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Salary: USD 190,000 - 210,000 / annual
Twin Health is a digital health company applying AI Digital Twin technology to metabolic health management, helping people prevent and improve chronic diseases like type 2 diabetes and obesity. The company has raised over $100 million, including a $53 million Series E in 2025, and is backed by leading venture firms including Sequoia, Sofina, and Temasek.
The Director of FP&A will own the operational heartbeat of Twin's financial planning infrastructure during a period of rapid scaling. This is a high-visibility role reporting to the Senior Director of Finance, responsible for running a disciplined GAAP and cash forecasting process with a rigorous weekly reforecast cadence and leading monthly finance reviews that drive accountability across all P&Ls.
Key responsibilities include:
- Own detailed GAAP and cash forecasting across weekly, monthly, quarterly, and multi-year horizons, including methodology, assumptions, and accuracy
- Run the weekly reforecast process end-to-end, ensuring it is rigorous, timely, and decision-ready for senior leadership
- Lead monthly finance reviews for all P&L departments and sub-departments; prepare materials, run reviews, and hold department owners accountable
- Identify, track, and communicate variances versus operating plan and board plan; develop gap-closing analysis and recommendations
- Partner with the strategic finance team to incorporate financial impact of strategic initiatives into rolling forecasts
- Manage and develop the FP&A team, setting priorities and maintaining appropriate analyst resource allocation
- Build and maintain the operating model as the business evolves to support board and investor reporting
This role is based out of Twin's New York City office on a hybrid basis.
Qualifications:
- 6+ years of progressive FP&A experience, including direct ownership of company-wide forecasting in a growth-stage environment
- Demonstrated experience running high-cadence reforecast processes (weekly or biweekly) and managing operational discipline to sustain them
- Deep GAAP accounting knowledge with ability to translate financial statements into operational decisions and communicate to non-finance audiences
- Experience leading cross-functional monthly finance reviews and holding senior department leaders accountable to financial commitments
- Strong people leadership: has managed analysts or direct reports and is invested in developing talent
- Exceptional communicator: able to distill complex financial data into clean, structured narratives for senior leadership and board audiences
- Advanced proficiency in Excel and/or Google Sheets; experience with Snowflake, dbt, Lightdash, or comparable BI and data tooling a plus
- Healthcare, digital health, or SaaS industry experience preferred
- Bachelor's degree in relevant field
- Must be authorized to work for any employer in the U.S.; company unable to sponsor or take over sponsorship of employment visa
