Fractional Chief Financial Officer

Delfina; San Francisco (CA); Remote; USD 150,000 - 260,000; Part time

Benefits offered by this job

Monthly retainer

Equity eligibility

Remote-first engagement

Job summary

Delfina, a maternal health tech company, seeks a Fractional CFO to own our financial strategy as we scale and prepare for the next growth phase.

You will be a hands-on partner to the CEO, a trusted voice with the board and investors, translating impact into a durable financial model.

Responsibilities include fundraising, planning and reporting, building the finance function, and shaping payer contract economics to support mission-driven growth while advancing health equity for families.

Qualifications

• CFO or VP Finance experience in seed–Series C digital health companies.
• Hands-on experience with payers and health plans, Medicaid managed care or risk contracts.
• Track record in supporting a successful priced equity round (Series A+).
• Board-level presence with investors and clear communication.

Responsibilities

• Lead fundraising and investor relations: build the financial model, data room, and diligence responses.
• Own planning and reporting: annual budget, rolling forecasts, cash runway, and monthly board-ready reporting.
• Build the finance function: oversee accounting, close, audit readiness, tax, and outside providers.
• Strengthen unit economics: cost-to-serve, gross margin, and contract profitability by partner and program.
• Manage risk and compliance: controls, grant and public-contract financial requirements, insurance, and vendor contracts.
• Shape payer contract economics: model pricing, value-based/risk arrangements with health plans.
• Advise the leadership team: bring financial clarity to hiring, pricing, and market expansion decisions.

Skills

CFO experience

Payers and health plans

Board-level communication

Financial modeling

Job description

About Delfina

Every pregnancy deserves to be seen, supported, and safe. Delfina is a maternal health technology company using AI-powered platform to support pregnant and postpartum patients. We partner with health plans, community health centers, health systems, and public sector agencies to close gaps in care before they become emergencies.

Our model is built on outcomes: we increasingly work through value-based arrangements with Medicaid and commercial health plans. That makes financial rigor central to our mission, not separate from it.

The role

We're looking for a Fractional CFO to own Delfina's financial strategy as we scale and prepare for our next phase of growth. You'll be a hands-on partner to our CEO, a trusted voice with our board and investors, and the person who translates our impact into a durable financial model.

This is a great fit for a finance leader who has done this before at an early-stage digital health company and wants their next chapter to matter for families.

What you'll do

• Lead fundraising and investor relations: build the financial model, data room, and diligence responses; partner with the CEO on pitch and investor conversations
• Own planning and reporting: annual budget, rolling forecasts, cash runway, and monthly board-ready reporting
• Build the finance function: oversee accounting, close, audit readiness, tax, and outside providers (bookkeeping, payroll, legal)
• Strengthen unit economics: cost-to-serve, gross margin, and contract profitability by partner and program
• Manage risk and compliance: controls, grant and public-contract financial requirements, insurance, and vendor contracts
• Shape payer contract economics: model pricing, value-based/risk arrangements with health plans and public partners
• Advise the leadership team: bring financial clarity to hiring, pricing, and market expansion decisions

What you bring

• CFO or VP Finance experience at one or more Seed–Series C digital health companies
• Hands-on experience with payers and health plans — ideally Medicaid managed care, value-based contracts, or risk arrangements
• A track record of supporting a successful priced equity round (Series A or later)
• Board-level presence — you've presented to boards and investors and managed demanding stakeholders with clarity and calm
• Comfort being both strategic and in depth in financial data — at our stage, there's no team to delegate to yet
• Genuine commitment to health equity and to improving outcomes for women and families

Nice to have

• Experience with public sector, grant, or government contract finance
• Background in maternal, women's, or population health
• Familiarity with FQHC or community health center economics
• Prior experience as a fractional or part-time CFO across multiple companies

What we offer

• Compensation: Monthly retainer or hourly rate options, equity eligibility if applicable
• Flexible, remote-first engagement with a mission-driven team
• Potential path to a full-time role as Delfina grows

We value that everyone at Delfina brings a unique background and perspective. Prospective applicants are encouraged to apply even if they do not meet 100% of the listed qualifications and are encouraged to use their resume and other application materials to demonstrate how their skills meet, or are equivalent to, the listed qualifications.

Delfina provides equal employment opportunities (EEO) without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy or family status, national origin, age, veteran or disability status.

Note that Delfina does not currently sponsor or facilitate any U.S. work authorization for this position. All applicants must have unrestricted and independent authorization to work at Delfina. Delfina participates in the E-verify program to confirm employment authorization eligibility.