Director of FP&A

Twin Health; New York (NY); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

401(k) retirement plan

Unlimited PTO

Medical, dental, vision coverage

HSA/FSA plans

Life insurance and disability

Parental leave

Job summary

Twin Health is seeking a Director of FP&A to own the financial planning heartbeat, delivering GAAP and cash forecasts with disciplined weekly reforecasts and monthly P&L reviews. You will report to the Senior Director, Finance and partner with strategic finance to translate business initiatives into forecast impact.

In this high-visibility role, you will lead a high-output FP&A team, maintain the operating model, and ensure accurate, timely insights for leadership and the board.

Qualifications

• Bachelor's degree in a relevant field.
• Deep GAAP accounting knowledge and translate financial statements into operational decisions.
• Healthcare, digital health, or SaaS industry experience preferred.
• Advanced proficiency in Excel and/or Google Sheets; experience with BI and data tooling a plus.

Responsibilities

• Own detailed GAAP and cash forecasting across weekly, monthly, quarterly and multi-year horizons.
• Run the weekly reforecast process end-to-end with rigorous, timely outputs.
• Lead monthly finance reviews for all P&L departments and sub-departments.
• Identify variances versus operating and board plans; develop gap-closing actions.
• Partner with strategic finance to factor initiatives into forecasts.
• Build and maintain the operating model to support board/investor reporting.
• Manage and develop the FP&A team and allocate resources accordingly.
• Ensure the forecast reflects latest business assumptions for decisions.

Skills

FP&A leadership

GAAP forecasting

Cash forecasting

Cross-functional collaboration

Financial modeling

Executive communication

Team leadership

Excel / Google Sheets

BI tooling

Education

Bachelor’s degree in Finance or related field

Tools

Snowflake

dbt

Lightdash

Job description

• 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
• 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

Benefits

• 401(k) for retirement
• Unlimited PTO
• High-quality medical, dental, and vision coverage
• HSA/FSA plans, life insurance, and disability
• Support from licensed financial wellness advocates
• Paid parental leave for birth/adoption (16 weeks of 100% paid leave for the primary caregiver and 8 weeks for the secondary)
• Access to benefits supporting overall well-being (eg. pet insurance, gym discounts)
• Stipend program (100% personalized and inclusive)

Experience leading cross-functional monthly finance reviews and holding senior department leaders accountable to financial commitmentsBachelor’s degree in relevant fieldDeep GAAP accounting knowledge with the ability to translate financial statements into operational decisions and communicate clearly to non-finance audiencesHealthcare, digital health, or SaaS industry experience preferredAdvanced proficiency in Excel and/or Google Sheets; experience with Snowflake, dbt, Lightdash, or comparable BI and data tooling a plusDemonstrated experience running high-cadence reforecast processes (weekly or biweekly) and managing the operational discipline required to sustain them6+ years of progressive FP&A experience, including direct ownership of a company-wide forecasting process in a growth-stage environmentExceptional communicator: able to distill complex financial data into clean, structured narratives for senior leadership and board audiencesStrong people leadership: has managed analysts or direct reports and is invested in developing talent