Senior Associate, Strategic Finance & Operations

Nearly every disease will become treatable in our lifetimes. Mandolin is laying the clinical and financial infrastructure to get groundbreaking treatments to patients faster, powered by AI agents.

Mandolin partners closely with the largest healthcare institutions in the US, covering more than $10B drug spend across the country. We're backed by Greylock, SV Angel, Maverick, SignalFire, and the founders of Vercel, Decagon, and Yahoo.

We're looking for a Strategic Finance & Operations Senior Associate to join as a foundational member of the Finance & Strategy function at Mandolin. You'll work directly alongside the Chief of Staff to the CEO, operating across strategic finance, financial operations, analytics, and compliance.

You'll be building models that shape company direction, producing materials that go in front of our board and investors, maintaining the financial and operational infrastructure that keeps the business running cleanly, and creating the analytical visibility that leadership relies on to make decisions. You'll own workstreams end to end while collaborating across every function in the company.

This role is ideal for someone who is energized by operating across altitude levels — moving from a detailed reconciliation in the morning to a board-ready financial narrative in the afternoon — and who takes pride in building systems and processes that didn't exist before they arrived.

• Direct exposure to CEO and investor-level strategy at a Series A company approaching its next inflection point

• Foundational role in building out the Finance & Strategy function — your fingerprints will be on the infrastructure that scales with the company

• Opportunity to grow into a Lead or Manager role as the function expands

• Work across every part of the business — engineering, product, sales, marketing, customer operations — with meaningful context on how the entire company operates

• Build, maintain, and iterate on financial models including runway scenarios, burn analysis, revenue projections, and growth forecasting

• Support budgeting, forecasting, and re-forecasting cycles with timely, accurate analysis

• Conduct unit economics, margin structure, and operational efficiency analyses to surface actionable insights

• Prepare financial analyses that inform pricing strategy, revenue roadmap, and resource allocation decisions

• Support data room construction and due diligence preparation as the company approaches its Series B

• Ensure financial data, metrics, and narratives are accurate, current, and investor-ready

• Build and maintain dashboards and reporting infrastructure that give leadership real-time visibility into key business metrics

• Develop and standardize KPI tracking across the organization

• Support competitive landscape analysis with data gathering, structuring, and synthesis

• Own day-to-day invoicing, billing, accounts payable, and accounts receivable processes

• Establish and maintain clean, auditable financial operations workflows

• Identify inefficiencies in finance operations and implement process improvements

• Serve as the primary point of contact with external accounting and tax partners

• Ensure monthly/quarterly actuals are current, data requests are fulfilled promptly, and all filings are completed on time

• Maintain compliance across state registrations, workers' compensation insurance, excise taxes, and business licensing

• Track deadlines, flag risks proactively, and maintain an organized compliance calendar

• Support vendor evaluations, contract reviews, and ongoing relationship management

• Track vendor performance and costs to ensure alignment with budget and operational needs

• 3–5 years of experience in strategic finance, investment banking, management consulting, finance operations, business operations, or a comparable analytical role — startup finance/bizops experience strongly preferred, strategic finance, investment banking and/or consulting experience valued

Compensation for this position will include a base salary, equity, and a variety of comprehensive benefits. The U.S. base salary range for this role is $140,000 - $190,000. Actual base salaries will be based on candidate-specific factors, including experience, skillset, and location, and local minimum pay requirements as applicable.