Senior Manager, Practice Operations

About this role

ABOUT FINNI HEALTH

Finni Health helps BCBAs go independent. We provide the infrastructure for BCBAs to actually do it — credentialing, payer contracting, revenue cycle, HR, compliance, and the software that ties it together — so they can focus on delivering care to kids with autism instead of fighting insurance companies.

We support practices across a dozen-plus states and are expanding into new ones every quarter. We're YC-backed, counted General Catalyst among our earliest investors, and are growing quickly in a market where families routinely wait months for services that should take days to start.

We're a small team moving fast in a heavily regulated industry. That combination is the job.

THE ROLE

A provider who is not enrolled with a payer can't deliver services. A session without an authorization can't be billed. Every week those two facts hold, a family waits longer than they should and a practice owner absorbs the cost. That is the kind of problem this role exists to close.

As a Senior Manager, Practice Operations, you will be the trusted operator we point where our teams will benefit most. Practice Operations runs several functions that work today because a small number of experienced people carry them in their heads. Your job is to take one at a time, understand the current state, collaborate to design the ideal workflow, implement it with the team that will run it, prove it with numbers, hand it to a named owner, and then take the next one.

Your first assignment is credentialing and payer enrollment.

WHAT YOU WILL BE DOING

- Assignment Ownership: Take an operational problem from roughly defined to fully optimized. We will agree to the shape of the solution together; closing the rest of the design, sequencing it, and getting it adopted is yours.

- Process Design and Documentation: Develop the operating procedures for a best-in-class team, end to end, with owners, timings and escalation paths. Living documents the team actually works from, not a binder nobody opens.

- Measurement and Reporting: Define what we count and make sure the numbers are trustworthy. You own whether what we measure matters, not just whether the dashboard renders.

- Quality and Evidence: Design and run the checks that confirm work was done accurately and on time, with proof attached and independently confirmed.

- Product Partnership: Be the operations voice in Product. Translate what the team needs into specifications engineering can build, then verify the build actually solved the problem before it is called done.

- Adoption and Training: Roll out what you build. Our operations team works across time zones, and adoption and execution are how we'll know the process works.

- Handoff and Sustainment: Finish assignments properly. An assignment is complete when there is a named owner who is not you, a published metric that shows us it's working, written material the team actually works from, and a 60-day check-in confirming it all survives your transition.

- Cross-Functional Collaboration: Work closely with credentialing, revenue cycle, product, practice success, HR and compliance to align operational changes with wider business objectives.

- Additional Responsibilities: Adapt and take on evolving responsibilities and projects as Finni Health grows and our priorities shift. This is a role defined by what needs fixing, and that will continue to evolve.

YOUR FIRST ASSIGNMENT: CREDENTIALING AND PAYER ENROLLMENT

A provider who is not enrolled with a payer can't deliver services, and a session without an authorization can't be billed. That seam sits between credentialing, which gets providers enrolled, and revenue cycle, which handles claims once they are clean, and nobody owns that gap today.

Expect this assignment to take about six months. What we need built:

- Time to Enrolled, meaning the days from a provider signing an offer to being enrolled with a given payer, published weekly and trusted. Underneath it: how quickly applications are submitted, how accurate the submissions are, the value of billing currently blocked by pending enrollments, and follow-up compliance.

- A per-payer requirements library, so a submission goes out as soon as that payer's minimum is met instead of waiting on the strictest payer on the list.

- Evidence discipline. Proof of network participation on file, because a note in someone's inbox cannot be used with a payer to push back on a denial. And the reverse case caught early: providers quietly dropped by a payer, before a practice owner hears it from someone else.

- Written submission process by state and payer, specific enough that a coordinator who has never worked a given state can submit there. Today some coordinators have deep expertise in particular states and others do not know how to submit there at all.

- Backlog programs run to a defined end, then prevented from recurring.

WHAT COMES AFTER

Chosen with the Head of Practice Operations, based on what is needed. Projects could include improving prior authorizations, optimizing the onboarding process for new Practice Owners and staff, or building out a new internal function.

ABOUT YOU

You are an operator rather than an advisor. You are happiest with a broken process, a set of data and a team that has been asking for someone to fix this.

- Experience: 5+ years running operations in a complex, regulated environment where the work was messy and you were the one who cleaned it up. Healthcare strongly preferred, ideally multi-state. Early-stage startup, behavioral or mental health, or healthcare tech experience is a plus.

- Process Building: Demonstrated expertise in identifying inefficiencies and building the fix, not only naming it. SOPs that got used, a workflow you designed, an SLA you set and then held a team to.

- Execution and Follow-Through: A track record of finishing. Be ready to walk us through something you took from broken to boring, including how you handed…