Finance Operations Analyst/Associate

About Us

We are a small team that cares about deep thinking, speed, craftsmanship, and putting customers first. Our mission is to build the best care experience in healthcare, on a 30 year horizon.

We help physicians achieve independence by making it easier to start, operate, and grow their practices. We believe the future of healthcare will be driven by individual physicians, not by large bureaucratic systems. Lowering the barrier to practice ownership lets doctors deliver better care for everyone.

The founding team brings deep expertise across medicine, product, operations, and engineering, including more than 30 years of experience running independent practices across urgent care centers, surgical centers, and beyond. We have built 0-to-1 products at Meta, Dropbox, Instagram, Coda, and Nomad, and have founded companies with valuations exceeding $1B and more than 100M MAU.

Highlights

• We have strong product market fit. $15M+ ARR in under 15 months.

• We are profitable and funded by top tier healthcare investors.

• We are about 30 people today and rapidly growing across the company.

• You will fit in here if you want to own a product, a process, or a function and take it from 1 to 100.
  

You might be a fit if you

• You are a self-starter with an obsessive drive to build great systems and processes.

• You think independently and can take an operational problem from concept to execution.

• You are not afraid of complex or messy workflows and enjoy designing clear, scalable solutions.
  You can work through ambiguity and bring structure to unstructured financial operations.

• You are a tinkerer at heart—constantly improving, refining, and automating processes to make them remarkable.

• You are someone people love working with. We want to play long-term games with long-term people.

• You want to build a generational company with a 30-year horizon. We aren’t looking for a quick exit — we want to transform healthcare (or your industry).

   

Special for this role

• This is a rare opportunity to be the first finance operations hire and build our finance ops function from the ground up.

• If you’ve rolled up your sleeves in accounting operations, billing, AR/AP, cash operations, and financial systems—and want true ownership, not just processing tasks—you’ll thrive here.

• Stand up and own the company’s core finance operations: billing, invoicing, collections, A/R, A/P, cash movement, reconciliations, and financial controls.

• Build the financial infrastructure that supports rapid growth: workflows, policies, systems, and automation across the entire back office.

• Create clarity and reliability for the leadership team with accurate financial data, monthly close inputs, reconciliations, and operational reporting.
  Work cross-functionally with GTM, product, and operations to ensure smooth billing, prevent errors, and support operational excellence.

• Shape the operational foundation of the company as a core member of the early team.

   

What You’ve Done

• Owned or built finance operations at a startup, portfolio company, or similarly fast-paced environment (billing, AR/AP, reconciliations, cash ops).

• Gone beyond transactional work, partnering with GTM, product, or ops teams to solve operational problems and keep the business running smoothly.

• Are comfortable managing day-to-day accounting operations and coordinating with outsourced providers when needed.

• Implemented or maintained finance systems (ERP, billing tools, expense systems, AP/AR platforms) and improved existing workflows.
  Maintained high standards for accuracy, documentation, and operational quality.

• Bonus if you’ve spent time in tech, a startup, or worked on something entrepreneurial, we value people who can operate, not just analyze.

• Extra credit if you’ve touched automation projects, systems integrations, or financial process redesign, but not required.

• Strong modeling skills, your work has informed real decisions, not just spreadsheets.

• Bonus if you’ve spent 1–2 years in tech, a startup, or worked on something entrepreneurial

Equal Opportunity Employer

We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability, or any other characteristic protected by law.