FP&A Manager

About the role

As the FP&A Manager, you will sit at the intersection of FP&A and business operations, supporting the Director of Finance across financial controls, vendor management, corporate administration, and compliance operations.

Responsibilities

• Maintain an ongoing, dynamic budget review process - not a static 12-month cycle - so leadership always has a current picture of where we stand
• Prepare and maintain budget vs. actuals reporting, driving alignment and accountability with senior management
• Understand and report on weekly cash position to ensure accurate, timely visibility into cash
• Ramp & AP Management: Own the end-to-end Ramp workflow from draft invoice ingestion through approval-ready bill preparation, identify and implement process improvements that reduce manual work and accelerate the AP cycle, ensure invoices are clean, coded, and routed correctly before hitting the approval queue
• Vendor Management: Develop and maintain a procurement process that defines who can authorize spend at various thresholds, manage vendor renewal calendars and ensure no material contracts auto-renew without review, build cost models capturing fixed vs. variable costs, contract terms, and payment structure (upfront vs. installment), coordinate with legal counsel on vendor and consultant contracts as needed
• Corporate Administration: Support the R&D tax credit process by gathering and organizing relevant data and documentation, collect and maintain financial and operational data needed for reporting or compliance such as investor reporting, tax filing, etc., complete corporate forms and filings (e.g., new banking relationships or payment processor changes), assist HR on corporate administration tasks such as address changes and entity-level updates
• Insurance Management: Own all business insurance applications, renewals, and policy management, manage insurance requirements specific to healthcare operations, including MSO/PC structure coverage, coordinate with brokers and carriers to ensure adequate and cost-effective coverage at all times

Requirements

3–5 years of experience in finance, operations, or a finance-adjacent role - ideally at a startup or high-growth company

2 years of investment banking experience at a top financial institution or comparably rigorous program

Highly organized and process-minded: you build systems, not workarounds

Comfortable owning a wide scope of work independently, with a bias toward action

Detail-oriented with high standards for accuracy, especially in financial reporting and contracts

Strong communicator who can work cross-functionally with legal, HR, and senior leadership

Proficient with financial tools and platforms; familiarity with Ramp, QuickBooks, or similar systems is a plus

Comfortable navigating ambiguity and building structure in a fast-moving environment

Qualifications

Competitive base salary + equity

Comprehensive health, dental, and vision coverage

Mental health support and flexible time off

On-site in New York City, working directly alongside executive leadership

The chance to build financial and operational infrastructure at a company transforming healthcare with AI