Vice President, Transaction Advisory Services, Healthcare

The RoleHealthcare 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 IntrinsicA dedicated healthcare industry group, not a firm where healthcare is one deal type among manyReal deal exposure from day one — your analysis feeds directly into deliverables that PE sponsors use to make investment decisions on live transactionsPrivate, independent firm — when the firm wins, you winA team that develops people, deliberately — direct, substantive feedback that accelerates your technical and sector-specific growthA clear path forward — strong VP performance earns expanded scope and a defined trajectory toward Director-level responsibilityHybrid and remote flexibility — offices in Denver and Chicago with meaningful remote optionsYou 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 DoHealthcare-Informed Financial AnalysisBuild and review QoE analyses, NWC assessments, debt-like item schedules, and revenue trend exhibits through a healthcare lensAssess payor mix impact on revenue quality, identify revenue cycle irregularities in the historical financials, and evaluate provider cost and compensation structuresSurface the sector-specific adjustments that change how a sponsor thinks about normalized earnings on a healthcare targetBring working knowledge of healthcare financial mechanics — reimbursement structures, managed care contracting, cost reporting — to bear on the numbersWorkstream & Team CoordinationDirect the day-to-day work of Senior Associates and Associates — assign clearly, review thoroughly, and keep the engagement on paceSet the quality standard for work product before it reaches the Director — your name is on the workpapersManage the data room: track incoming documents, maintain the open request list, and keep the deal team movingKnow when to resolve issues independently and when to escalate — and act accordingly without being promptedReport Drafting & QualityDraft sections of healthcare financial due diligence reports under Director directionConnect 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 riskSelf-review thoroughly — your sections should be accurate, well-organized, and require minimal editing before they go up the chainClient Preparation & Stakeholder CoordinationBuild financial exhibits and develop sector-informed questions that support management calls and client discussionsParticipate in client calls and financial discussions under Director direction — present findings with clarity and respond to follow-up with precisionCoordinate across workstreams — tax advisors, legal teams, other third parties — keeping your workstream aligned without losing the narrative threadSenior Associate DevelopmentOrient Senior Associates to engagement workpapers and healthcare-specific analytical questionsProvide direct, substantive feedback on their work — specific enough to change how they approach the next engagementModel the precision, pace, and healthcare judgment the practice demandsWhat Makes You a FitYour background is grounded in healthcare:4+ years of experience in financial due diligence, transaction advisory, or public accounting with meaningful healthcare deal exposureWorking knowledge of the financial mechanics that drive healthcare businesses: payor mix and reimbursement structures, revenue cycle dynamics, managed care contracting, and provider compensation modelsHands-on experience with QoE analysis, NWC assessments, and debt-like item identification in a diligence contextAbility to read healthcare financial statements with sector-informed judgment —