Senior Manager, Practice Operations

Finni Health helps BCBAs go independent. We provide the infrastructure for BCBAs to actually do it — credentialing, payer contracting, revenue cycle, HR, compliance, and the software that ties it together — so they can focus on delivering care to kids with autism instead of fighting insurance companies.

We support practices across a dozen-plus states and are expanding into new ones every quarter. We're YC-backed, counted General Catalyst among our earliest investors, and are growing quickly in a market where families routinely wait months for services that should take days to start.

We're a small team moving fast in a heavily regulated industry. That combination is the job.

A provider who is not enrolled with a payer can't deliver services. A session without an authorization can't be billed. Every week those two facts hold, a family waits longer than they should and a practice owner absorbs the cost. That is the kind of problem this role exists to close.

As a Senior Manager, Practice Operations, you will be the trusted operator we point where our teams will benefit most. Practice Operations runs several functions that work today because a small number of experienced people carry them in their heads. Your job is to take one at a time, understand the current state, collaborate to design the ideal workflow, implement it with the team that will run it, prove it with numbers, hand it to a named owner, and then take the next one.

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  A provider who is not enrolled with a payer can't deliver services, and a session without an authorization can't be billed. That seam sits between credentialing, which gets providers enrolled, and revenue cycle, which handles claims once they are clean, and nobody owns that gap today.

  Expect this assignment to take about six months. What we need built:

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Chosen with the Head of Practice Operations, based on what is needed. Projects could include improving prior authorizations, optimizing the onboarding process for new Practice Owners and staff, or building out a new internal function.

Someone who wants to own a queue, or whose measure of a good year is headcount. If your instinct on being handed a broken process is to add people to it, this is the wrong role. Equally, if you want a finished plan to administer, this isn't what you're looking for.

You are an operator rather than an advisor. You are happiest with a broken process, a set of data and a team that has been asking for someone to fix this.

• Meaningful problems in behavioral healthcare — your work directly shortens the wait between a family needing autism care and a provider being able to deliver it.

• Ownership from day one on a lean, execution-focused team. This role is scoped as a series of assignments you take from broken to boring, which means the evidence of your work is unusually visible.

• You'll help write the playbook rather than administer someone else's. Practice Operations is being built now.

• Supportive but high-expectation culture — we move with speed and intention.

• Stock options: equity in what you build.

Finni Health is an equal opportunity employer. We consider qualified applicants without regard to any characteristic protected by applicable law. Reasonable accommodations are available throughout the hiring process.