About the posting
“You'll build and own the models, forecasts, and metrics that guide how we allocate capital, price, and expand, and you'll work directly with the Head of Operations & Strategy and leadership.”
Read the full posting on Alpacahealth's site
Seen live Oct 23, 2026; first seen Oct 21, 2026.
Pay in context
This posting lists $100,000 to $130,000 a year, a midpoint of $115,000.
The midpoint is higher than 26 percent of finance and accounting postings in New York, NY that list pay.
New York has a pay transparency law: covered employers must include a pay range in a job posting. Which employers are covered depends on their size.
How long it has been open
Posted Oct 7, 2026, 16 days ago, and seen on Alpacahealth's careers page today.
At 16 days old, it is under the 36-day median.
Alpacahealth at a glance
Alpacahealth has 403 open postings that we can see, 1 in finance and accounting; 92 percent list pay.
The application
Applying goes through Ashby.
Trailhead fills Greenhouse, Lever and Ashby forms on your computer; on the phone and on other systems it hands you your answers and your resume.
Seniority
The posting mentions 5+ years.
Place and cost of living
On site in New York, NY; prices in NY run 8 percent above the US average.
Similar jobs at similar pay
The finance and accounting market in New York, NY
349 finance and accounting postings in New York, NY are open right now, from 174 employers.
Half of them have been open 36 days or less.
From Alpacahealth's posting
This is Alpacahealth's own text, as published on its job board. We last checked it on Oct 23, 2026. Apply on Alpacahealth's site. We remove a posting when the employer closes it.
ABOUT ALPACA HEALTH
Alpaca Health enables clinicians to become entrepreneurs, starting in autism care.
We help clinicians launch and scale their own clinics by providing AI-powered software, payer contracting, and full back-office infrastructure. Our goal is simple: shift power in healthcare away from large consolidated entities and back to clinicians.
We are growing quickly (30% MoM) and expanding into new states this year. The problems we are solving are operationally complex, high-stakes, and deeply meaningful for families.
We've raised over $14M from early-stage investors like Core Innovation Capital, Adverb Ventures, and South Park Commons, and are building for long-term category leadership.
THE ROLE
We're hiring a Strategic Finance Associate to be the analytical engine behind our biggest financial decisions. You'll build and own the models, forecasts, and metrics that guide how we allocate capital, price, and expand, and you'll work directly with the Head of Operations & Strategy and leadership.
WHAT YOU'LL DO
1. Own the financial model. Build and maintain our operating model and forecasts (revenue, margin, burn, runway) and keep them tied to real operational drivers like clinic count, utilization, payer mix, and collections.
2. Get to the bottom of variances. Define precisely what changed, find the root cause, and identify the 80/20 drivers worth acting on.
3. Guide strategic decisions. Analyze new-state expansion, payer contracts, pricing, and unit economics, and come back with a clear recommendation, not just a spreadsheet.
4. Support fundraising and the board. Build the KPI packages, board materials, and investor data that tell our story accurately and concisely.
5. Automate the work. Replace manual reporting, reconciliation, and data pulls with scripts, AI-built tools, and dashboards so we scale 10x without scaling the finance team.
6. Own the outcome. Work closely with the Head of Operations & Strategy to define success, then own the metrics and results.
WHAT WE'RE LOOKING FOR
- [REQUIRED] 2–5 years in investment banking, strategic finance, FP&A, consulting, or a similar analytical role, ideally at a venture-backed startup (Seed–Series C)
- [REQUIRED] Advanced financial modeling skills (three-statement and driver-based operating models) and strong Excel/Sheets fluency
- [REQUIRED] Hands-on technical ability: comfortable with SQL, and with Python, APIs, or AI tools to automate analysis and reporting
- Experience in a regulated or operationally complex environment such as healthcare, fintech, or marketplaces (RCM or payer experience is a big plus)
- A track record of world-class problem solving. You've found insights that most people in your position would have missed, with measurable outcomes.
- Exceptional written and verbal communication. You lead with the point, and tailor your message to clinicians, internal stakeholders, and investors.
- Ownership mindset. You're a self-starter who finds the highest-leverage problems and relentlessly solves them.
- AI native. You understand model strengths and weaknesses, build review steps around AI output, and complete in days what used to take weeks.
🚀 WHY JOIN
- The opportunity to materially impact the health outcomes of the most vulnerable populations
- Join one of the fastest growing healthcare startups in the world (30%–50% monthly growth)
- Join a team of high performers taking a tech-first approach to building a scalable digital health platform
- 💵 Competitive salary
- 📈 Meaningful equity
- 🏥 Health benefits
- 🏖️ Flexible PTO
- 🍱 Dinner when working late