Chief of Staff

Finni Health helps BCBAs go independent. We provide the infrastructure for BCBAs to actually do it — credentialing, payer contracting, revenue cycle, HR, compliance, and the software that ties it together — so they can focus on delivering care to kids with autism instead of fighting insurance companies. We support practices across a dozen+ states and are expanding into new ones every quarter. We're YC-backed, counted General Catalyst among our earliest investors, and are growing quickly in a market where families routinely wait months for services that should take days to start. We're a small team moving fast in a heavily regulated industry. That combination is the job. This is a role for someone who wants to run things, not observe them.

Responsibilities

Own the metrics. Every number the board, our investors, and our team see runs through you: GTV, take rate, collection rate, clinician retention, time-to-first-session, credentialing throughput. You own the definitions, not just the dashboard — when a methodology changes, you decide how it's restated and how it's explained. Metric ambiguity at our stage is expensive, and closing it is your job.; Own the operating rhythm. Goal-setting that actually cascades to teams. A weekly metrics review people prepare for. Exec meetings with decisions, owners, and dates. We run roughly fifteen concurrent strategic initiatives across a dozen-plus states — you'll own the portfolio review that keeps them honest and kills the ones that should die. Our biggest internal risk is operating reactively. You are the counterweight.; Take work off the CEO's plate. Board and investor materials, diligence workstreams, financing support, outside counsel coordination, key vendor relationships. You'll start by preparing these, then own them outright. The test isn't whether you produced a draft — it's whether the CEO stopped thinking about it.; Unblock the bottlenecks. Credentialing and payer enrollment gate how fast we grow, and the handoffs between credentialing, contracting, RCM, and clinical ops are where things go quiet. You'll instrument those seams, then fix them — occasionally by running a function yourself until it has a leader.; Own the hard one-offs. New state entry analysis and launch. Multi-state corporate structure and regulatory compliance, working with outside counsel. Build-vs-buy calls and system migrations under time pressure. Standing up a function and hiring its first leader. These land with no playbook and a short fuse.

Requirements

4–8 years in a role that demanded rigor and speed: consulting, investment banking, PE/VC, or an operating role at a high-growth startup. Titles matter less than whether you've owned outcomes.; You write exceptionally well. Clear, short, declarative. You've built a deck or memo that changed someone's mind.; You're genuinely strong analytically. You can build a model from a blank sheet, and you know when the model is lying to you.; You operate with very little direction. When a project is 60% defined, you close the remaining 40% yourself and tell us what you assumed.; You're comfortable being the least expert person in the room and useful anyway — with clinicians, payer reps, healthcare lawyers, and engineers in the same week.; Low ego about the work. Some weeks are board strategy. Some weeks are chasing a Medicaid enrollment packet through a state portal.

Nice to have

Healthcare experience, especially multi-state provider operations, payer contracting, or Medicaid; Experience at a marketplace, MSO, or other multi-sided business; You've been through a Series B or later fundraise from the inside