Strategic Finance Associate

Alpaca Health•New York City, NY

About The Position

Alpaca Health enables clinicians to become entrepreneurs, starting in autism care. We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians. We are growing quickly (30% MoM) and expanding into new states this year. The problems we are solving are operationally complex, high-stakes, and deeply meaningful for families. We've raised over $14M from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership.

Requirements

2–5 years in investment banking, strategic finance, FP&A, consulting, or a similar analytical role, ideally at a venture-backed startup (Seed–Series C)
Advanced financial modeling skills (three-statement and driver-based operating models) and strong Excel/Sheets fluency
Hands-on technical ability: comfortable with SQL, and with Python, APIs, or AI tools to automate analysis and reporting

Nice To Haves

Experience in a regulated or operationally complex environment such as healthcare, fintech, or marketplaces (RCM or payer experience is a big plus)
A track record of world-class problem solving. You've found insights that most people in your position would have missed, with measurable outcomes.
Exceptional written and verbal communication. You lead with the point, and tailor your message to clinicians, internal stakeholders, and investors.
Ownership mindset. You're a self-starter who finds the highest-leverage problems and relentlessly solves them.
AI native. You understand model strengths and weaknesses, build review steps around AI output, and complete in days what used to take weeks.

Responsibilities

Own the financial model. Build and maintain our operating model and forecasts (revenue, margin, burn, runway) and keep them tied to real operational drivers like clinic count, utilization, payer mix, and collections.
Get to the bottom of variances. Define precisely what changed, find the root cause, and identify the 80/20 drivers worth acting on.
Guide strategic decisions. Analyze new-state expansion, payer contracts, pricing, and unit economics, and come back with a clear recommendation, not just a spreadsheet.
Support fundraising and the board. Build the KPI packages, board materials, and investor data that tell our story accurately and concisely.
Automate the work. Replace manual reporting, reconciliation, and data pulls with scripts, AI-built tools, and dashboards so we scale 10x without scaling the finance team.
Own the outcome. Work closely with the Head of Operations & Strategy to define success, then own the metrics and results.