Strategic Finance Lead

Role Overview

We are seeking a high-ownership Strategic Finance Lead to help build the financial backbone of Frontera as we scale across healthcare services, technology, and emerging health-system business models. This role sits at the intersection of strategic finance, accounting oversight, revenue visibility, and business partnership.

What You’ll Do

• Partner with Finance and executive leadership to build and maintain financial models that support operating decisions, scenario planning, board reporting, and investor-facing narratives.

• Analyze performance across Frontera’s healthcare services, technology, direct-to-parent, and commercial partnership models.

• Translate financial and operational data into clear insights for leaders across Operations, Product, Commercial, and Clinical teams.

• Support budgeting, forecasting, headcount planning, margin analysis, pricing analysis, and ROI analysis for strategic initiatives.

• Help define the financial metrics that matter most for each business line, including revenue growth, utilization, payer mix, gross margin, contribution margin, operating leverage, and unit economics.

• Serve as a strong business partner to functional leaders by bringing analytical rigor, intellectual curiosity, and practical recommendations.

• Help leadership identify where performance is improving, where the model is breaking down, and what actions are needed to improve results.

Revenue, Margin & Business Model Visibility

• Build clean, consistent reporting across multiple revenue models, including:

  • B2B SaaS / platform contracts
  • Direct-to-consumer subscriptions and payments
  • Clinical services revenue, including Medicaid, commercial payers, and private pay
  • Health-system, enterprise, or partnership-based models as Frontera expands

• Develop clear views of revenue quality, gross margin, contribution margin, and unit economics across services, tech, and hybrid business lines.

• Partner with Payor Ops, Clinical Operations, Commercial, and Product teams to improve revenue visibility and resolve key financial reporting issues.

• Support analysis of payer mix, service line performance, utilization, pricing, collections, and margin improvement opportunities.

• Build reporting that helps leaders understand performance by product, payer, customer type, region, and business segment.

• Help connect operational drivers to financial outcomes so the business can make faster, better decisions.

Accounting Oversight & Financial Reporting

• Own and/or oversee monthly, quarterly, and annual close processes, partnering with internal and external accounting resources to ensure timely, accurate financial reporting.

• Maintain a strong understanding of accounting details while elevating financial reporting into clear business insight.

• Partner with external accountants, tax advisors, and internal stakeholders on compliance, tax filings, audit readiness, and diligence support.

• Ensure accounting processes scale appropriately as Frontera grows across multiple entities, revenue streams, and business models.

• Build trust in the numbers without adding unnecessary complexity or slowing down the business.

Systems, Process & Finance Infrastructure

• Improve financial reporting processes, billing workflows, documentation, and internal controls.

• Partner with tech, operations, clinical, commercial, and payor operations teams to improve source data quality and ensure financial reporting reflects business reality.

• Identify and implement automation, tooling, and AI-enabled workflow improvements where ROI is clear and the business need is real.

• Use modern tools to reduce manual reporting work, improve data accuracy, and make financial insights easier for leaders to access and act on.

• Help build scalable reporting infrastructure that can support multiple revenue models, entities, and operating teams.

• Establish practical internal controls appropriate for a Series A-stage company operating in regulated healthcare environments.

• Support audit readiness, investor diligence, board reporting, and financial data requests.

Qualifications

• 5 to 8 years of experience across strategic finance, corporate finance, investment banking, private equity, transaction advisory, finance consulting, accounting, or operating finance.

• Healthcare experience or strong healthcare business model fluency, ideally across digital health, healthcare services, payer/provider models, value-based care, health-system partnerships, or healthcare technology.

• Strong financial modeling, forecasting, and business analysis skills.

• Ability to analyze revenue, margins, unit economics, operating performance, and business line performance.

• Strong accounting foundation and ability to understand financial statements, close processes, revenue recognition, accruals, reconciliations, and financial controls.

• Experience partnering cross-functionally with business leaders to translate financial and operational data into clear insights and recommendations.

• Comfort using modern finance tools, automation, and AI-enabled workflows to improve speed, accuracy, and scalability.

• Strong communication skills, with the ability to simplify complexity for executive, operational, and cross-functional audiences.

• High ownership, high judgment, and comfort operating in ambiguity.

• Strong operator mindset, with willingness to move between strategy, analysis, process-building, and hands-on execution.

Pluses

• 1 to 2 years of investment banking, private equity, transaction advisory, or finance/strategy consulting experience, ideally with healthcare exposure.

• Experience at a high-growth startup, especially Seed through Series B.

• Exposure to investor materials, board reporting, fundraising support, M&A, or strategic planning.

• Experience partnering with operators to drive margin improvement, revenue quality, utilization, pricing, payer mix, or growth decisions.

• Healthcare services experience, especially ABA, behavioral health, Medicaid, commercial payers, or provider operations.

• Experience building lightweight reporting, forecasting, or automation workflows using tools such as Excel/Google Sheets, BI tools, SQL, modern planning tools, or AI-enabled productivity tools.

• SaaS, subscription, or enterprise healthcare revenue exposure.

• CPA or formal accounting background is a plus, but not required.