Director, FP&A

Twin Health • New York, NY

1d • $190,000 - $210,000 • Hybrid

About The Position

Twin Health is scaling rapidly and building the financial planning infrastructure to match. The Director of FP&A will own the operational heartbeat of our financial planning and run a disciplined GAAP and cash forecasting process, managing a rigorous weekly reforecast cadence, and leading the monthly finance reviews that drive accountability across every P&L in the business. This is a high-output, high-visibility role that puts you at the center of how Twin understands and manages its financial performance. You will report to the Senior Director, Finance and work closely with the broader Strategic Finance team to translate business initiatives into forecast impact.

Requirements

• 6+ years of progressive FP&A experience, including direct ownership of a company-wide forecasting process in a growth-stage environment
• Demonstrated experience running high-cadence reforecast processes (weekly or biweekly) and managing the operational discipline required to sustain them
• Deep GAAP accounting knowledge with the ability to translate financial statements into operational decisions and communicate clearly to non-finance audiences
• Experience leading cross-functional monthly finance reviews and holding senior department leaders accountable to financial commitments
• Strong people leadership: has managed analysts or direct reports and is invested in developing talent
• Exceptional communicator: able to distill complex financial data into clean, structured narratives for senior leadership and board audiences
• Advanced proficiency in Excel and/or Google Sheets; experience with Snowflake, dbt, Lightdash, or comparable BI and data tooling a plus
• Bachelor's degree in relevant field
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Nice To Haves

• Healthcare, digital health, or SaaS industry experience preferred

Responsibilities

• Own detailed GAAP and cash forecasting: full responsibility for the methodology, assumptions, and accuracy of Twin's financial forecast across weekly, monthly, quarterly, and multi-year horizons
• Run the weekly reforecast process end-to-end. Own the cadence, methodology, and output, ensuring it is rigorous, timely, and decision-ready for senior leadership
• Lead monthly finance reviews for all P&L departments and sub-departments. Prepare materials, run the reviews, and hold department owners accountable to their numbers
• Identify, track, and communicate variances versus operating plan and board plan; develop gap-closing analysis and recommendations in partnership with functional leaders
• Partner closely with the strategic finance team to incorporate the financial impact of strategic initiatives into the rolling forecast
• Manage and develop the FP&A team, setting clear priorities and maintaining appropriate analyst resource allocation across the Finance function
• Build and maintain the operating model as the business evolves, ensuring it reflects the latest business assumptions and can support board and investor reporting
• Other duties as assigned.

Benefits

• A competitive compensation package in line with leading technology companies
• Opportunity for equity participation
• Unlimited vacation with manager approval
• 16 weeks of 100% paid parental leave for delivering parents
• 8 weeks of 100% paid parental leave for non-delivering parents
• 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family
• Health Savings Account and Flexible Spending Account options
• 401k retirement savings plan

What This Job Offers

• Job Type: Full-time
• Career Level: Director