Manager, Financial Planning and Analysis

Duet is proving that nurse-practitioner-led care isn't just more accessible, it's better. We help NPs build and scale independent practices in communities too often overlooked by the health system: rural towns, immigrant populations, LGBTQ+ patients, and more. Backed by AI-driven tools that give independent NPs the backing of a much bigger system, our network of 100+ practices covering 400,000 annual visits has driven a 30% increase in preventative visits and a 35% drop in hospitalizations, the clearest sign yet that localized NP-led care means better outcomes.

We're a well-funded, early-stage company led by seasoned entrepreneurs and nurse practitioners, and backed by investors including Lerer Hippeau and Kairos.

Independent primary care is disappearing, swallowed by hospital systems and private equity roll-ups, often pulling out of the communities that need it most. But 31 states now support autonomous NP practice, and the results back up what we've long believed. We built the first value-based care contracts for NPs with major payors, taking on real financial risk for outcomes. In our anchor market in New Hampshire, our network outperformed the state on total cost of care by 19%, proof that a solo NP in an underserved area can outperform a system ten times their size and get rewarded for it.

We're looking for our first dedicated finance hire to scale up our finance functions. In this role, you'll be a key financial partner to the business, owning our budgeting process, building the models that drive strategic decisions, and turning complex data into clear narratives for leadership. As an early finance generalist, you’ll work with internal and external resources across accounting, investor reporting and revenue cycle management.

This is an ideal role for someone who thrives in a fast-moving environment, loves digging into the numbers, and is equally comfortable building a bottoms-up forecast as presenting to an executive audience. Understanding we’re a small team, you’ll likely wear many hats that go beyond this job description.

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  Own the annual budgeting process and quarterly reforecasting cycles across the business

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  Build and maintain financial models covering revenue, headcount, and operating expenses

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  Develop and deliver monthly reporting packages with variance analysis and actionable commentary for senior leadership

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  Partner with department heads to provide ongoing financial support, budget tracking, and scenario planning

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  Support long-range planning and strategic initiatives, including board materials and investor reporting

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  Evaluate and implement financial planning tools when ROI is there (Pigment, Mosaic, Adaptive, Anaplan, or similar)

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  Work across multiple business entities and build systems to track and manage flow of funds (you will moonlight as a controller)

• 4–6 years of experience in FP&A, investment banking, or a related finance role; healthcare or high-growth tech experience strongly preferred

• Strong financial modeling skills and Google Sheets proficiency

• Fluency building agentic workflows using AI tools (Claude preferred)

• Experience with financial planning tools (Pigment, Mosaic, Adaptive, Anaplan, or similar) is a plus

• Ability to distill complex financial information into clear, concise insights for non-finance audiences

• Comfortable working independently in a dynamic, ambiguous environment

• People passionate about making a difference in healthcare and having a direct impact on vulnerable patient population

• Sharp financial minds who enjoy building and executing on process

• Self-starters who will seek out problems and solve them with cross-functional buy-in

• Low-ego teammates who take an ownership mentality to everything they encounter

The salary range for this role is $120,000-$150,000 per year plus equity. This role is hybrid based out of NYC.