Director, Strategic Finance

Talkiatry•New York, NY

About The Position

The Director of Strategic Finance will own the financial strategy and growth of Talkiatry’s new lines of business, product, and operations, and serve as the senior finance partner to Clinical Operations, Core Operations, and Product. This high-impact role sits at the intersection of finance and operations, providing analytical rigor and strategic guidance to support planning, investment, and growth. The Director will partner with business leaders on budgets, headcount, and investment decisions, and build data infrastructure for executive- and board-level decision-making. Talkiatry is a technology-powered, in-network psychiatry platform focused on making high-quality mental health care more accessible and sustainable for patients and clinicians. The company describes itself as the largest dedicated psychiatry practice in the U.S., with more than 750 psychiatrists, 250 therapists, and two million patient visits delivered nationwide. The role leads financial analysis and planning for new business launches, operational initiatives, and product investments; develops operational and unit economics analytics; and oversees the operating cadence and financial plans for Clinical Operations, Core Operations, and new lines of business. The successful candidate combines strategic judgment, technical financial and SQL expertise, operational and product acumen, executive communication, and hands-on leadership in a fast-paced startup environment.

Requirements

At least 10 years of experience in strategic finance, FP&A, business partnering, investment banking, private equity, or a combination of these areas.
Expert SQL skills, including fluency with complex queries and experience building reporting infrastructure relied on by executives.
Expert financial modeling abilities, including three-statement models, unit economics, and scenario planning.
Ability to own a SQL-based analytics layer end to end.
Proven track record owning and scaling new businesses, products, or operational functions and partnering with senior operational and product stakeholders to drive measurable business outcomes.
Hands-on, proactive player-coach who is comfortable rolling up their sleeves to get work done.
Ability to lead complex cross-functional initiatives, influence stakeholders across teams, and drive measurable operational improvements.
Ability to communicate complex analyses clearly and present confidently to the CFO and executive leadership.
Ability to operate in a fast-paced startup environment, balance long-term strategy with urgent ad hoc requests, and focus on outcomes.
Active use of AI tools in day-to-day work to accelerate analysis, automate workflows, and improve decision quality, with concrete examples.

Nice To Haves

Healthcare or health technology experience is strongly preferred.
Experience partnering with Product and Engineering teams to evaluate investments and build infrastructure that drives business outcomes.
Understanding of healthcare delivery operations, including clinician capacity, scheduling, care operations, and the cost levers that affect margin per encounter.

Responsibilities

Own new line of business launches and strategic initiatives, including financial modeling, market analysis, and diligence for new service lines, operational initiatives, and build-versus-buy decisions.
Shape investment decisions and develop recommendations on where the company should place its largest investments.
Develop operational and unit economics models and dashboards, including clinician capacity and productivity, cost per encounter, and operational efficiency; turn data into recommendations to improve performance.
Partner with Product and Engineering to evaluate roadmap investments, build business cases, and track financial returns against commercial and operational outcomes.
Lead monthly business reviews, quarterly business reviews, and board reporting for Clinical Operations, Core Operations, and new lines of business.
Advise Clinical Operations and Core Operations leaders on planning, budgeting, and resource allocation, translating operational and strategic priorities into financial plans and trade-offs.
Own the annual operating plan and rolling forecasts for Clinical Operations, Core Operations, and each new line of business, including headcount, vendor, and non-headcount spending.
Provide variance analysis and recommendations to leadership.
Lead complex cross-functional initiatives, influence stakeholders, and drive measurable operational improvements.
Build and own a SQL-based analytics layer and scalable reporting infrastructure.