Role Description
We’re hiring a Finance Manager or Senior Finance Manager to be the operating backbone of our finance function. This is a generalist role in the truest sense — you’ll own the day-to-day financial operations, build processes from scratch, work directly with our Head of Finance and executive leadership, and help scale a lean but high-performing team. The right person doesn’t just report on what happened; they help determine what happens next.
This hire is a direct response to our growth: we need someone who can assume full ownership of financial operations. If you’ve thrived in a fast-moving environment and you know what “good” looks like at scale — this is your seat.
Key Responsibilities
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Financial operations ownership: Take over and run all day-to-day finance operations — monthly close, billing, payroll, A/P, A/R, commissions, and cash management.
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FP&A and reporting: Own financial forecasting, budgeting, and variance analysis. Prepare investor, board, and management reporting with accuracy and clear financial narratives.
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Accounting oversight: Support and eventually own accounting workflows in coordination with external accounting partners, ensuring compliance and accuracy across all healthcare financial reporting.
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Process design & improvement: Evaluate current workflows in the first 30 days, identify inefficiencies, and implement scalable process improvements within 90 days. You’re not inheriting a polished machine — you’re building one.
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Cross-functional partnership: Work closely with Strategy, Operations and Expansion teams on pricing, gross-margin optimization, unit economics and growth opportunities.
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Strategic support: Serve as a core partner to the Finance Lead and Executive Leadership Team on capital allocation, growth decisions, and financial strategy.
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Technology & tooling: Evaluate, implement, and champion finance tech — including AI-powered tools — to drive operational efficiency and better financial intelligence.
Qualifications
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Healthcare industry background (PACE, value-based care, or health plan experience strongly preferred)
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Experience doing FP&A and accounting together in a single role
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5–8+ years in finance or related field
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Background at a VC- or PE-backed company
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Startup or high-growth environment experience — you’ve built processes in lean settings
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Experience at a scaled or larger company (so you know what “good” looks like)
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Demonstrated ability to own financial operations end-to-end with minimal oversight
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Accounting fluency — you’ve overseen or managed accounting functions, even if not a CPA
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Familiarity with Ramp, Rippling, Sage, or similar finance/accounting platforms
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Strong analytical skills with experience translating data into financial narratives
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Genuine experience with advanced technology and AI tools in finance workflows
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CPA, CFA, or relevant certification preferred
Requirements
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Location: Remote but must be located in USA
Benefits
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Salary: $120K - $155K / year
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Equity: may be included as part of team package
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Medical, Dental, and Vision benefits for you and your family
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Life Insurance and Disability Benefits
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Parental and Caregiver Leave
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Lunch, as well as delicious snacks and coffee to keep you energized
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Paid Time Off across holidays, vacation time, personal days, and sick days
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401k Plan
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Personal and professional development, including CME support and career growth opportunities
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Subscriptions and training on using AI tools including ChatGPT