Director of Strategy & Finance

About Us

1 in 25 adolescents will be diagnosed with serious mental illness. Most don’t get the care they need. Flourish (https://flourish.health/) is solving that.

About the Role

We have the beginnings of a finance function. It works, but it’s early. You will make it great. This is not a “manage the function” role. This is a take what exists and level it up fast role—while helping us make better decisions every day.

You will report directly to the CEO and partner with the leadership team to bring rigor to how we plan, spend, and grow. You should be comfortable going from messy data → clear insight → real decisions.

You will bring operational and strategic excellence to our billing operations, which are critical to the company’s success. This includes leading timely collections, strong payer operations, identifying opportunities to improve revenue cycle performance, and clear reporting to the C-suite.

What You’ll Do

FP&A

Create real visibility into burn, runway, and unit economics.

Own budgets, business financial models, and forecasts. Work alongside a Fractional CFO to prepare monthly financials.

Identify and implement process improvements to strengthen accuracy, scalability, and automation of financial reporting.

Controllership & Taxes

Own accounting/controller responsibilities and oversight – for the first 6-12 months, you will do this yourself to really understand the business.

Own and manage the tax process across our MSO/PC structure, working with external partners to ensure compliance while optimizing for efficiency as we scale.

Cross-Functional Billing Operations

Own billing and collections, end-to-end—driving both operational excellence and strategic improvement.

Effectively support and manage the billing associate, who manually submits claims and will look to you for an excellent work experience

Drive efforts to close the gap in the difference between net and gross revenue by owning billing analysis and providing strong cross-functional project management to solve this with your clinical operations and clinical product colleagues:

Develop data-driven ways to identify which patients are at risk of now meeting billing engagement thresholds in time to re-engage them within the same 30-day service window

Develop data-driven ways to identify which patients are at risk of medicaid churn and how to ensure care teams are following up on that

You will thrive here if you

Care deeply about building a sustainable, high-quality company that improves outcomes for adolescents with serious mental health conditions.

Are an expert in forecasting models who is able to interpret financial data and allocate budgets

Have strong operational, project management, and cross-functional collaboration skills

Are interested in responsibility & ownership at an early-stage startup

Are highly entrepreneurial and comfortable working in a fast-paced environment with minimal guidance

Have an extreme growth mindset, driven by intense curiosity

Are nimble, passionate, and hands-on.

Role Requirements

Has served in a finance or strategy leadership role at a startup or high-growth environment

10+ years of relevant experience in finance, strategy, investment banking, private equity, and operating roles

Includes 2+ years of early-stage startup operating experience

Includes 4+ years of people management experience

Can include supplemental relevant experience with this patient population

Experience building financial models and operating financial systems from the ground up

Strong understanding of accounting fundamentals, especially with MSO/PC corporate structure

Experience with project management, cross-functional collaboration, and operations building

Demonstrated ability to operate both strategically and at a detailed execution level

Must be at least 18 years old.

If this job resonates with you, we encourage you to apply—even if you don’t check every box. We’re focused on building a team that can grow together.

We strongly encourage individuals from underrepresented communities to apply, including people of color, LGBTQ-identifying individuals, veterans, and differently abled individuals.

Job Type: Full-Time

Work location: Remote, with in-person event attendance required 2+ times per year

Flourish Health is an Equal Employment Opportunity (EEO) employer. We are committed to providing a work environment that is free from discrimination and harassment on the basis of race, color, religion, sex, national origin, age, disability, genetic information, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local laws.

We embrace diversity and encourage all qualified candidates to apply, as we believe that our differences make us stronger and more innovative. Our dedication to inclusivity is the

foundation of our work culture, where everyone is valued, respected, and has an equal opportunity to thrive.

E-Verify

Flourish Health participates in E-Verify. As an employer, we comply with federal law by verifying the identity and employment eligibility of all individuals hired to work in the United States.