Head of Financial Operations

FamilyWell • Boston, MA

3d • Hybrid

About The Position

Are you passionate about making a meaningful impact in women’s mental health care? Here's your chance to be a vital part of FamilyWell's mission to enhance access to high-quality, equitable, and affordable mental health services for women across the U.S. Background: FamilyWell Health is an AI-enabled mental health start-up dedicated to solving the women’s mental health crisis by seamlessly embedding high quality, equitable, & affordable mental health care into OB/Gyn practices. FamilyWell provides comprehensive virtual mental health services designed specifically for integration into women’s health practices and health systems. FamilyWell’s virtual care team model delivers evidence-based mental health support throughout the full reproductive lifecycle—from fertility through menopause—using the proven Collaborative Care Model (CoCM). Our tech-enabled platform seamlessly embeds coaching, therapy, and psychiatric services directly into clinical workflows, making high-quality mental health care accessible, affordable, and insurance-covered. With 95% of patients experiencing clinical improvement within four months, we're addressing one of healthcare's most underserved areas while creating a financially sustainable model for our provider partners. Following our recent $8M Series A funding, we're expanding nationwide and seeking exceptional talent to join our mission-driven team. Job Summary: We're seeking a strategic and operationally excellent Head of Financial Operations to lead our revenue cycle management function and provide critical financial insights that will drive our national expansion. This role is essential to FamilyWell's growth, ensuring we optimize revenue capture, strengthen payer relationships, and build scalable financial operations that support our mission. You'll oversee the complete revenue cycle—from credentialing and payer contracting to claims management and collections—while leveraging your analytical expertise to inform strategic decision-making across the organization. This is an opportunity to build and scale financial operations at a high-growth digital health company making a measurable difference in women's lives.

Requirements

• 7+ years of experience in healthcare revenue cycle management, with at least 3 years in a leadership role
• Proven track record negotiating and managing payer contracts, particularly with commercial and Medicaid plans
• Deep expertise across all RCM functions: A/R management, claims processing, credentialing, denials, and collections
• Strong financial modeling and analytical skills; proficiency in Excel/Google Sheets and financial planning tools
• Experience managing and developing RCM teams in a fast-paced environment
• Bachelor's degree in Finance, Business, Healthcare Administration, or related field
• Exceptional attention to detail with ability to balance strategic thinking and tactical execution
• Outstanding communication skills with ability to present financial insights to non-financial stakeholders

Nice To Haves

• Experience with Collaborative Care Model (CoCM) billing codes (99492, 99493, 99494) and integrated behavioral health
• Background in women's health, maternal health, or behavioral health services
• Experience in a high-growth startup or digital health company
• Knowledge of multi-state healthcare operations and varying state regulations
• Familiarity with EHR systems and practice management software
• MBA or relevant advanced degree
• CHFP, CRCR, or other relevant certifications

Responsibilities

• Own end-to-end revenue cycle operations, including accounts receivable, claims submission and follow-up, denial management, and cash collections
• Lead payer contracting strategy and negotiations, establishing favorable rates and terms that support company growth and profitability
• Oversee provider credentialing processes across multiple states, ensuring timely enrollment and maintenance of credentials with commercial and Medicaid payers
• Manage clinic invoicing and revenue recognition for partner practices utilizing CoCM billing codes
• Develop and implement RCM policies, procedures, and workflows that scale with company growth
• Monitor key RCM metrics (days in A/R, clean claim rate, collection rate, denial rate) and drive continuous improvement
• Partner with clinical operations to ensure proper documentation supports billing and reimbursement
• Stay current on CoCM billing regulations, payer policies, and reimbursement trends
• Build and maintain sophisticated financial models to forecast revenue, evaluate payer mix, and assess contract profitability
• Conduct scenario analysis to inform strategic decisions on market expansion, payer partnerships, and pricing strategies
• Translate complex financial data into actionable insights and recommendations for executive leadership
• Partner with leadership on annual budgeting, quarterly forecasting, and long-range financial planning
• Analyze unit economics by state, payer, and service line to optimize resource allocation
• Develop financial dashboards and reporting tools that provide real-time visibility into business performance
• Support fundraising efforts with financial projections and modeling
• Build, manage, and mentor a high-performing RCM team, including the Director of Revenue Cycle Management who oversees billing specialists, A/R analysts, and credentialing coordinators
• Set clear goals and performance metrics; provide regular coaching and professional development
• Foster a culture of accountability, continuous improvement, and cross-functional collaboration
• Scale team structure and capabilities in alignment with company growth
• Partner with external vendors and consultants as needed to supplement internal capabilities
• Serve as primary financial liaison with payer partners, addressing reimbursement issues and optimizing relationships
• Collaborate with sales and partner success teams to evaluate financial viability of new provider partnerships and contracts
• Work with legal counsel on contract negotiations and compliance matters
• Build relationships with industry associations and peer organizations to stay informed on best practices

Benefits

• Mission-Driven Work : Join a team transforming women's mental health care and improving lives every day
• Growth Opportunity : Help build and scale financial operations at a Series A company with significant expansion ahead
• Exceptional Team : Work alongside passionate, mission-aligned colleagues including clinical leaders from Harvard, Johns Hopkins, and top health systems
• Competitive Compensation : Base salary commensurate with experience plus equity, comprehensive benefits, and 401(k)
• Flexibility : Hybrid work environment with our Boston office; remote candidates considered for exceptional fit
• Impact : Your work directly enables thousands of women to access life-changing mental health care

What This Job Offers

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