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Monarch

Behavioral health and substance use treatment

Finance Budget Analyst

Full-TimeUpdated on 10/21/2026
$90k
Mid
Bachelor's
Albemarle, NC, USA
RemoteRemote work is limited to North Carolina residents.
Finance & BankingCorporate Finance & FP&A

About the job

Requirements
  • A Bachelor's degree in Accounting is required.
  • Two to five years of finance or accounting experience is required.
  • Healthcare experience is not required.
Responsibilities
  • Provide financial planning, reporting, analysis, and decision support to business segments and service lines, and support the Finance Leadership team.
  • Support and lead aspects of budget development, forecast management, revenue- and expense-related projects, monthly close, reporting, and analysis.
  • Prepare supporting materials for and lead discussions during financial, service, and program review meetings, using analysis to provide decision support to operations teams.
  • Develop and publish financial and non-financial metrics, identify opportunities and risks, communicate them to Finance and the relevant business segment or service line, and recommend and implement ways to capitalize on opportunities and mitigate risks.
  • Prepare and analyze reports containing revenue, expense, and statistical information; maintain statistical data and verify its accuracy against financial reports and subsidiary ledgers or modules.
  • Develop and implement budgets and financials for the relevant business segment or service line.
  • Initiate planning, provide leadership, and participate in budget and forecast cycles by engaging in planning discussions with Finance and the relevant business segment or service line.
  • Prepare templates, training materials, financial reports, and related analysis for budget and forecast cycles.
  • Work collaboratively with department managers, Finance, and the business segment or service line to develop detailed budgets and forecasts, challenging assumptions when appropriate.
  • Provide requested financial reporting for business segments and service lines, including actual-to-budget comparisons, statistics with variance analysis, financial variance analysis, monthly financial statement packages, cost of service, financial forecasts, and managed care organization reporting and analysis.
  • Develop and maintain productivity reports and help department managers maintain appropriate productivity levels.
  • Prepare materials for meetings with executive staff, the Board of Directors, payers, and other parties, and participate in those meetings as needed.
  • Participate in cross-functional team meetings to identify and resolve potential issues.
  • Work with the Finance Leadership team to review existing or new processes for opportunities to increase revenue or service efficiency, and assist with evaluating business results.
  • Approve purchase orders for the relevant segment or service line.
  • Assist with the annual audit by preparing requested schedules and addressing auditor inquiries.
  • Drive and travel to community locations, agencies, and other outreach destinations as required.
  • Follow financial structure and service-definition guidelines for services provided.
  • Maintain trainings as required and requested.
  • Comply with agency policies and procedures.
  • Complete other relevant responsibilities assigned by the supervisor.

About the company

Monarch NC provides behavioral health services across North Carolina, addressing mental health and substance use disorders. It offers telehealth, crisis intervention, urgent care, and outpatient services to deliver personalized care. The approach combines in-person clinics, telehealth, and crisis support across multiple locations (Asheville, Charlotte, Greensboro) to coordinate care and support recovery. Its goal is to improve clients' mental health by delivering the right level of care tailored to each person and expanding access through integrated services.

Company Size

1,001-5,000

Company Stage

Series A

Total Funding

$23.9M

Headquarters

Albemarle, North Carolina

Founded

1958

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Simplify's Take

What believers are saying

  • North Carolina backed Monarch with a $32.5 million Cabarrus grant and $500,000 Nash allocation.
  • Monarch opened Pittsboro's Chatham Opportunities Center in summer 2026, broadening I/DD capacity.
  • Cabarrus expects Monarch's new behavioral health center to serve 200 youth in 2027.

What critics are saying

  • August 2022 ransomware settlement still exposes Monarch to trust and compliance damage in 2026.
  • Monarch's Concord expansion requires staffing about 150 jobs before mid-2026 opening.
  • North Carolina funding dependence ties Nash County and Cabarrus growth to state appropriations.

What makes Monarch unique

  • Monarch's June 2026 Concord center bundles urgent care, crisis, and residential youth services.
  • Monarch's mobile clinics reach six northeastern counties with on-site and telehealth treatment.
  • Monarch's I/DD and substance-use curriculum uniquely targets underserved patients with developmental disabilities.

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Benefits

  • Health Insurance
  • Paid Vacation
  • Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

14%

1 year growth

14%

2 year growth

14%
The Financial Technology Report
Jun 6th, 2025
Monarch Raises $75M, Valued at $850M

Monarch, a personal finance app, raised $75M in a Series B round, valuing the company at $850M. The funding was co-led by FPV Ventures and Forerunner Ventures, with support from Accel, SignalFire, Clocktower Ventures, and Menlo Ventures. Following Intuit's announcement to shut down Mint, Monarch saw a surge in users. The company plans to expand its platform and team, hiring in engineering and marketing across North America.

Businessuite Media Group International
May 23rd, 2025
Fontana Reports $835.9M Gross Profit Growth

Fontana Limited reported a Q3 2025 gross profit of $835.9 million, a 15.2% increase from the previous year, driven by a 15.3% rise in revenue to $2.2 billion. The Monarch acquisition led to a 13.3% increase in operating expenses, mainly due to staffing costs. Operating profit grew 25% to $148.1 million. Finance costs rose 38.4% to $63 million due to foreign exchange losses and loan interest. Net profit increased by 10.6% to $102.8 million, with earnings per share rising to $0.08.

CNBC
May 23rd, 2025
Monarch raises $75M amid fintech downturn

Monarch, a personal finance app, raised $75 million in a Series B round, valuing the company at $850 million. This funding comes amid a challenging period for consumer fintechs. Monarch's growth surged after Mint's closure, as it offers a paid, ad-free service. The round, led by FPV, highlights Monarch's innovative approach to financial planning. Despite a 38% decline in fintech funding, Monarch's success stands out in the current "nuclear winter" for fintech startups.

PR Newswire
Oct 11th, 2023
Monarch Breaks Ground With Free, Online Curriculum For Those With Intellectual Or Developmental Disabilities Struggling With Addiction

ALBEMARLE, N.C., Oct. 11, 2023 /PRNewswire/ -- Monarch has launched "Understanding Addiction and Developmental Disabilities," a first-of-its-kind web-based resource to help an underserved population of people living with intellectual or developmental disabilities (I/DD) and substance use disorders (SUD)."Substance use is often overlooked and people with I/DD are less likely to seek help." - Peggy Terhune, Ph.D. Tweet this Understanding Addiction and Developmental Disabilities, a curriculum developed by Monarch to assist professionals and caregivers in helping those with Intellectual and/or developmental disabilities and substance use disorders, features our hero Eddie learning about the health risks that come from mixing medicines and alcohol, and the importance of taking only the medicines and dosages prescribed by his doctor.The " Understanding Addiction and Developmental Disabilities '' website features screening tools and helpful guides for those who work with individuals with I/DD, such as mental health clinicians and caregivers, guardians or parents and teachers. The free, open-source curriculum consists of 14 animated videos that provide relevant therapeutic information for the person with I/DD and SUD. To learn more, visit understanding.monarchnc.org .Those interested in learning more can attend the "Understanding Addiction and Developmental Disabilities" webinar, a free training for professionals, family members and other caregivers, Friday, Nov. 17, 2023 11 a.m

Roanoke-Chowan News-Herald
Feb 24th, 2023
Monarch’s Mobile Integrated Care Clinic services begin in Bertie and Hertford counties

Monarch, in partnership with Trillium Health Resources, has launched its second Mobile Integrated Care Clinic offering mental health and substance use disorder services to communities within Bertie and Hertford counties.