Manager, Business Operations and Finance

Manager, Business Operations & Finance

Status: Full-Time

Location: Toronto, Ontario (Hybrid: 3 days in office, 2 days virtual)

Start Date: December 2025 – January 2026

About Perennial

Perennial delivers integrated primary care and wellness services directly within retirement residences, combining on-site and virtual care to meet seniors where they are. By proactively anticipating the needs of older adults, we improve quality of life, reduce unnecessary hospital visits, and ease the strain on the public healthcare system.

Today, we are active in over 29 retirement residences across Ontario, Saskatchewan, Alberta, and Manitoba, with continued plans for growth and expansion.

Our interdisciplinary team including physicians, nurse practitioners, registered nurses, physiotherapists, occupational therapists, dietitians, and massage therapists works together with one clear mission: to keep residents healthy, active, and comfortable in their own homes.

About The Role

We are seeking a Manager, Business Operations & Finance with a start date between December 2025 and January 2026. This hybrid position will be based in Toronto, Ontario with a hybrid work model of 3 days in office, 2 days virtual.

The Manager, Business Operations & Finance is responsible for ensuring Perennial's financial success and the strategic expansion of its allied-health network. This leader owns performance monitoring, budgeting, revenue forecasting, and contract stewardship — ensuring Perennial consistently scales with both profitability and compliance in mind.

ResponsibilitiesFinance & Business Performance Management

• Manage P&L performance by home, region, and service line; identify margin and utilization improvement opportunities.
• Track and analyze membership revenue, clinic utilization, and 70/30 allied-health economics.
• Develop financial models, forecasts, and growth projections for new launches and expansions.
• Produce monthly operating reports and board-ready insights, including risks and recommended actions.
• Support pricing strategy, commercial initiatives, and operational cost controls.

Allied-Health Growth & Partner Network

• Identify service gaps and recruit new allied-health partners (physio, audiology, chiropody, massage, etc.).
• Negotiate agreements, renewals, and replacements for underperforming partners.
• Monitor on-site performance, satisfaction, and financial return on allied-health programs.
• Assist with expansion of new services and pilots inside existing or future homes.

Compliance, Contracts & Systems

• Maintain accuracy and completeness of partner documentation including contracts, licenses, insurance, certifications.
• Ensure financial systems, payroll, and HR operations support scalability and compliance across provinces.
• Work with Clinic Operations leadership to ensure correct billing workflows, data inputs, and operational standards are followed.

Business Systems & Continuous Improvement

• Oversee the implementation and optimization of business systems including payroll, reporting, and partner databases.
• Lead cross-functional process improvements that increase efficiency and scalability.
• Track KPIs and build dashboards to support real-time decision-making.

Qualifications

• 3–5+ years in financial operations, business operations, healthcare administration, or a hybrid commercial role.
• CPA designation (required)
• Degree in Business, Finance, or Accounting
• Strong analytical, financial modelling, and business planning skills.
• Experience negotiating contracts and managing vendor/partner relationships.
• Knowledge of healthcare operational economics is an asset (e.g., service mix, utilization, payer models).
• Comfortable in a fast-growth environment with limited structure — and excited to build that structure.
• Proficiency with spreadsheets, CRM/HRIS systems, and financial analytics tools.
• Knowledge of ASPE and IFRS standards

Why Join Perennial?

• Directly shape the financial engine behind a rapidly scaling healthcare model.
• High-growth leadership path as we expand nationally.
• Meaningful work improving the health and independence of older adults.

Perennial is an equal opportunity, affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact for assistance.

We thank all applicants in advance for their interest in this position, however, only those selected for an interview will be contacted.

Job Type: Full-time