Vice President, Transaction Advisory Services, Healthcare

About this role

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…