Senior Manager, Commercial Finance

About the role

The Senior Manager, Commercial Finance serves as a strategic finance partner to business and commercial leaders at BetterHelp, helping the company make better decisions across growth, revenue, marketing investment, pricing, health plan partnerships, unit economics, margin, and long-term business performance. This role owns key areas of planning, forecasting, performance management, business casing, and strategic analysis while translating complex financial and operational data into clear recommendations for senior leadership. The ideal candidate will combine strong financial fundamentals with commercial curiosity, healthcare business acumen, analytical depth, business judgment, and strong communication skills. You should be comfortable working through ambiguity, challenging assumptions, influencing cross-functional partners, and creating executive-ready work that helps drive real business decisions. At BetterHelp, you will carve your own path, make an immediate impact, and be challenged every day with a supportive community behind you the whole way.

Key facts

What you'll do

• Serve as a strategic finance partner to commercial, operational, and business leaders, helping evaluate growth opportunities, investment decisions, business performance, and key trade-offs across both cash-pay and insurance-covered areas of the business.
• Own and improve planning and forecasting for key areas of the business, including revenue, acquisition, retention, pricing, insurance mix, reimbursement, unit economics, marketing efficiency, margin, and other core business drivers.
• Build and maintain driver-based financial models that support forecasting, scenario planning, resource allocation, business cases, and long-term strategic planning.
• Analyze actual performance versus forecast / budget, identify the key drivers of variance, and translate findings into clear implications and recommended actions.
• Develop business cases for new initiatives, products, pricing changes, partnerships, payer / channel opportunities, marketing investments, bundles, or other commercial opportunities, including financial impact, key assumptions, sensitivities, risks, and decision points.
• Partner with business leaders to understand the underlying economics of their areas, including input metrics, output metrics, operational drivers, and how business activity flows through to revenue, margin, cash collection, and the P&L.
• Support analysis of insurance-related business drivers, including payer mix, reimbursement rates, session economics, utilization, provider supply, claims performance, denial / rejection trends, collections, DSO, and revenue realization.
• Conduct deep-dive analyses on complex business questions, such as customer acquisition economics, conversion, retention, cohort performance, CPA, LTV, channel mix, pricing, supply / demand dynamics, payer economics, and ROI.
• Prepare executive-ready materials for weekly business reviews, operating reviews, quarterly updates, board discussions, and strategic decision-making forums.
• Develop KPI reporting and performance management tools that help leaders understand business health, identify trends, and make better decisions.
• Translate large datasets and complex analyses into simple, crisp narratives, charts, and recommendations that clearly answer the "what, why, so what, and now what."
• Partner effectively with Revenue Cycle, Operations, Data Science, Analytics, Accounting, and broader FP&A teams to ensure financial analysis is accurate, consistent, and grounded in reliable data and metric definitions.
• Identify opportunities to improve models, reporting, processes, and decision-making tools, with a focus on scalability, accuracy, and business value.
• Drive financial discipline across monthly, quarterly, and annual planning cycles, ensuring clear targets, accountability, ownership, and visibility into risks and opportunities.
• Support ad hoc strategic projects and executive analyses that inform company-level decisions.

Requirements

• 5-7+ years of relevant experience in corporate finance, FP&A, investment banking, management consulting, or a similarly analytical role.
• At least 1-2 years of Commercial Finance / FP&A experience required.
• Required experience in healthcare, digital health, online mental health, behavioral health, or a closely related insurance-covered healthcare business model.
• Required understanding of healthcare revenue models, including payer dynamics, reimbursement, revenue cycle management, claims, collections, DSO, and the operational drivers that impact revenue realization.
• Bachelor's degree required, MBA or other advanced degree a plus.
• Strong understanding of P&L dynamics, revenue drivers, unit economics, margin analysis, ROI, business cases, and driver-based forecasting.
• Advanced financial modeling skills, including scenario analysis, sensitivity analysis, forecasting, and financial planning.
• Strong commercial instincts and ability to connect financial results to business performance, customer behavior, healthcare operations, payer dynamics, market dynamics, and operational decisions.
• Strong analytical and problem-solving skills, including the ability to identify the "question behind the question" and focus analysis on the business decision that needs to be made.
• High data fluency, including comfort working with BI tools, large datasets, metric definitions, and cross-functional data partners. SQL, Looker, Python, or similar tools are a plus.
• Experience working with AI / LLMs to automate repetitive work and improve the quality of our models and analyses.
• Strong written and verbal communication skills, with the ability to create clear, concise, executive-ready materials.
• Ability to synthesize complex financial, operational, and healthcare data into clear insights, implications, and recommendations for senior leaders.
• Demonstrated ability to build trust with business partners, influence cross-functional stakeholders, and challenge assumptions constructively.
• Highly organized, detail-oriented, and committed to producing accurate, clean, high-quality work product.
• Strong ownership mindset, with the ability to independently drive work forward, manage competing priorities, provide proactive updates, and know when to escalate.
• Comfort working in a fast-paced, ambiguous environment where priorities can shift and the right answer is not always obvious.
• Strong judgment, maturity, and executive presence, including the ability to respond calmly and credibly to questions, challenges, and pushback.
• Curious, proactive, and action-oriented; continuously looks for ways to improve analyses, processes, decision-making, and business outcomes.

Practical notes

Hours: Remote work with regular in-person bonding experiences sponsored by the company. We ask employees to travel to our San Jose, CA office up to three times per year plus one company-wide offsite to collaborate in person and strengthen working relationships. Travel expenses are covered and reasonable accommodations are made for those under unique circumstances who cannot travel.