FP&A – Clinic Operations Lead

Neko Health•New York, NY

About The Position

Mission Neko is redefining prevention by making data-driven preventative care accessible before symptoms appear. Its service combines proprietary technology and direct clinical care in a single, non-invasive visit under an hour. The FP&A – Clinic Operations role owns financial planning and business control for Neko’s US clinic network, partnering with clinic and market leaders to support cost discipline and margin performance. The role has direct ownership of the clinic P&L through Gross Margin and works closely with Clinic Operations, People, and the wider FP&A and Finance teams. It is suited to someone comfortable with operational finance, cross-functional collaboration, and a high degree of autonomy. During the first 6–12 months, the role will take ownership of monthly management reporting and variance commentary for the US clinic portfolio, clinic cost-centre follow-up and control, and the US clinic P&L. It will also support budgeting, evaluate new clinic openings with the Expansion team, track regional support costs, coordinate external audit and reporting for US entities, and improve clinic-level financial processes and reporting.

Requirements

Bachelor’s degree in Finance, Accounting, or a related field.
3–5 years of experience in FP&A, business control, or accounting.
Experience with cost-centre management, variance analysis, and business partnering.
Strong Excel skills.
Comfort partnering with non-finance stakeholders across a distributed, multi-site network.
Comfort using AI tools such as Copilot or Claude to speed up reporting, analysis, and process improvement.
Based in, or willing to work core hours aligned with, US clinic operations.
Curious and structured, and comfortable operating with a high degree of autonomy.

Nice To Haves

Exposure to multi-site or clinic/retail operations.
Experience with Business Central or a similar ERP.

Responsibilities

Own monthly management reporting and variance commentary for the US clinic portfolio.
Lead cost-centre follow-up and control for all US clinics, ensuring actuals are understood and deviations are addressed in a timely manner.
Own the US clinic P&L through Gross Margin.
Act as the primary Finance business partner for US clinic managers and operational leaders.
Support the annual budgeting and target-setting process for US clinic cost centres.
Partner with the Expansion team on the financial evaluation of new US clinic openings.
Track regional support costs.
Support external audit and reporting coordination for US entities.
Identify opportunities to improve clinic-level financial processes and reporting.
Collaborate with Clinic Operations, People, and the wider FP&A and Finance team to ensure accurate reporting of US clinic activity.