FP&A Manager – Clinic Finance & Business Partner

Finni Health builds operational and technology infrastructure for behavioral healthcare and partners with ABA clinic owners to help them build thriving practices. The FP&A Manager will own the financial performance of a portfolio of clinics, including forecasting, reporting, payments, gross-margin optimization, and business partnering. The role also drives performance improvement and builds AI-powered financial models, reports, and process automations.

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 that gives practice owners clear visibility into performance and opportunities
• Identify the key drivers of utilization, revenue, and cost across your portfolio; surface trends, anomalies, and risks — and turn them into insights people act on
• Produce and own the recurring practice-owner payment calculations and payment runs, ensuring accuracy and on-time delivery
• Reconcile owner payments to clinic P&L performance and underlying revenue/collections data; investigate and resolve discrepancies
• Document and standardize the payment methodology so it scales as new clinics onboard
• Analyze gross margin and COGS at the clinic and service-line level — staffing utilization, cost structure, COGS cleanup — to identify efficiency opportunities for your portfolio
• Quantify the margin impact of proposed changes and track realized improvement
• Partner closely with Practice Success Managers to drill deeper into clinic analysis and jointly own clinic outcomes
• Act as a trusted financial advisor to independent practice owners; explain financial concepts in plain language
• Influence without authority — drive change across a decentralized network of owner-operators
• Go beyond analysis: build actionable improvement plans and drive them from problem definition through execution and measurable results
• Work directly with owners and Practice Success Managers to execute — own the outcome, not just the recommendation
• Use AI coding agents (Claude Code, Codex, and similar) to build the financial models, reports, and automations we use internally and send to practice owners
• Ship like an engineer: work in GitHub — branch, open pull requests, merge to main - and deploy fixes and improvements to our finance tooling
• Automate the manual work out of our processes - identify and ship improvements that make reporting and forecasting faster and more scalable
• Use AI-assisted tools daily for analysis, modeling, and automation to raise both throughput and insight quality
• Continuously document, measure, and improve P&L processes as the business grows

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. You fix what's broken without waiting to be asked
• • Competitive, with relentless follow-through — you play to win and stay on a problem until the result shows up in the numbers
• • 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 like clinic owners
• • Comfortable with startup ambiguity and a fast-changing environment
• • 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