Vice President, Transaction Advisory Services

The Role

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, and 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. If that is where you do your best work, this role is built for you.

Why Intrinsic

• A dedicated healthcare industry group, not a firm where healthcare is one deal type among many
• Real deal exposure from day one — your analysis feeds directly into deliverables that PE sponsors use to make investment decisions on live transactions
• Private, independent firm — when the firm wins, you win
• A team that develops people, deliberately — direct, substantive feedback that accelerates your technical and sector-specific growth
• A clear path forward — strong VP performance earns expanded scope and a defined trajectory toward Director-level responsibility
• Hybrid and remote flexibility — offices in Denver and Chicago with meaningful remote options

You are not here to wait for work to be assigned. You take a workstream, structure it, and deliver it. That kind of ownership — at the execution level — is what we are looking for.

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

What Makes You a Fit

Your background is grounded in healthcare:

• 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

You execute with precision and lead with clarity:

• 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

You are built for deal environments:

• 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

This position has an expected base salary range of $133,000 to $173,000 annually. Skills, experience, education, and qualifications determine final compensation. Employees are also eligible for an annual discretionary bonus targeted at 20% of base salary, bringing target total cash compensation to approximately $156,250 to $207,600.

Benefits include medical, dental, and vision insurance; a 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; and participation in the firm's employee ownership model. All full-time employees are eligible for these benefits.

This position is eligible for remote work. Compensation reflects the full posted range and is not adjusted by geography.

About Intrinsic

Since 2010, Intrinsic has partnered with private equity firms, portfolio companies, and the office of the CFO to deliver transaction advisory services, valuation, and financial and accounting advisory support. We're a private, independent firm with significant employee ownership, headquartered in Denver, with team members across the country.

Our Healthcare Transaction Advisory practice works at the intersection of middle-market PE and healthcare services M&A — executing buy-side and sell-side diligence for sponsors investing across physician services, behavioral health, home-based care, dental, veterinary, and other care delivery businesses. We bring sector-specific analytical rigor to every engagement, and we are building a team that reflects that standard at every level.

Equal Opportunity Employer

Intrinsic is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, national origin, age, disability, pregnancy, genetic information, marital status, sexual orientation, gender identity or expression, veteran status, or any other status protected by applicable federal, state, or local law. We are committed to building a diverse and inclusive workplace where everyone feels respected and empowered to do their best work.

Intrinsic complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, compensation, benefits, training, and termination.

Applicants who require a reasonable accommodation to participate in the hiring process may contact us at info@intrinsicfirm.com.