Head of Strategic Finance & Operations

Midstream Health

About The Position

Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone. Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match. We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it.

Requirements

Strong foundation in finance and understand how businesses and investments are evaluated.
Several years in private equity, growth equity, venture capital, investment banking, strategic finance, or another highly analytical environment.
Comfortable moving between detailed financial analysis and high-level company strategy.
Intellectually curious and naturally ask why something works the way it does.
Reason from first principles rather than relying solely on established frameworks.
Comfortable developing and defending a point of view with incomplete information.
Ability to communicate clearly with senior stakeholders and build trust over time.
High standards, low ego, and comfortable challenging assumptions, including those of senior leaders.
Desire for significantly more ownership in the next role.
Desire to build and own outcomes, not simply analyze or advise from the sidelines.