Senior FP&A Analyst – Clinic Finance & Business Partner

We're looking for a Senior FP&A Analyst to own the financial performance of a portfolio of clinics — the go-to finance partner for forecasting, monthly performance, gross margin, and the payments practice owners rely on. This is a high-ownership, high-impact role. You'll work closely with Practice Success Managers, practice owners, and company leadership; build the templates and AI-powered automations that scale our finance function; and turn analysis into realized P&L improvement.

Responsibilities

Serve as the primary point of contact for all forecasting and financial-performance questions across your portfolio of clinics; Build and maintain clinic-level projections; prepare monthly reporting with variance analysis and commentary; Identify the key drivers of utilization, revenue, and cost across your portfolio; surface trends, anomalies, and risks; Produce and own the recurring practice-owner payment calculations and payment runs; Reconcile owner payments to clinic P&L performance and underlying revenue/collections data; Document and standardize the payment methodology; Analyze gross margin and COGS at the clinic and service-line level; Quantify the margin impact of proposed changes and track realized improvement; Partner closely with Practice Success Managers; Act as a trusted financial advisor to independent practice owners; Build actionable improvement plans and drive them from problem definition through execution; Use AI coding agents to build financial models, reports, and automations; Ship like an engineer in GitHub; Automate the manual work out of processes; Use AI-assisted tools daily for analysis, modeling, and automation; Continuously document, measure, and improve P&L processes.

Requirements

4+ years in FP&A, corporate finance, investment banking, consulting, or a similarly analytical role; Advanced Excel / Google Sheets financial-modeling skills; solid grasp of the three financial statements and how they connect; You know how to build with AI agents, with a basic working knowledge of GitHub, Python, and software development fundamentals; Bachelor's degree in Finance, Accounting, Economics, Engineering, or a related field (or equivalent practical experience); High agency — proactive, resourceful, and able to operate independently; Competitive, with relentless follow-through; An owner: self-directed, detail-oriented, and comfortable carrying end-to-end deliverables on a lean team; A strong written and verbal communicator who can explain financial concepts to non-finance stakeholders; Comfortable with startup ambiguity and a fast-changing environment.

Nice to have

Multi-site / multi-unit P&L experience (healthcare, veterinary, dental, retail, hospitality, franchise); Healthcare, ABA/behavioral health, or MSO/DSO experience; Franchise or partner/owner-facing experience; Experience building business cases and driving margin/COGS improvement; You build with AI coding agents and ship like an engineer — writing code, opening pull requests, merging to main, and deploying fixes; Working knowledge of SQL and databases, Python, GitHub, and software development fundamentals.

Benefits

Meaningful problems in behavioral healthcare; Real trajectory: 400%+ growth, approaching profitability, backed by General Catalyst; Ownership from day one on a lean, execution-focused team; Build an AI-native finance skillset; An AI-forward finance function; Supportive but high-expectation culture; Stock options: equity in what you build.