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Imagine Pediatrics

Value-based pediatric care for complex needs

Vice President of Finance

Full-TimeUpdated on 10/15/2026
$220k - $275k+ Annual bonus incentive + Employee equity purchase program + 4% 401(k) match
Expert
Bachelor's, MBA
Remote in USA
Remote
Finance & BankingCorporate Finance & FP&A

About the job

Requirements
  • A bachelor's degree in Finance, Accounting, Economics, Business, or a related field is required; an MBA, CPA, CFA, or similar advanced credential is preferred.
  • At least 10 years of progressive experience in finance leadership roles, including strategic finance, financial planning and analysis, investment banking, consulting, private equity, corporate development, or related fields.
  • Experience leading enterprise planning, forecasting, performance management, and strategic decision-support functions.
  • Ability to influence executive stakeholders and drive enterprise decision-making through rigorous financial analysis and business insight.
  • Experience communicating and presenting to Boards, investors, lenders, and senior leadership teams.
  • Success building and leading high-performing Finance teams, scalable processes, and organizational capabilities.
  • Ability to operate as both a strategic leader and hands-on player-coach in a fast-paced, high-growth environment characterized by ambiguity and change.
  • Passion and commitment to reimagining pediatric health care and supporting children with special health care needs.
  • Ability to adapt assumptions in a rapidly changing start-up environment and pressure-test them rather than defending old assumptions.
Responsibilities
  • Serve as a strategic partner to the CFO, executive leadership team, Board, investors, and lenders, translating enterprise strategy into financial plans and measurable outcomes.
  • Provide financial leadership and performance visibility across the organization by identifying risks, opportunities, and key business drivers.
  • Own enterprise financial visibility, ensuring leaders have timely, actionable insights into business performance, emerging risks, growth opportunities, and strategic tradeoffs.
  • Prepare and deliver executive-ready financial updates, Board presentations, investor communications, lender reporting, and strategic recommendations.
  • Partner with the CFO on capital strategy, financing and refinancing activities, corporate transactions, and other strategic initiatives.
  • Represent the Finance organization in executive and external forums as an extension of the CFO.
  • Maintain financial controls, governance, audit readiness, regulatory compliance, and risk management practices.
  • Lead the Company's financial planning, forecasting, performance management, and strategic decision-support processes.
  • Own the Company's integrated financial model, including long-range planning, scenario analysis, liquidity forecasting, and capital allocation recommendations.
  • Build scalable reporting, analytics, key performance indicator frameworks, dashboards, and performance management capabilities.
  • Oversee forecasting and performance reporting for value-based care and risk-based arrangements, translating complex financial and actuarial data into actionable business insights.
  • Partner with Accounting and Actuarial leadership to align financial planning, reporting, cash flow management, medical cost forecasting, and enterprise performance management.
  • Develop scalable investment evaluation, return-on-investment, and capital allocation frameworks that promote disciplined decision-making and accountability.
  • Evolve budgeting and resource allocation processes to improve transparency, spending discipline, and alignment with strategic priorities.
  • Strengthen financial systems, processes, and governance practices to support growth, scalability, and data-driven decision-making.
  • Evaluate market expansion, payer partnerships, strategic investments, and other growth opportunities through financial analysis and business case development.
  • Lead financial evaluation of enterprise initiatives, including clinical programs, care model innovations, technology investments, workforce strategies, and operational transformation efforts.
  • Support future mergers and acquisitions, joint ventures, debt, and other strategic transactions, including financial diligence, valuation, integration planning, and post-transaction performance assessment.
  • Assess and recommend improvements to organizational capabilities, business processes, operating models, and systems infrastructure to support continued growth and scalability.
  • Recruit, develop, mentor, and lead a high-performing Finance organization, fostering accountability, continuous improvement, and professional growth.
  • Build organizational capabilities, scalable processes, and leadership bench strength to support future growth.
  • Raise the analytical and strategic capabilities of the Finance team while promoting collaboration, intellectual curiosity, ownership, and strong partnership across functions.
  • Develop expertise in the organization's financial, operational, clinical, actuarial, and strategic drivers, assuming progressively broader enterprise leadership responsibilities.
Desired Qualifications
  • Healthcare experience, particularly within provider, payer, healthcare services, value-based care, or risk-bearing organizations.
  • An MBA, CPA, CFA, or similar advanced credential.

About the company

Imagine Pediatrics delivers specialized pediatric care for children with complex health needs through 24/7 virtual and in-home services, staffed by multidisciplinary teams. It partners with health plans on value-based contracts, providing care at no direct cost to families and using a proprietary platform and mobile app to coordinate medical, behavioral, and social support. The company focuses on outcomes, not volume, and has saved partners over $65 million in 2024, setting it apart from traditional pediatric providers. Its goal is national expansion to 12 more states by 2026 while continuing to enhance technology and programs that complement families’ existing medical teams and reduce unnecessary acute care.

Company Size

201-500

Company Stage

Growth Equity (Venture Capital)

Total Funding

$67M

Headquarters

Nashville, Tennessee

Founded

2022

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Simplify's Take

What believers are saying

  • July 2026 expansion lifted reach above 100,000 children across nine states and Washington, DC.
  • Two partners reported $65 million annual savings and 24% fewer admissions.
  • June 2026 family story showed behavioral crises diverted from ERs through telehealth.

