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Finni Health helps BCBAs (Board Certified Behavior Analysts) go independent by providing infrastructure for credentialing, payer contracting, revenue cycle, HR, compliance, and integrated software. The company is YC-backed, General Catalyst-backed, and expanding across a dozen-plus states quarterly in a market where families wait months for autism services that should take days to start.
As Senior Manager, Practice Operations, you will own operational problem-solving end-to-end. Your primary assignment is credentialing and payer enrollment—the critical gap between provider enrollment and claims processing. Currently, no single owner manages this seam, causing delays and blocked billing.
Key responsibilities include:
• Assignment Ownership: Take operational problems from rough definition to full optimization, collaborating on solution design and driving adoption.
• Process Design & Documentation: Build best-in-class operating procedures with clear owners, timings, and escalation paths—living documents the team actually uses.
• Measurement & Reporting: Define what matters to measure and ensure data trustworthiness. Own whether metrics drive real business value.
• Quality & Evidence: Design checks confirming work accuracy and timeliness with independent verification and proof.
• Product Partnership: Translate operational needs into engineering specifications and verify solutions solve the actual problem.
• Adoption & Training: Roll out processes across time zones and ensure execution proves the process works.
• Handoff & Sustainment: Complete assignments with a named owner, published metrics, written materials, and 60-day validation.
• Cross-Functional Collaboration: Work with credentialing, revenue cycle, product, practice success, HR, and compliance teams.
Your first six-month assignment focuses on credentialing and payer enrollment. You will build: (1) Time to Enrolled metrics (days from offer to payer enrollment, published weekly); (2) per-payer requirements library for faster submissions; (3) evidence discipline with proof of network participation on file; (4) written submission processes by state and payer; (5) defined backlog programs that prevent recurrence.
You are an operator who thrives fixing broken processes with data and teams. You need 5+ years running operations in complex, regulated environments (healthcare strongly preferred, multi-state experience ideal). Demonstrate expertise in identifying inefficiencies and building solutions—not just naming problems. Show a track record of finishing: SOPs that got used, workflows you designed, SLAs you set and held teams to. Early-stage startup, behavioral health, or healthcare tech experience is a plus.
