Director, FP&A

twinhealth; New York (NY); Hybrid; USD 180,000 - 230,000; Full time

Job summary

This hybrid role requires strong leadership, excellent communication, and a deep understanding of FP&A in a digital health or SaaS environment. You will drive cadence, accuracy, and accountability in a fast-growing company.

Qualifications

• 6+ years FP&A experience with company-wide forecasting
• Experience running high-cadence reforecasts (weekly/biweekly)
• Deep GAAP knowledge translating statements to decisions
• Experience leading cross-functional monthly finance reviews
• Strong people leadership and mentorship
• Excellent communication to senior leadership
• Excel + Snowflake/dbt/Lightdash tools proficiency a plus
• Healthcare/digital health/SaaS experience preferred
• Bachelor's degree in relevant field

Responsibilities

• Own GAAP and cash forecasting across weekly, monthly, quarterly and multi-year horizons
• Run weekly reforecast process end-to-end with cadence and accountability
• Lead monthly finance reviews for all P&L departments and sub-departments
• Identify variances vs operating plan and develop gap-closing analyses
• Collaborate with strategic finance to incorporate initiative impacts
• Manage and develop the FP&A team and prioritise resources
• Build operating model reflecting latest assumptions for board reporting
• Other duties as assigned.

Skills

FP&A

Forecasting

GAAP

Cross-functional

Leadership

Excel

Snowflake

dbt

Lightdash

Healthcare

Education

Bachelor's degree

Tools

Snowflake

dbt

Lightdash

Excel

Job description

Twin Health

At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic health.

We start by building a dynamic model of each person's metabolism - drawing on thousands of data points from CGMs, smartwatches, and meal logs - that maps their personal path to better health. Guided by a dedicated clinical care team, our members have lowered their A1C below the diabetes range, achieved lasting weight loss, and reduced or even eliminated medications, all while living healthier, happier lives.

Working here

Our team at Twin Health is passionate, talented, and united by a shared purpose: to improve the metabolic health and happiness of our members. We believe in empowering every Twin to make a meaningful impact for our members, our clients, and each other, while enjoying a supportive, collaborative work environment.

Twin has been recognized not only for our innovation but also for our culture, including: Innovator of the Year by the Employer Health Innovation Roundtable (EHIR), selected to CB Insights' Digital Health 150, and named one of Newsweek's Top Most Loved Workplace® .

With more than $100 million raised in recent funding, including a $53 million Series E round in 2025 led by Maj Invest, and a $50 million investment in 2023 led by Temasek, Twin is scaling rapidly across the U.S. and globally. Backed by leading venture firms like ICONIQ Growth, Sequoia, Sofina, Temasek, and Peak XV, we are building the most impactful digital health company in the world.

Join us as we reinvent the standard of care in metabolic health.

Opportunity

Twin Health is scaling rapidly and building the financial planning infrastructure to match. The Director of FP&A will own the operational heartbeat of our financial planning and run a disciplined GAAP and cash forecasting process, managing a rigorous weekly reforecast cadence, and leading the monthly finance reviews that drive accountability across every P&L in the business. This is a high-output, high-visibility role that puts you at the center of how Twin understands and manages its financial performance. You will report to the Senior Director, Finance and work closely with the broader Strategic Finance team to translate business initiatives into forecast impact.

Responsibilities

Own detailed GAAP and cash forecasting: full responsibility for the methodology, assumptions, and accuracy of Twin's financial forecast across weekly, monthly, quarterly, and multi-year horizons

Run the weekly reforecast process end-to-end. Own the cadence, methodology, and output, ensuring it is rigorous, timely, and decision-ready for senior leadership

Lead monthly finance reviews for all P&L departments and sub-departments. Prepare materials, run the reviews, and hold department owners accountable to their numbers

Identify, track, and communicate variances versus operating plan and board plan; develop gap-closing analysis and recommendations in partnership with functional leaders

Partner closely with the strategic finance team to incorporate the financial impact of strategic initiatives into the rolling forecast

Manage and develop the FP&A team, setting clear priorities and maintaining appropriate analyst resource allocation across the Finance function

Build and maintain the operating model as the business evolves, ensuring it reflects the latest business assumptions and can support board and investor reporting

Other duties as assigned.

Qualifications

6+ years of progressive FP&A experience, including direct ownership of a company-wide forecasting process in a growth-stage environment

Demonstrated experience running high-cadence reforecast processes (weekly or biweekly) and managing the operational discipline required to sustain them

Deep GAAP accounting knowledge with the ability to translate financial statements into operational decisions and communicate clearly to non-finance audiences

Experience leading cross-functional monthly finance reviews and holding senior department leaders accountable to financial commitments

Strong people leadership: has managed analysts or direct reports and is invested in developing talent

Exceptional communicator: able to distill complex financial data into clean, structured narratives for senior leadership and board audiences

Advanced proficiency in Excel and/or Google Sheets; experience with Snowflake, dbt, Lightdash, or comparable BI and data tooling a plus

Healthcare, digital health, or SaaS industry experience preferred

Bachelor's degree in relevant field

This hybrid opportunity based out of the U.S. at Twin's New York City Office, Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Compensation and Benefits

The compensation range for this position is $190,