Chief Operating and Financial Officer

Backpack Healthcare

. Own budgeting, forecasting, monthly close, financial reporting, GAAP-compliant financial operations, operating model, unit economics, and financial planning .

Posted 10/4/2026full-timeRemote • United StatesLead💰 $225,000 - $300,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial operations, including budgeting, forecasting, and GAAP compliance, while effectively translating financial data into strategic decisions. Proven ability to lead multi-state healthcare operations and ensure compliance with Medicaid and HIPAA regulations.

Highest-signal resume keywords

Financial ModelingRevenue Cycle ManagementHealthcare Operations LeadershipGAAP ComplianceStakeholder Engagement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

BudgetingForecastingFinancial ReportingData AnalysisOperational StrategyKPI EstablishmentFinancial PlanningRisk IdentificationProcess RedesignPerformance Tracking

Soft Skills

LeadershipAccountabilityCommunicationCollaborationStrategic Thinking

Tools & Technologies

AI TechnologyFinancial SoftwareData Automation Tools

Certifications & Qualifications

MBACPA

Industry Keywords

Medicaid ReimbursementBehavioral HealthcareHealthcare ComplianceVenture-Backed CompaniesMulti-State Operations

About the role

Key responsibilities & impact

Own budgeting, forecasting, monthly close, financial reporting, GAAP-compliant financial operations, operating model, unit economics, and financial planning
Translate financial data into operating decisions and establish financial discipline, visibility, and accountability
Serve as primary financial voice to the board and investors
Partner with the CEO on fundraising, financial modeling, investor materials, diligence, and financing negotiations
Take executive ownership of billing, collections, revenue cycle performance, clean claims, denials, days in A/R, and cash collections across states and payers
Analyze payer performance, reimbursement trends, and operational leakage
Partner on Medicaid and MCO pricing, bids, and rate negotiations
Model direct-contract economics and margins, establish implementation plans and requirements, track performance, and conduct post-launch reviews
Lead business operations, PMO, strategy and operations, credentialing, and care coordination
Establish KPIs, review performance, hold leaders accountable, build scalable multi-state processes, prepare market launches, and eliminate operational bottlenecks
Provide executive oversight of HR, including talent, compensation, benefits, and workforce planning
Manage critical vendor relationships and contracts
Ensure compliance with Medicaid requirements, state regulations, HIPAA, and applicable accounting standards
Identify risks and build sustainable compliance processes
Use AI and technology to analyze information, automate work, interrogate company data, and improve decisions

Requirements

What you’ll need

Bachelor's degree in Accounting, Finance, Business Administration, or a related field
10+ years of progressive finance and operations leadership experience, including at least 5 years in healthcare
Hands-on experience with Medicaid reimbursement and revenue cycle management
Demonstrated success helping a growth-stage or venture-backed company move toward profitability
Experience presenting directly to boards and investors
Experience supporting at least one institutional fundraising round
Demonstrated success redesigning financial and operational processes end to end
Proven ability to build cultures of accountability and consistently hit measurable targets
Strong financial modeling, analytical, strategic, and operational skills
Genuine commitment to expanding access to behavioral healthcare for underserved children and families
MBA or CPA strongly preferred
Behavioral health experience strongly preferred
Multi-state healthcare operations experience preferred

Benefits

Comp & perks

Performance bonus tied to measurable KPI outcomes
Exceptional equity package
Medical, dental, and vision coverage
401(k)
Opportunity to directly influence the growth and trajectory of a venture-backed healthcare company
The chance to help expand access to behavioral healthcare for children and families who need it most