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FP&A Manager

Job in Buffalo, Erie County, New York, 14201, USA
Listing for: Full-time
Full Time position
Listed on 2026-10-20
Job specializations:
  • Finance & Banking
    Financial Analyst, Financial Reporting, Financial Manager
Salary/Wage Range or Industry Benchmark: 120000 - 180000 USD Yearly USD 120000.00 180000.00 YEAR
Job Description & How to Apply Below

About 9amHealth

9amHealth is an AI-enabled virtual specialty care platform focused on managing high-cost chronic conditions  company partners with employers, health plans, and pharmacy benefit managers to deliver comprehensive, cost-effective medical care for individuals living with obesity, diabetes, hypertension, and dyslipidemia. Members receive access to specialized clinicians, including endocrinologists, obesity medicine specialists, and clinical pharmacists, at-home lab testing, prescription medications, and lifestyle support.

9amHealth was founded in 2021 and is backed by leading healthcare investors like Define Ventures, Semper Virens, 7

Wire Ventures, and The Cigna Group Ventures.

FP&A Manager

Chronic disease care is being reimagined and the finance function is central to how that model gets built, priced, and scaled. As FP&A Manager, you'll join a lean Finance team that punches well above its weight. You'll report to the Director of FP&A and partner daily with Customer Success, Clinical Operations, Marketing, Sales, and our exec team to drive decisions that actually matter.

We're a fast-growing startup applying AI to financial work in ways that make the traditional FP&A playbook feel obsolete - and we're looking for someone who'd rather write the new one. You'll own the full FP&A function end-to-end: the monthly close package, the annual budget cycle, and the ad-hoc models that get built the night before something important. You're joining just as we build our 2026 plan and accelerate into the next phase - high-leverage timing for someone who brings serious horsepower and wants to deploy it somewhere it counts.

Location:

Remote
- Full-time

What You’ll Do
  • Own the monthly variance pack
    - Drive sharp BvA across P&L, COGS, gross profit %, and OPEX, with crisp narrative commentary that explains the why, not just the what.
  • Build and maintain driver-based models
    - Member growth, ARPM, CAC, payback, contribution margin by program and member cohort and clinical cost-to-serve.
  • Partner with department heads
    - Customer Success, Clinical Operations, Marketing, Sales - translate business plans into resourced budgets, validate assumptions, and support analysis for department leaders.
  • Own the long-range plan and rolling forecast
    - Multi-scenario budget modeling, fully integrated with the headcount model, balance sheet, and cash flow.
  • Build the monthly board narrative - KPI strip, P&L commentary, gross profit % development, headcount, and forward outlook - in partnership with senior leadership.
  • Drive the 2026 budget cycle
    - Own the timeline, templates, BU partnering, and consolidation.
  • Build the operational FP&A toolkit
    - Dashboards, what-if explorers, scenario models, sales / CS commission and incentive design.
  • Champion AI-enabled FP&A workflows
    - Use Claude, Ai powered FP&A tools, and AI-native features in our finance stack and Excel to accelerate model documentation, variance commentary, scenario summarization, and ad-hoc research. Set the bar for what AI-augmented FP&A looks like at 9amHealth.
What You’ll Need
  • 5-8 years of progressive FP&A experience
  • - Ideally at a high-growth healthcare, SaaS, or subscription company.
  • End-to-end ownership
  • - You have personally owned a budget cycle, board pack, and rolling forecast end-to-end - not just contributed pieces.
  • Expert-level driver-based modeling
  • - You can build a clean three-statement model from scratch in Excel and the assumptions speak for themselves.
  • Modern FP&A platform fluency
  • - Working knowledge of modern FP&A platforms like Abacum, Pigment, Mosaic, Anaplan, Cube, or equivalent - comfortable owning model design, not just data entry.
  • Strong business partnering instincts
  • - You make department heads sharper, not slower. You can have a candid commercial conversation…
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