Strategic Finance Lead

Frontera is reimagining how children with autism and other behavioral health needs get the care they deserve. We are seeking a high-ownership Strategic Finance Lead to help build the financial backbone of Frontera as we scale across healthcare services, technology, and emerging health-system business models.

Responsibilities:

• Partner with Finance and executive leadership to build and maintain financial models that support operating decisions, scenario planning, board reporting, and investor-facing narratives
• Analyze performance across Frontera’s healthcare services, technology, direct-to-parent, and commercial partnership models
• Translate financial and operational data into clear insights for leaders across Operations, Product, Commercial, and Clinical teams
• Support budgeting, forecasting, headcount planning, margin analysis, pricing analysis, and ROI analysis for strategic initiatives
• Help define the financial metrics that matter most for each business line, including revenue growth, utilization, payer mix, gross margin, contribution margin, operating leverage, and unit economics
• Serve as a strong business partner to functional leaders by bringing analytical rigor, intellectual curiosity, and practical recommendations
• Help leadership identify where performance is improving, where the model is breaking down, and what actions are needed to improve results
• Build clean, consistent reporting across multiple revenue models, including: B2B SaaS / platform contracts, Direct-to-consumer subscriptions and payments, Clinical services revenue, including Medicaid, commercial payers, and private pay, Health-system, enterprise, or partnership-based models as Frontera expands
• Develop clear views of revenue quality, gross margin, contribution margin, and unit economics across services, tech, and hybrid business lines
• Partner with Payor Ops, Clinical Operations, Commercial, and Product teams to improve revenue visibility and resolve key financial reporting issues
• Support analysis of payer mix, service line performance, utilization, pricing, collections, and margin improvement opportunities
• Build reporting that helps leaders understand performance by product, payer, customer type, region, and business segment
• Help connect operational drivers to financial outcomes so the business can make faster, better decisions
• Own and/or oversee monthly, quarterly, and annual close processes, partnering with internal and external accounting resources to ensure timely, accurate financial reporting
• Ensure financial statements, reconciliations, revenue recognition, accruals, prepaids, deferred revenue, and key accounting judgments are accurate and explainable
• Maintain a strong understanding of accounting details while elevating financial reporting into clear business insight
• Partner with external accountants, tax advisors, and internal stakeholders on compliance, tax filings, audit readiness, and diligence support
• Ensure accounting processes scale appropriately as Frontera grows across multiple entities, revenue streams, and business models
• Build trust in the numbers without adding unnecessary complexity or slowing down the business
• Improve financial reporting processes, billing workflows, documentation, and internal controls
• Partner with tech, operations, clinical, commercial, and payor operations teams to improve source data quality and ensure financial reporting reflects business reality
• Identify and implement automation, tooling, and AI-enabled workflow improvements where ROI is clear and the business need is real
• Use modern tools to reduce manual reporting work, improve data accuracy, and make financial insights easier for leaders to access and act on
• Help build scalable reporting infrastructure that can support multiple revenue models, entities, and operating teams
• Establish practical internal controls appropriate for a Series A-stage company operating in regulated healthcare environments
• Support audit readiness, investor diligence, board reporting, and financial data requests