Strategic Finance

Birches Health
Birches Health

Accounting & Finance

USD 100k-125k / year + Equity

Posted on Nov 3, 2026

About the Role

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.
  • 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.
  • What We’re Looking For

  • 3–5 years of experience in finance, consulting, investment banking, or a related field. Healthcare or technology experience strongly preferred.
  • 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.
  • 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.