Chief of Staff

Finni Health • ,

1d • $150,000 - $200,000

About The Position

Finni Health helps BCBAs go independent by providing the infrastructure for them to do so, including credentialing, payer contracting, revenue cycle, HR, compliance, and the software that integrates these functions. This allows BCBAs to focus on patient care rather than administrative tasks. The company supports practices in multiple states and is expanding rapidly. Finni Health is backed by YC and General Catalyst, operating in a market with long wait times for services. The company is small, moves fast, and operates in a heavily regulated industry.

Requirements

• 4–8 years of experience in a role demanding rigor and speed, such as consulting, investment banking, PE/VC, or an operating role at a high-growth startup.
• Proven track record of owning outcomes, regardless of title.
• Exceptional writing skills, characterized by clarity, brevity, and declarative statements.
• Strong analytical skills, including the ability to build financial models from scratch and critically evaluate them.
• Ability to operate with minimal direction and independently define and close the remaining aspects of a project.
• Comfort being the least expert person in a room and still being effective across diverse groups (clinicians, payer reps, lawyers, engineers).
• Low ego regarding the nature of the work, willingness to handle both high-level strategy and detailed administrative tasks.
• Experience building a deck or memo that influenced decision-making.

Nice To Haves

• Healthcare experience, particularly in multi-state provider operations, payer contracting, or Medicaid.
• Experience in a marketplace, MSO, or other multi-sided business.
• Experience participating in a Series B or later funding round from an internal perspective.

Responsibilities

• Own the company's metrics and operating rhythm, including goal setting, measurement, review processes, and ensuring tasks are completed.
• Take ownership of significant workstreams from the CEO, including financing, multi-state legal and compliance, payer strategy, vendor migrations, and organizational design.
• Manage and define company metrics such as GTV, take rate, collection rate, clinician retention, time-to-first-session, and credentialing throughput.
• Establish and maintain the company's operating cadence, including goal cascading, weekly metrics reviews, and executive meetings with clear decisions, owners, and deadlines.
• Oversee a portfolio of strategic initiatives, ensuring they remain on track and identifying initiatives that should be discontinued.
• Prepare and manage board and investor materials, diligence workstreams, financing support, outside counsel coordination, and key vendor relationships.
• Identify and resolve bottlenecks in processes, particularly in credentialing and payer enrollment, and the handoffs between related functions.
• Lead and own complex, non-recurring projects such as new state entry analysis and launch, multi-state corporate structure and regulatory compliance, build-vs-buy decisions, system migrations, and establishing new functions.
• Ensure a single source of truth for company and team-level numbers with documented definitions.
• Manage the quarterly goal-setting and cascading process.
• Run the weekly metrics review and executive meetings with clear follow-through.
• Ensure every live strategic initiative has an owner, status, and next decision date, and manage the review process to identify stalled initiatives.
• Take ownership of at least one significant workstream from the CEO by the end of the first 90 days.

Benefits

• YC-backed company
• Early investor support from General Catalyst
• Opportunity to see every part of a scaling healthcare company
• Direct access to decision-makers
• Broad scope of work
• Immediate feedback
• Potential to grow into an operating role
• Opportunity to work on a mission-driven problem (improving access to autism services)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed