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Salary: USD 100,000 - 125,000 / annual
HealthSnap is a remote care management platform built for providers and health systems to manage chronic conditions. The company is hiring an FP&A Lead to join a small, high-performing finance team and drive margin and profitability initiatives.
In this role, you will be the analytical engine behind the company's margin and profitability goals. You will turn operational, clinical, and contract data into clear decisions for the executive team and board, with direct exposure to senior leadership from day one. This is not a reporting-only seat—you will identify where margin is leaking, quantify opportunities, and work with operators to fix them.
You will report to the Corporate Controller and have broad scope, high visibility, and real ownership.
**Key Responsibilities:**
**Gross Margin Analysis:** Build and maintain a detailed gross margin model covering cost of service (devices, cellular connectivity, clinical operations, logistics). Track unit economics per patient and per program, identifying levers that move margin (device cost, cellular fees, staffing productivity, utilization). Partner with Operations, Clinical, and Supply Chain to turn findings into specific initiatives with owners and measurable targets.
**Budgeting, Forecasting, and Board Reporting:** Support annual budget and rolling forecasts with driver-based revenue, COGS, and opex models. Prepare monthly management reporting and variance analysis explaining what happened, why, and what the company is doing about it. Build KPI packages, scenario analyses, and supporting materials for executive and board meetings.
**Customer and Contract Profitability:** Build customer- and contract-level P&Ls to show which health system relationships, pricing structures, and contract terms drive or erode margin. Model the financial impact of contract negotiations, addenda, fee changes, and renewals before they are signed. Flag underperforming accounts and recommend pricing or operational responses.
**Pricing and Unit Economics:** Model pricing scenarios and the economics of new care models, including Advanced Primary Care Management (APCM) and agentification (automation of clinical and operational workflows). Quantify the margin impact of automation, including cost-to-serve before and after. Support go-to-market and product decisions with clear ROI and payback analysis.
**Finance Operations Partnership:** Work closely with the Corporate Controller to keep actuals, close processes, and forecasts tightly aligned.
**Success Milestones:**
- First 30 days: Learn the business and data; map the full cost-of-service structure and current margin by customer and program.
- First 90 days: Deliver a gross margin bridge and customer profitability view that leadership uses in decisions; own the monthly reporting cadence with the Corporate Controller.
- First 12 months: Own the budget and forecast process alongside the Controller; have clear fingerprints on measurable margin improvement and on pricing and contract decisions.
**Requirements:**
- 5+ years of FP&A, corporate finance, or strategic finance experience
- Strong financial modeling skills (three-statement and driver-based) and advanced spreadsheet skills in Google Sheets or Excel
- Demonstrated experience with gross margin, unit economics, or customer profitability analysis
- Ability to communicate findings simply and directly to executives and non-finance partners
- Comfort with ambiguity, bias toward action, and discipline to get the numbers right
- Bachelor's degree in Finance, Accounting, Economics, or a related field
**Preferred Qualifications:**
- Experience in healthcare, health tech, or RPM, including familiarity with CPT billing codes, Medicare reimbursement, or value-based care economics
- Experience supporting executive or board reporting
- Experience in a high-growth or tech-enabled services company with a focus on margin improvement
**Tech Stack (familiarity preferred):** QuickBooks, Salesforce, Databricks, Tableau, Coefficient, and Google Workspace.
