Lead financial modeling, forecasting, and KPIs to support growth at a clinician-led behavioral health and addiction care provider.
Responsibilities
Take full ownership of the entire financial model including cash flow forecasts (weekly, monthly, quarterly), budget vs. actuals, runway calculations, and working capital analysis
Drive strategic planning and forecasting: build FP&A forecasting models, run scenario planning, create annual budgets and rolling 12–18 month forecasts, and perform break-even analyses
Collaborate with growth, operations, and clinical leads to evaluate hiring, pricing, payer contracts, and expansion initiatives
Lead analysis on new service lines, M&A opportunities, and operational optimization
Lead performance and growth metrics: revenue forecasting models, CAC/LTV and retention economics, profitability metrics (EBITDA, net margin, gross margin), and build a Key KPIs dashboard for executive monitoring
Ensure compliance and audit readiness: GAAP alignment, tax preparedness, and clean financial records
Manage cap table and equity modeling (dilution scenarios, option pool planning) if applicable
Integrate finance technology (FP&A, ERP, BI, Fathom, AI tools) to scale the finance function
Establish and maintain internal controls and financial policies and identify opportunities to streamline financial processes
Requirements
Bachelor’s degree in Accounting, Finance, Economics, or related field required
CPA or MBA a plus (not required)
Minimum of 3-5 years of progressive experience in investment banking, strategic finance, FP&A, consulting, or high-growth startups (minimum 3 years required)
Backgrounds in Big Four audit/advisory, or healthcare revenue cycle finance considered
Strong understanding of the healthcare industry required; MSO and ACO structures a plus
Proven ability to build financial models, budgets, and forecasts and translate insights into strategic recommendations
Experience with QuickBooks, NetSuite, or Xero and payroll systems like Rippling or ADP
Advanced proficiency with Microsoft Excel
Experience with bill pay, project management, and data visualization tools
Ability to oversee controller, revenue cycle, external accountants, bookkeeping, and cash flow management
Location Requirements: Hybrid schedule with three in-office days per week at corporate headquarters in Midtown Manhattan; must reside in or near the NYC metropolitan area (applicant confirmation required)
Benefits
Equity (e.g. stock options)
Opportunity performance based bonuses based on company and individual performance
Full Health Coverage: comprehensive medical, dental, and vision insurance
Generous Time Off: Up to 21 days of PTO plus company holidays
Income Protection: Company-paid Short-Term Disability coverage
Continuous Growth: mentorship with senior leadership and potential to grow into Head of Finance or CFO
Professional Development: Unlock growth opportunities within an early-stage organization
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