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Finni Health

Senior FP&A Analyst – Clinic Finance & Business Partner

RemoteUnited States only
Published
Role
Finance
Experience
Senior
Employment
Full-time
Company size
Startup
$90k–$100k/yr
Check eligibility

Open to US only. Set where you work from to check your eligibility.

No BS summary

Senior FP&A analyst to own P&L for a portfolio of clinics. Requires 4+ years in FP&A/corporate finance/IB/consulting, advanced financial modeling (Excel/Sheets), and working knowledge of AI agents, GitHub and Python. US-remote role focused on clinic-level forecasting, payments, margin/COGS optimization and partnering with practice owners.

Core skills

Financial modelingP&L / FP&A

Required skills

ExcelGoogle SheetsForecastingP&L ownershipVariance analysisReconciliationGross margin analysisAI coding agentsGitHubPython

Optional skills

SQLMulti-site / multi-unit P&L experienceHealthcare / ABA / behavioral healthMSO/DSO experienceFranchise or partner/owner-facing experienceExperience building business casesExperience driving margin/COGS improvement

What you'll do

  • Serve as the primary point of contact for forecasting and financial-performance questions across a portfolio of clinics.
  • Build and maintain clinic-level projections; prepare monthly reporting with variance analysis and commentary.
  • Identify drivers of utilization, revenue, and cost; surface trends, anomalies, and risks and turn them into actionable insights.
  • Produce and own recurring practice-owner payment calculations and payment runs; reconcile payments to clinic P&L and collections data.
  • Document and standardize the payment methodology to scale as new clinics onboard.
  • Analyze gross margin and COGS at the clinic and service-line level to identify efficiency opportunities.
  • Quantify margin impact of proposed changes and track realized improvement.
  • Partner with Practice Success Managers and practice owners; act as a trusted financial advisor and influence without authority.
  • Build actionable improvement plans and drive execution to measurable results.
  • Use AI coding agents to build financial models, reports, and automations; work in GitHub and deploy fixes to finance tooling.
  • Automate manual processes to make reporting and forecasting faster and more scalable.
  • Continuously document, measure, and improve P&L processes as the business grows.

What they require

  • 4+ years in FP&A, corporate finance, investment banking, consulting, or a similarly analytical role.
  • Advanced Excel / Google Sheets financial-modeling skills; solid grasp of the three financial statements and how they connect.
  • You know how to build with AI agents, with a basic working knowledge of GitHub, Python, and software development fundamentals.
  • Bachelor's degree in Finance, Accounting, Economics, Engineering, or a related field (or equivalent practical experience).
  • High agency — proactive, resourceful, and able to operate independently.
  • Strong written and verbal communication to explain financial concepts to non-finance stakeholders.
  • Comfortable with startup ambiguity and a fast-changing environment.

Benefits

  • Offers Equity
  • Stock options: equity in what you build
  • Work on meaningful problems in behavioral healthcare
  • Ownership from day one on a lean, execution-focused team
  • Build an AI-native finance skillset

Finni Health empowers autism care providers to start, run, and grow their own practice. Platform for practice launch, insurance network access, patient data management, scheduling, and payments. Backed by General Catalyst, Greymatter, and YCombinator.

HealthcareMid-size
$90k–$100k/yr