[Hiring] Vice President, Transaction Advisory Services @Intrinsic

Role Description

Healthcare transactions carry analytical complexity that most diligence teams treat as background noise. Payor mix shifts, revenue cycle irregularities, reimbursement exposure, and provider cost structures sit underneath the financial statements and change what the numbers actually mean. A quality of earnings analysis on a physician group is not the same as one on a distribution company, and the advisors who understand that difference are the ones PE sponsors bring back.

The Vice President is the analytical engine of every engagement it runs. You sit between the Senior Associates executing the work and the Directors managing the client. Your job is to make both work better:

• Elevate the analysis coming up
• Take direction efficiently so the engagement moves with precision
• Ensure that nothing falls through the cracks on a live deal

This is an execution-layer role with real sector responsibility. You are not here to manage the client relationship or set practice strategy. You are here to run the analytical work with healthcare-informed judgment, develop the Senior Associates around you, and deliver diligence that holds up under sponsor scrutiny.

What You'll Do

• Healthcare-Informed Financial Analysis
  • Build and review QoE analyses, NWC assessments, debt-like item schedules, and revenue trend exhibits through a healthcare lens
  • Assess payor mix impact on revenue quality, identify revenue cycle irregularities in the historical financials, and evaluate provider cost and compensation structures
  • Surface the sector-specific adjustments that change how a sponsor thinks about normalized earnings on a healthcare target
  • Bring working knowledge of healthcare financial mechanics — reimbursement structures, managed care contracting, cost reporting — to bear on the numbers
• Workstream & Team Coordination
  • Direct the day-to-day work of Senior Associates and Associates — assign clearly, review thoroughly, and keep the engagement on pace
  • Set the quality standard for work product before it reaches the Director — your name is on the workpapers
  • Manage the data room: track incoming documents, maintain the open request list, and keep the deal team moving
  • Know when to resolve issues independently and when to escalate — and act accordingly without being prompted
• Report Drafting & Quality
  • Draft sections of healthcare financial due diligence reports under Director direction
  • Connect financial findings to sector-specific drivers: what a reimbursement rate change means for forward earnings, what a revenue cycle backlog signals about collectability, what payor concentration creates in terms of risk
  • Self-review thoroughly — your sections should be accurate, well-organized, and require minimal editing before they go up the chain
• Client Preparation & Stakeholder Coordination
  • Build financial exhibits and develop sector-informed questions that support management calls and client discussions
  • Participate in client calls and financial discussions under Director direction — present findings with clarity and respond to follow-up with precision
  • Coordinate across workstreams — tax advisors, legal teams, other third parties — keeping your workstream aligned without losing the narrative thread
• Senior Associate Development
  • Orient Senior Associates to engagement workpapers and healthcare-specific analytical questions
  • Provide direct, substantive feedback on their work — specific enough to change how they approach the next engagement
  • Model the precision, pace, and healthcare judgment the practice demands

Qualifications

• 4+ years of experience in financial due diligence, transaction advisory, or public accounting with meaningful healthcare deal exposure
• Working knowledge of the financial mechanics that drive healthcare businesses: payor mix and reimbursement structures, revenue cycle dynamics, managed care contracting, and provider compensation models
• Hands-on experience with QoE analysis, NWC assessments, and debt-like item identification in a diligence context
• Ability to read healthcare financial statements with sector-informed judgment — not just what the number says, but what it reflects about how the business operates
• Bachelor’s degree in Accounting or Finance; CPA licensed or actively pursuing preferred

Requirements

• Strong Excel proficiency — clean, accurate, well-structured workpapers without significant rework
• Clear written communication — your report sections are logically organized and don’t require heavy editing
• You assign work with clear expectations, review it to a high standard, and provide feedback that actually improves the output
• You surface issues early and manage your workstreams without waiting to be asked
• Compressed timelines and shifting priorities do not derail you — you recalibrate and keep the work moving
• Detail-oriented without losing sight of the headline finding
• Genuinely curious about how healthcare businesses work — the sector interests you beyond the financial statements
• You take feedback directly and apply it; you give feedback that is specific enough to be useful

Compensation & Benefits

• Expected base salary range of $133,000 to $173,000 annually
• Annual discretionary bonus targeted at 20% of base salary
• Benefits include:
  • Medical, dental, and vision insurance
  • 401(k) plan with employer contribution
  • Paid time off, including vacation, sick leave, and company holidays
  • Paid parental leave
  • Hybrid and remote work flexibility
  • Professional development support and continuing education reimbursement
  • Participation in the firm's employee ownership model