variance analysis, and executive-level reporting.
- Revenue & Payment Economics:
- Analyze payment flows, transaction volumes, Stripe fee structures, and cost-to-serve dynamics; identify opportunities to improve unit economics.
- Evolve profitability models across key dimensions (e.g., practice cohort, segment, product bundle/SKU, channel, payment method, card-present/card-not-present mix).
- Monitor recurring and explain recurring revenue streams (ARR/MRR), churn, retention, and upsell performance within payment-enabled products.
- Partner with Sales and Customer Success to ensure pricing discipline, discount guardrails, and healthy pipeline economics.
- Build and maintain cohort analyses (activation ramp, volume maturity curves, retention/churn, expansion) to inform growth targets and GTM strategies.
- Pricing & Strategic Initiatives:
- Support pricing and monetization strategies for payment-related products and services, including post-launch performance reviews.
- Develop SKU-level profitability analysis to identify underperforming offerings and margin improvement opportunities.
- Develop pricing frameworks for new payment features, including tiered pricing, bundling, and value-based models. Partner with Sales and GTM teams to implement and monitor adherence.
- Collaborate with Product and Sales to rationalize SKU portfolios and optimize packaging for customer segments.
- Monitor discounting and price realization trends; implement guardrails to protect margin integrity.
- Build scenario models for strategic decisions such as payment partnerships, new product launches, and portfolio changes.
- Data & BI Collaboration:
- Own the Payments KPI architecture and reporting roadmap—ensuring metric definitions, data lineage, and governance that support a trusted “single source of truth.”
- Partner with Enterprise BI to co-create datasets and dashboards for payment KPIs, including transaction success rates, Stripe fee impact, churn, cohort performance, and customer health.
- Develop dashboards tracking volume, SKU adoption, revenue contribution, and profitability by segment.
- Drive a rigorous operating cadence for Payments performance (weekly insights, monthly business reviews, QBR support), surfacing leading indicators, root-cause analysis, and clear actions.
- Cross-Functional Leadership and Stakeholder Management:
- Collaborate with Product and Product Marketing to quantify roadmap ROI, support business cases, and translate field/customer feedback into measurable economic implications.
- Partner with Legal, Compliance, and Risk to ensure reporting supports required controls and that commercial decisions reflect regulatory and operating risk realities.
- Support executive and board-ready materials with high clarity, strong narrative structure, and defensible numbers.
Minimum Requirements
- 5–8+ years of experience in finance, analytics, strategy, or data-driven business partnering roles, preferably within SaaS, fintech, payments, or a hybrid SaaS + payments model.
- Demonstrated ability to influence senior stakeholders through insight, structured thinking, and executive-ready communication—driving measurable operational and/or commercial outcomes.
- Strong proficiency in financial modeling, scenario analysis, and unit economics (including pricing, margin, and contribution analysis).
- Experience with payment processing platforms (Stripe preferred) and SaaS recurring revenue models.
- Advanced Excel skills and familiarity with BI tools (Power BI, SQL, etc.).
- Ability to define metrics and partner with analytics teams to build dashboards.
- Excellent communication skills with the ability to simplify complex concepts.
- Bachelor’s degree in Finance, Accounting, Economics, or related field.
Preferred Qualifications
- MBA or relevant graduate degree (e.g., Analytics, Data Science, Economics, or Finance).
- Prior experience supporting a payments platform or embedded payments business; familiarity with Stripe and its reporting/fee constructs strongly preferred.
- Experience in vertical SaaS (healthcare preferred) and understanding of healthcare payment workflows and buying centers (self-pay vs insurance-based dynamics).
- Experience operating in private equity–backed environments and supporting investor-grade reporting, planning, and cadence.
- Familiarity with relevant systems: NetSuite, Salesforce, data warehouses/lakes, and planning tools (Adaptive, Planful, Anaplan, Pigment) and/or modern analytics stacks.
Working Environment/Physical Demands
- 100% Remote
- Long-distance or air travel as needed – not to exceed 10% travel
Total Rewards
Generous annual bonus opportunity
401(k) with Employer Match
Flexible Time Off: take time off when you need it without worrying about available hours
11 paid holidays
Volunteer Time Off
Insurance: Choice of Medical, Dental, and Vision plans
Health Savings Account with employer match
Flexible Spending Account
100% Company-Paid Parental leave (After 6 months with the company)
100% Company-Paid Life Insurance and Short/Long Term Disability Insurance
Nextech Luminary Peer Recognition Program
Wellness Program including discounts on medical premiums
Employee Assistance Program with free counseling sessions available
Corporate Discounts on Retail, Travel, and Entertainment
Pet Insurance options
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The Company
What We Do
Nextech’s specialty-focused technology solutions are personalized to meet the unique workflow requirements of specialty providers, helping practices increase efficiencies across their clinical, administrative, financial and marketing functions using a single platform. Offering all-in-one, ONC-certified electronic medical records (EMR/EHR), practice management, revenue management, and patient engagement software and services, Nextech is recognized as the top single solution provider for ophthalmology, plastic surgery and dermatology, serving a client base of more than 9,000 providers and 50,000 office staff members. Offering physicians intelligent healthcare technology, Nextech focuses on the success of its specialty practices through consultative guidance and implementation of solutions tailored to the speed and workflows of individual providers.
