FP&A – Clinic Operations Lead

Health Data Innovations, Inc.; New York (NY); On-site; USD 120,000 - 150,000; Full time

Job summary

Neko is redefining prevention with data-driven, preventative care. In a single visit, we combine proprietary tech and clinical care to deliver actionable insights for healthier lives.

We are seeking an FP&A – Clinic Operations (US) to own the US clinic P&L, drive cost discipline, and partner with clinic leaders to improve margins. You’ll own monthly reporting, budgeting, and cross-functional collaboration across Clinic Operations, People, and the FP&A team.

Qualifications

• Bachelor’s degree in Finance, Accounting, or related field.
• 3–5 years FP&A, business control, or accounting, ideally multi-site/clinic ops.
• Experience with cost centre management, variance analysis, and business partnering.
• Strong Excel skills; ERP experience (Business Central or similar) a plus.
• Able to partner with non-finance stakeholders across a distributed network.
• Comfortable using AI tools (Copilot/Claude) to speed reporting and analysis.
• Based in or willing to work core hours aligned with US clinic operations.
• Curious, structured and autonomous.

Responsibilities

• Own monthly management reporting and variance commentary for US clinics.
• Lead cost centre follow-up and control for all US clinics.
• Own the US clinic P&L through Gross Margin.
• Act as the primary finance business partner for US clinic managers.
• Support the annual budgeting and target-setting process for US clinics.
• Partner with Expansion on financial evaluation of new US openings.
• Track regional support costs and coordinate external audits.
• Identify opportunities to improve clinic-level financial processes.

Skills

Cost centre management

Variance analysis

Business partnering

Excel skills

ERP experience

Non-financial stakeholder engagement

AI reporting tools

US clinic operations hours

Autonomy

Education

Bachelor's degree in Finance or Accounting

Tools

Business Central

ERP systems

Copilot

Claude

Job description

Mission

Neko is redefining what prevention means, from treating illness when it arrives, to sustaining health before it's ever at risk. Our mission: make data-driven, preventative care accessible to more people, before symptoms appear.

In a single, non-invasive visit under an hour, proprietary technology and direct clinical care combine to deliver personalised, actionable insights. It's a team that thinks in 10x, not 10%. Every role here plays a part in building a world where prevention is the norm, and where your work genuinely helps people live longer, healthier lives.

Role Purpose

We're looking for an FP&A – Clinic Operations (US) to own financial planning and business control for Neko's US clinic network, partnering closely with clinic and market leaders to drive cost discipline and margin performance. This role is a strong fit for someone who wants direct ownership of a P&L, enjoys being close to the operational side of the business, and is comfortable working cross-functionally with Clinic Operations, People, and the wider FP&A team.

What you'll do in the first 6-12 Months

• Own monthly management reporting and variance commentary for the US clinic portfolio

• Lead cost centre follow-up and control for all US clinics, ensuring actuals are understood and deviations are addressed in a timely manner.

• Own the US clinic P&L — through to Gross Margin.

• Act as the primary Finance business partner for US clinic managers and operational leaders.

• Support the annual budgeting and target-setting process for US clinic cost centres.

• Partner with the Expansion team on the financial evaluation of new US clinic openings.

• Track regional support costs

• Support external audit and reporting coordination for US entities.

• Identify opportunities to improve clinic-level financial processes and reporting.

• Collaborate cross-functionally with Clinic Operations, People, and the wider FP&A and Finance team to ensure accurate reporting of US clinic activity.

Minimum Requirements

• Bachelor's degree in Finance, Accounting, or a related field.

• 3-5 years of experience in FP&A, business control, or accounting, ideally with exposure to multi-site or clinic/retail operations.

• Experience with cost centre management, variance analysis, and business partnering.

• Strong Excel skills; experience with Business Central or a similar ERP is a plus.

• Comfortable partnering with non-finance stakeholders across a distributed, multi-site network.

• Comfortable using AI tools (e.g., Copilot, Claude) to speed up reporting, analysis, and process improvement.

• Based in, or willing to work core hours aligned with, US clinic operations.

• Curious, structured, and comfortable operating with a high degree of autonomy.