Strategic Finance Lead

Department: Finance

Location: New York, NY (In-Office located in Flatiron)

Reports To: Head of Finance

What You’ll Do: Birches Health is hiring a Strategic Finance Lead to partner closely with our executive team and drive the financial strategy of the company. This is a high-impact role where you’ll shape the financial foundation of a rapidly growing healthcare startup, ensuring we scale sustainably while maximizing clinical and business outcomes. You’ll work cross-functionally with operations, product, and clinical teams to align financial planning with organizational priorities, while also engaging with investors and external stakeholders. Financial Planning & Analysis (FP&A): Build and maintain financial models, forecasts, and dashboards to guide strategic decision-making. Capital Strategy: Support fundraising efforts, investor relations, and capital allocation decisions to fuel growth. Operational Finance: Partner with operations and clinical teams to evaluate unit economics, optimize margins, and improve efficiency. Strategic Insights: Translate complex financial data into actionable insights for leadership, enabling data-driven decisions. Operations: Build processes to improve operational efficiency at scale, both within the Finance department and across other areas of the organization Budgeting & Reporting: Lead annual budgeting processes, track performance against targets, and deliver clear reporting to executives and investors. Special Projects: Own mission-critical initiatives such as pricing strategy, reimbursement optimization, and scenario planning.

Who You Are: 3–5 years of experience in investment banking, private equity, consulting, finance, or a related field. Healthcare or technology experience strongly preferred. Previous startup experience is a plus. Expert financial modeling skills with advanced proficiency in Excel/Google Sheets; familiarity with SQL or BI tools is a plus. Strategic thinker with the ability to connect financial insights to broader business objectives. High EQ and strong communication skills, capable of presenting complex financial concepts clearly to both technical and non-technical audiences. Adaptability in a fast-paced startup environment, with a willingness to roll up your sleeves and own outcomes. Proven ability to operate autonomously, while also thriving in collaborative, cross-functional settings. Passion for healthcare innovation and improving access to quality care.

Compensation: $100,000 - $125,000 annually including above-market equity and benefits. If you're interested in this role, please email hello@bircheshealth.com.Compensation is determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.