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Finni Health is building operational and technology infrastructure for behavioral healthcare, partnering with ABA clinic owners to help them scale practices while improving access to care. The company has grown 400%+ and is backed by top-tier investors including General Catalyst.
As Senior FP&A Analyst, you'll own the financial performance of a portfolio of clinics, serving as the primary finance partner for forecasting, monthly performance reporting, gross margin analysis, and practice-owner payments. This is a high-ownership role requiring end-to-end P&L accountability.
Key responsibilities include: building and maintaining clinic-level financial projections; preparing monthly reporting with variance analysis and actionable insights; identifying key drivers of utilization, revenue, and cost; producing and reconciling practice-owner payment calculations; analyzing gross margin and COGS at clinic and service-line levels to identify efficiency opportunities; partnering closely with Practice Success Managers and practice owners to drive financial outcomes; and using AI coding agents (Claude, Codex) to build financial models, reports, and automations.
You'll work in GitHub (branching, pull requests, deployment), automate manual finance processes, and ship improvements that scale reporting and forecasting. The role requires strong financial modeling skills, basic proficiency with GitHub and Python, and the ability to communicate complex financial concepts to non-finance stakeholders in a decentralized network of independent practice owners.
This is not a heads-down modeling seat—roughly half the job involves partnering with owners and managers to drive measurable margin improvement and execute action plans from problem definition through results. You'll operate with high agency on a lean team in a fast-changing startup environment.