What critics are saying

  • CMS ASPIRE launched March 2026, commoditizing Imagine Pediatrics's care model.
  • Expansion across nine states and Washington, DC strains clinical quality control.
  • Dependence on health-plan savings creates margin pressure if utilization reductions stall.

What makes Imagine Pediatrics unique

  • 24/7 virtual-plus-in-home pediatric care targets complex Medicaid and commercial cases.
  • Unified medical, behavioral, and social teams replace fragmented specialist coordination.
  • Risk-based contracts tie payments to saved admissions and emergency visits.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Employer-paid short and long-term disability
  • Life Insurance
  • Paid Vacation
  • Paid Holidays
  • Paid new parent leave
  • Healthcare and Dependent Care FSA
  • Company-funded HSA

Growth & Insights and Company News

Headcount

6 month growth

9%

1 year growth

9%

2 year growth

15%
Mend
Aug 20th, 2026
Mend names Eden Klein Chief Technology Officer to lead next phase of technology growth.

Mend names Eden Klein Chief Technology Officer to lead next phase of technology growth. Eden Klein brings 25+ years of healthcare technology leadership, with deep expertise in AI, data-driven innovation, and building platforms that improve patient outcomes at scale. Mend, the leader in clinically validated perioperative nutrition and remote patient monitoring, announced that Eden Klein has joined the company as Chief Technology Officer. In this role, Eden will lead Mend's data, product, engineering, and AI strategy, powering the company's next phase of growth. Eden's appointment builds on Mend's continued investment in the infrastructure and leadership needed to strengthen its remote care platform and partner ecosystem. It further advances its mission to help people heal faster, recover stronger, and live healthier through nutrition, coaching, and remote care. "As Mend scales, our technology has to move at the same pace as our clinical work," said Paul Roscoe, CEO of Mend. "Eden brings deep expertise in AI and data-driven innovation to build a platform that gets smarter as we grow. That's exactly the kind of leadership we need as we take on bigger, more complex work across the business." Eden Klein brings 25+ years of technology leadership driving innovation at the intersection of technology, data, and human-centered design, with the last decade focused on transforming healthcare across medical, behavioral, and social care. Before joining Mend, Eden served as CTO of Imagine Pediatrics, where she led the technology transformation of a whole-child care model integrating medical, behavioral, and social care for children with complex healthcare needs. Before that, she held VP of Engineering roles at Brightline and Two Chairs, scaling engineering teams and building data-driven platforms for pediatric and adult mental health care. Earlier in her career, Eden was part of the founding engineering team at Solv, a consumer healthcare access platform, and spent nearly seven years at Trulia leading data platform and search engineering. "Some of the most meaningful work of my career has been at the intersection of technology and human care - using data and technology to help care teams do their best work, and patients heal faster," said Eden Klein, CTO of Mend. "Mend's approach to nutrition and recovery is uniquely rigorous and sets a new standard for patient care. I look forward to scaling our platform and deepening our impact as we enter this next phase of growth." About Mend Mend is the healing company, delivering clinically validated nutrition and remote care that help patients recover faster and live healthier, longer lives. Mend Nutrition's surgical recovery formulas are backed by published, peer-reviewed research and are used by surgeons and hospitals nationwide. Mend's remote care program delivers the same clinical standard through personalized nutrition guidance, remote patient monitoring, and clinical support, in partnership with a patient's care team. Learn more at mend.me.

PR Newswire
Jul 28th, 2026
Imagine Pediatrics reaches 100,000 children as expansion saves health plans $65M annually

Imagine Pediatrics has expanded its 24/7 virtual and in-home care service to Tennessee and New Jersey, bringing its total reach to more than 100,000 children with special health care needs across nine states and Washington DC. The expansion adds 28,000 children to the programme. The tech-enabled paediatric medical group works with health plans and existing medical providers to deliver integrated medical, behavioural and social care. The company reports a 24% decrease in hospital admissions within 12 months of enrolment and 5,000 avoided emergency visits. Two health plan partners saved $65 million annually over a 12-month period. Imagine Pediatrics targets children with special health care needs, who represent 20% of US children but account for nearly half of paediatric healthcare spending.

Yahoo Finance
Jul 28th, 2026
Imagine Pediatrics reaches more than 100,000 children with expansion to Tennessee and New Jersey.

