Who we are:
Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts.
What you’ll do:
Responsibilities/Duties:
- Budgeting & Forecasting:
- Support the development of the annual budget and monthly forecasting process through partnership with corporate department heads
- Develop and maintain detailed forecast assumptions for revenue, expenses, staffing, and other key financial drivers.
- Assist in preparing forecast updates and identifying risks and opportunities versus budget and prior forecasts.
- Three-Statement Modeling:
- Support the development and maintenance of income statement, balance sheet, and cash flow models.
- Assist with income statement forecasting, including revenue, labor, operating expenses, and below-the-line items.
- Support balance sheet forecasting through rollforward schedules for key accounts, including accounts receivable, accounts payable, debt, accrued expenses, and other working capital items.
- Assist with cash flow forecasting, including EBITDA to cash conversion, working capital movements, capital expenditures, debt activity, and other cash flow drivers.
- Help ensure financial forecasts tie across the income statement, balance sheet, and cash flow statement.
- Corporate Department Partnering:
- Prepare and communicate monthly reporting packages, including variance analysis on actuals versus budget/forecast.
- Provide actionable insights into business performance and financial trends.
- Partner with corporate department leaders to help them understand their financial results, budgets, forecasts, and key expense drivers.
- Provide vendor-level detail to support cost savings initiatives through analysis on trends and opportunities for efficiencies.
- Serve as a finance point of contact for corporate departments, helping answer financial questions and provide clear, actionable guidance.
- Ad-hoc Projects:
- Support the continued development and enhancement of Power BI financial statement reporting to improve visibility into business performance.
- Support special analyses as requested by senior leadership.
- Assist in the preparation of board materials and executive presentations.
- Conduct deep-dive analyses on payroll costs, operating expenses, corporate spend, and performance trends.
Who you are:
Qualifications:
- Bachelor’s degree in Finance, Accounting, or related field.
- 2-5 years of Finance or Accounting experience
- Experience within a healthcare, PE-backed, or multi-site business strongly preferred
- Experience with 3-statement financial modelling strongly preferred
- Advanced Excel modeling and analysis skills, including pivot tables, SUMIFS, SUMPRODUCT, XLOOKUP, and other financial modeling techniques.
- Experience supporting budgets, forecasts, variance analysis, and management reporting.
- Strong analytical skills with the ability to interpret financial results and communicate key drivers.
- Experience communicating with senior leadership and cross-functional business partners.
- Excellent communication and presentation skills with the ability to partner cross-functionally.
- Experience with financial and operational systems, such as Sage, Power BI, Paycom, ModMed, Athena, or similar platforms.
What we offer:
- Excellent growth and advancement opportunities
- Dynamic environment
- Access to a diverse network of practitioners
- Broad infrastructure of tools and programs to enhance the employee experience
- Competitive Compensation
- Generous PTO
- Benefits package: health, dental, vision, 401(k), etc.
We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).
The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, education, etc.
Skills Required
- Bachelor's degree in Finance, Accounting, or related field
- 2-5 years of Finance or Accounting experience
- Experience within a healthcare, PE-backed, or multi-site business
- Experience with three-statement financial modeling (income statement, balance sheet, cash flow)
- Advanced Excel modeling and analysis skills including pivot tables, SUMIFS, SUMPRODUCT, XLOOKUP
- Experience supporting budgets, forecasts, variance analysis, and management reporting
- Strong analytical skills with ability to interpret financial results and communicate key drivers
- Experience communicating with senior leadership and cross-functional business partners
- Experience with financial and operational systems such as Sage, Power BI, Paycom, ModMed, or Athena
What We Do
Spire Orthopedic Partners is a management services organization (MSO) that partners with leading orthopedic and spine practices. It provides the necessary infrastructure, capital, and administrative support—including finance, operations, and marketing—to enable physicians to focus on patient care. The company operates across the Northeast, supporting elite practices to help them grow, specialize, and thrive in a competitive healthcare landscape while maintaining clinical autonomy.





