Finni Health is a rapidly growing company in behavioral health, scaling 400%+ while approaching profitability and backed by world-class investors like General Catalyst. We empower ABA clinic owners to grow thriving practices while delivering exceptional patient care — and our finance foundation is a critical part of that mission.
As we expand nationwide, we’re building a best-in-class finance and compliance engine. That’s where you come in.
About the RoleThis role is perfect for someone with Big 4 experience, outsourced finance experience, or strong exposure to financial operations / compliance environments who wants to have meaningful ownership, build structure in a scaling organization, and work in a fast-moving, outcome-driven environment.
You’ll ensure multi-state compliance, build financial rigor, and own processes that directly impact the company’s financial health and operational credibility. This isn’t a back-office “check the box” role — it’s a critical partner function with visibility and impact.
We’re looking for someone who is:
Exceptionally organized and precise
A fast learner who thrives in ambiguity
High agency — proactive, resourceful, and doesn’t need hand-holding
Loves solving problems and figuring things out
Energized by scaling systems and creating order from complexity
Financial Operations & Audit Support:
Download, organize, and maintain financial and compliance documentation
Support audits of vendor spend, software, contracts, and operational costs to ensure accuracy and ROI
Assist in reconciliations, spend validation, and financial reporting alignment across systems
Vendor Management & Tracking:
Maintain vendor database including invoices, contracts, renewal dates, accountable owners, and cost visibility
Track COGS and operational spend to identify trends, prevent leakage, and surface cost-savings opportunities
Monitor renewals proactively, assisting in negotiation preparation and ensuring timely execution
Partner with Finance and Operations to drive financial discipline and transparency
Compliance & State Registrations:
Research, track, and maintain multi-state compliance requirements including business registrations, renewals, and licensing
Work directly with state/local agencies to clarify requirements and resolve issues
Prepare and submit filings accurately and on time
Maintain structured compliance trackers, logins, and documentation
Documentation & Reporting:
Maintain high-quality, audit-ready documentation across finance systems
Support cross-checking accuracy between invoices, accounting platforms, trackers, and reports
Build systems, frameworks, and organization into growing processes
Cash & AR Operations:
Track outstanding receivables, analyze aging reports, and monitor bad debt to protect the company's bottom line
Own the process of matching incoming checks and digital payments to open AR, ensuring every dollar is accounted for
Partner with the billing team to resolve payment mismatches and maintain high data integrity in your accounting platform
Spend & Expense Management
Manage the end-to-end receipt and reimbursement process, ensuring audit-ready documentation for every transaction
Review and categorize all spend transactions for GL accuracy, ensuring every expense aligns with departmental budgets and financial policies
Experience in Big 4, outsourced finance, consulting, regulatory environments, compliance, or financial operations
Experience with U.S. licensing, compliance, or regulatory processes
Strong analytical rigor and accountability mindset
Outstanding organization and documentation discipline
Comfortable working in ambiguity and figuring things out quickly
Excellent written communication
Proficiency in Excel or Google Sheets
Ability to manage multiple deadlines without dropping details
Experience with healthcare or multi-state operational compliance
Background in vendor management, finance operations, or auditing
Familiarity with tools like Rippling, QuickBooks, or similar finance platforms
Work on solving meaningful real-world problems in healthcare
High-ownership role with real impact — what you do will shape our foundation
Learn fast, grow fast, and partner with an elite execution-focused team
Supportive but high-expectation culture — we move with speed and intention
Competitive compensation
Fully remote
Location: Remote
Department: Finance
Reports To: Business Operations & Finance Manager
Compensation: Competitive, experience-based
