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FP&A Manager, GTM

Garner Health - Remote - Remote - posted 2026-09-22

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Salary: USD 150,000 - 175,000 / annual

Garner Health is transforming the U.S. healthcare system by partnering with employers to redesign healthcare delivery. The company uses 550+ proprietary clinical metrics across 80+ specialties and a dataset of 320M+ patients to identify top-performing doctors and steer members to higher-quality care. This has helped 2.5 million people access better care and saved $1B in healthcare costs in five years. The company recently raised Series E and has doubled five years running. As FP&A Manager, GTM, you will be on the front lines of informing company strategy through financial analysis and building scalable processes to match company growth. You report to the Director, FP&A. Key responsibilities: - Lead monthly GTM reporting on pipeline generation, conversion, CAC, and pipe-to-spend by channel, with variance analysis for leadership - Own the GTM budget and re-forecast cycle, including demand-gen envelope and in-year reallocation across channels - Build and own the pipeline coverage model to determine how much pipeline must be created by segment and channel to hit bookings targets - Own GTM unit economics (CAC, payback, LTV, net revenue retention by segment) and measurement standards - Serve as thought partner on sales capacity to determine quota coverage, rep ramp, territory productivity, and headcount required - Partner directly with the CRO and CMO as the finance counterpart in pipeline reviews, channel bets, and budget reallocation - Conduct in-depth ad-hoc financial analysis to evaluate new business opportunities Requirements: - 4-8+ years of experience, ideally in investment banking, private equity, or GTM/sales finance at a high-growth startup - Bachelor's degree in Finance, Accounting, Economics, or related field - Strong financial modeling and analytical skills with advanced Excel proficiency - Salesforce reporting and AI tooling experience; demonstrated experience owning GTM forecasting and modeling is a nice-to-have - Ability to manage multiple priorities in fast-paced, ambiguous environments - Strong communication and presentation skills with ability to partner effectively across departments - Demonstrated ability to improve processes and build scalable reporting infrastructure - Comfort operating where attribution is imperfect; ability to identify when numbers aren't good enough to plan on and propose fixes - Intellectual curiosity and structured, problem-solving approach to complex challenges - Proactive, hands-on mindset with willingness to take ownership - Desire to be part of a high-performing, mission-driven team operating with intense urgency and strong accountability

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