Imagine Pediatrics reaches more than 100,000 children with expansion to Tennessee and New Jersey. PR Newswire Strong demand from partners is expanding the company's 24/7 virtual and in-home care model for children with special health care needs NASHVILLE, Tenn., July 28, 2026 /PRNewswire/ - Imagine Pediatrics, one of the largest pediatric medical groups delivering 24/7 virtual and in-home care for children with special health care needs, today announced its expansion into three new states, adding Tennessee and New Jersey. Driven by strong demand from existing partners and new health plans, Imagine Pediatrics continues to expand access to its integrated model of medical, behavioral, and social care designed specifically for children with special health care needs and their families. Its multidisciplinary care teams work alongside children's existing medical home providers to close care gaps, reduce fragmentation, and help children have more Safe Days at Home and fewer days in preventable hospital stays. Today, Imagine Pediatrics serves more than 100,000 children with special health care needs across nine states and Washington D.C., an increase of 28,000 with this latest expansion. These risk-based partnerships have demonstrated measurable improvements in outcomes and total cost of care, alongside a stronger experience for members and providers. The company's move into new markets reflects growing recognition of the urgent need to redefine pediatric health care for the 20% of U.S. children who have a special health care need, a population that accounts for nearly half of pediatric healthcare spending across Medicaid and commercial insurance. "Every state we enter is a chance to reach children who've had to go without care designed for their unique needs," said George Boghos, CEO of Imagine Pediatrics. "For too many families and caregivers, stability has felt out of reach. Expanding into Tennessee and New Jersey brings our model to thousands more families, and it's our partnership with health plans and collaboration with providers and community organizations that make personalized, proactive care possible for the families we serve." * 8,350+ Safe Days at Home delivered over an 18-month period * 24% decrease in admissions per thousand (APK) within 12 months following enrollment * 5,000+ avoided emergency and urgent care visits (80% requiring no additional acute care within 30 days) * 300,000+ virtual, digital, and in-home encounters * $65 million in annual health plan savings for two partners over a 12-month period * Net Promoter Score (NPS) above 86 from patients and caregivers

UnitedHealthcare
Jun 10th, 2026
After 13 years in a 'behavioral health crisis,' mom finds help through integrated care.

After 13 years in a 'behavioral health crisis,' mom finds help through integrated care. June 10, 2026 Kelli's story. Kelli and her sons, 16-year-old Ahav and 15-year-old Analiel, are getting used to something that has been far too infrequent for their family over the last 13 years - peace and joy. At the age of 3, both Ahav and Analiel were diagnosed with autism. By 5, they were both diagnosed with disruptive mood dysregulation disorder and a year later, they began to experience anxiety and depression. By age 7, Ahav and Analiel were both diagnosed on the schizophrenia spectrum. Ahav has been hospitalized over 60 times and Analiel around 28 times, due to mental health issues. "Anything that you hear about the very difficult side of mental illness, you could probably name it and we've experienced it," Kelli said. Kelli has countless stories of navigating suicide attempts, moments of mental health crisis and everything in between. "It got very dark," she said, "very dark." Finding a solution for pediatric mental health needs. In the midst of that crisis, Kelli got a call. It was someone from an organization called Imagine Pediatrics, offering virtual behavioral health services, as part of Kelli's UnitedHealthcare plan. Imagine Pediatrics is a tech-enabled pediatric medical group that provides 24/7 integrated virtual and in-home care for children and adolescents with special health care needs. Founded in 2022, and supported by an investment from Optum Ventures, part of UnitedHealth Group, Imagine Pediatrics recognized the need for increased access to care for medically complex children. They partner with health plans, existing medical providers, caregivers and community resources to deliver care that is proactive and personalized - with the goal of more safe days at home. "We cater to the patients and the families. It's the best care possible," said Jennifer Tu, a member of the Imagine Pediatrics mobile integrated care team. "And it truly helps them understand how we can support them and it decreases that unnecessary utilization in the hospital, or even just simple things like calling 911." Imagine Pediatrics works with UnitedHealthcare to provide families an extra layer of support and help ensure families get the care they need, when they need it. "This partnership is impactful because Imagine Pediatrics is reimagining health care alongside UnitedHealthcare," said Seperia Preston, behavioral health therapist with Imagine Pediatrics. "We're working together to build a brighter tomorrow for our clients and families." Creating wraparound support. Now, instead of making a trip to the hospital, Kelli reaches out to Imagine Pediatrics when in need of medical or mental health support for Ahav and Analiel. "I didn't have to go to the ER for the first time in their lives during a psychiatric crisis," Kelli said. "(Imagine Pediatrics) was able to, through the phone, through a video chat, de-escalate both of them, set up a safety plan and then said to me 'so, how often do you want us to check back in with you tonight?'" In addition to care received during emergency situations, Ahav, Analiel - and Kelli - receive ongoing support from Imagine Pediatrics as part of their wraparound services. Ahav and Analiel both participate in weekly talk therapy, and Kelli has gotten dietary guidance for her sons, as well as help facilitating pharmacy refills. "So anytime something is happening with the boys, you know, medically or psychiatrically, Imagine Pediatrics is now my first call and, and has been ever since we started with them," Kelli said. The impact of integrated care. "I cannot say that we would be sitting in this space without UnitedHealthcare and without Imagine Pediatrics," Kelli said. Kelli said the integrated care Ahav and Analiel have received have helped build their self-confidence and given them both a feeling of internal peace - now that they have triumphed past the pain. "We took five trips this year. They're going to school. They're making all As and Bs, they have friends," Kelli said. "I have a family again."

Axios
Sep 17th, 2025
Exclusive: Imagine Pediatrics lands $67M for virtual care for special needs kids

Oak HC/FT, Optum Ventures and Rubicon Founders led the Nashville-based startup's Series B.