FP&A – Clinic Operations Lead

Neko Health•New York, NY

About The Position

Neko is seeking an FP&A professional to own financial planning and business control for its US clinic network. The role partners closely with clinic and market leaders to strengthen cost discipline and margin performance, with ownership of the clinic P&L through Gross Margin. It suits someone who wants direct P&L responsibility, stays close to operations, and works effectively across Clinic Operations, People, and the wider FP&A and Finance teams. During the first 6–12 months, the role will own monthly management reporting and variance commentary for the US clinic portfolio; lead cost centre follow-up and control; serve as the primary Finance business partner for US clinic managers and operational leaders; and support budgeting, target-setting, new-clinic financial evaluation, regional support-cost tracking, and external audit and reporting coordination. The role will also identify improvements to clinic-level financial processes and reporting and help ensure accurate reporting of US clinic activity.

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, 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.