FP&A Manager

9amHealth is an AI-enabled virtual specialty care platform focused on managing high-cost chronic conditions at scale. The company partners with employers, health plans, and pharmacy benefit managers to deliver comprehensive, cost-effective medical care for individuals living with obesity, diabetes, hypertension, and dyslipidemia. Members receive access to specialized clinicians, including endocrinologists, obesity medicine specialists, and clinical pharmacists, at-home lab testing, prescription medications, and lifestyle support.

9amHealth was founded in 2021 and is backed by leading healthcare investors like Define Ventures, SemperVirens, 7Wire Ventures, and The Cigna Group Ventures.

Chronic disease care is being reimagined and the finance function is central to how that model gets built, priced, and scaled.

As FP&A Manager, you'll join a lean Finance team that punches well above its weight. You'll report to the Director of FP&A and partner daily with Customer Success, Clinical Operations, Marketing, Sales, and our exec team to drive decisions that actually matter. We're a fast-growing startup applying AI to financial work in ways that make the traditional FP&A playbook feel obsolete — and we're looking for someone who'd rather write the new one.

You'll own the full FP&A function end-to-end: the monthly close package, the annual budget cycle, and the ad-hoc models that get built the night before something important. You're joining just as we build our 2026 plan and accelerate into the next phase — high-leverage timing for someone who brings serious horsepower and wants to deploy it somewhere it counts.

Location: Remote- Full-time

What You’ll Do

• Own the monthly variance pack — Drive sharp BvA across P&L, COGS, gross profit %, and OPEX, with crisp narrative commentary that explains the why, not just the what.

• Build and maintain driver-based models — Member growth, ARPM, CAC, payback, contribution margin by program and member cohort and clinical cost-to-serve.

• Partner with department heads — Customer Success, Clinical Operations, Marketing, Sales — translate business plans into resourced budgets, validate assumptions, and support analysis for department leaders.

• Own the long-range plan and rolling forecast — Multi-scenario budget modeling, fully integrated with the headcount model, balance sheet, and cash flow.

• Build the monthly board narrative — KPI strip, P&L commentary, gross profit % development, headcount, and forward outlook — in partnership with senior leadership.

• Drive the 2026 budget cycle — Own the timeline, templates, BU partnering, and consolidation.

• Build the operational FP&A toolkit — Dashboards, what-if explorers, scenario models, sales / CS commission and incentive design.

• Champion AI-enabled FP&A workflows — Use Claude, Ai powered FP&A tools, and AI-native features in our finance stack and Excel to accelerate model documentation, variance commentary, scenario summarization, and ad-hoc research. Set the bar for what AI-augmented FP&A looks like at 9amHealth.

What You’ll Need

• 5–8 years of progressive FP&A experience — Ideally at a high-growth healthcare, SaaS, or subscription company.

• End-to-end ownership — You have personally owned a budget cycle, board pack, and rolling forecast end-to-end — not just contributed pieces.

• Expert-level driver-based modeling — You can build a clean three-statement model from scratch in Excel and the assumptions speak for themselves.

• Modern FP&A platform fluency — Working knowledge of modern FP&A platforms like Abacum, Pigment, Mosaic, Anaplan, Cube, or equivalent — comfortable owning model design, not just data entry.

• Strong business partnering instincts — You make department heads sharper, not slower. You can have a candid commercial conversation with a non-finance leader.

• Unit economics — Fluency in ARR / ARPM / CAC / LTV / payback / cohort retention; bonus if you've translated those frameworks to healthcare member economics.

• Genuine AI fluency — You use Claude, ChatGPT, or equivalents every day to accelerate modeling, generate first-draft commentary, build internal automations, and stress-test your own logic.

• Data fluency —hands-on comfort with BI tools like Looker/Tableau — you can pull your own data when the moment requires it.

• Crisp written and visual communication — Your slides and memos tell a story. Your tables answer the question before the reader asks it.

• Player-coach instincts — Happy to roll up sleeves on a model today, and able to think two quarters ahead

• Bonus points if:

  • Healthcare experience — pharmacy, membership care models, value-based care, chronic condition mgmt.

  • Investment banking, transaction advisory, growth equity, or consulting background

  • Experience prepping a Series C or growth round

  • Experience implementing a new FP&A platform

  • Experience building forecasts that connect to a clinical operations model

What you can expect at 9amHealth

At 9amHealth, you'll join the exciting environment of a startup with the stability of highly experienced founders that have successfully built a business from scratch. We foster a collaborative learning mindset and a passion for improvement. You'll work with a brand-new product alongside a small, flexible team of people eager to shape technology, infrastructure, and culture.

Our team members are spread across the globe, with physical sites in San Diego, California, and Vienna, Austria, but we value your culture regardless of where you work.

We offer a comprehensive benefits package, including health, dental, and vision insurance, along with flexible PTO and work from home options. We provide a professional development budget and support continuing education, empowering our team to grow alongside the company. Team members have the opportunity to make a meaningful impact on chronic disease management and patient outcomes while contributing to a collaborative, mission driven culture focused on improving healthcare accessibility and affordability.

Our commitment to diversity and inclusion

Diabetes disproportionately impacts BIPOC (black, indigenous, and people of color) communities. We are committed to creating a workforce that reflects our patients and creating a positive healthcare experience for them. We welcome applications from people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, and foreign born residents.