Vice President, Finance

Who We Are

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.

What You’ll Do

As Vice President of Finance, you will serve as a key member of the senior leadership team and trusted partner to the CFO, helping shape the Company's financial strategy, operating performance, and long-term growth. You will lead Finance, overseeing planning, forecasting, performance management, strategic finance, and business analytics while providing that support decision-making across the enterprise.

Working closely with leaders across Operations, Clinical, Growth, Accounting, Actuarial Services, and BD, you will drive enterprise decision-making through data-driven insights, disciplined resource allocation, and rigorous performance management. As an extension of the CFO, you will regularly engage with executives, the Board, investors, and lenders while helping build the people, processes, and capabilities needed to support a high-growth healthcare organization. Over time, this individual will assume increasingly broad enterprise leadership responsibilities and serve as a key member of the Company's future leadership bench. You will:

• Serve as a strategic partner to the CFO, executive leadership team, Board, investors, and lenders, translating enterprise strategy into financial plans and measurable outcomes.
• Provide financial leadership and performance visibility across the organization, identifying risks, opportunities, and key business drivers.
• Own enterprise financial visibility, ensuring leaders have timely and actionable insights into business performance, emerging risks, growth opportunities, and key strategic tradeoffs.
• Prepare and deliver executive-ready financial updates, Board presentations, investor communications, lender reporting, and strategic recommendations.
• Partner with the CFO on capital strategy, financing and refinancing activities, corporate transactions, and other strategic initiatives.
• Represent the Finance organization in executive and external forums as an extension of the CFO.
• Maintain strong financial controls, governance, audit readiness, regulatory compliance, and risk management practices.

FP&A, Strategic Planning, & Performance Management

• Lead the Company's financial planning, forecasting, performance management, and strategic decision-support processes.
• Own the Company's integrated financial model, including long-range planning, scenario analysis, liquidity forecasting, and capital allocation recommendations.
• Build scalable reporting, analytics, KPI frameworks, dashboards, and performance management capabilities.
• Oversee forecasting and performance reporting for value-based care and risk-based arrangements, translating complex financial and actuarial data into actionable business insights.
• Partner closely with Accounting and Actuarial leadership to ensure alignment across financial planning, reporting, cash flow management, medical cost forecasting, and enterprise performance management.
• Develop scalable investment evaluation, ROI, and capital allocation frameworks that promote disciplined decision-making and accountability.
• Drive the evolution of budgeting and resource allocation processes to improve transparency, spending discipline, and alignment with strategic priorities.
• Strengthen financial systems, processes, and governance practices to support growth, scalability, and data-driven decision-making.

Strategic Growth & Enterprise Initiatives

• Evaluate market expansion, payer partnerships, strategic investments, and other growth opportunities through rigorous financial analysis and business case development.
• Lead financial evaluation of major enterprise initiatives, including clinical programs, care model innovations, technology investments, workforce strategies, and operational transformation efforts.
• Support future M&A, JV, debt, or other strategic transactions, including financial diligence, valuation, integration planning, and post-transaction performance assessment.
• Assess and recommend improvements to organizational capabilities, business processes, operating models, and systems infrastructure required to support continued growth and scalability.

Team Leadership & Organizational Development

• Recruit, develop, mentor, and lead a high-performing Finance organization, fostering a culture of accountability, continuous improvement, and professional growth.
• Build organizational capabilities, scalable processes, and leadership bench strength to support future growth.
• Raise the analytical and strategic capabilities of the Finance team while promoting collaboration, intellectual curiosity, ownership, and strong partnership across functions.
• Develop deep expertise in the organization's financial, operational, clinical, actuarial, and strategic drivers, assuming progressively broader enterprise leadership responsibilities and serving as a key member of the company's future leadership bench.

What You Bring & How You Qualify

First and foremost, you're passionate and committed to reimagining pediatric health care and creating a world where every child with special health care needs gets the care and support they deserve. Things change quickly in a start-up environment; you accept that and update and pressure-test your assumptions rather than defending old ones. In this role, you will need:

• Bachelor's degree in Finance, Accounting, Economics, Business, or related field; MBA, CPA, CFA, or similar advanced credential preferred.
• 10–15+ years of progressive experience in finance leadership roles, including strategic finance, FP&A, investment banking, consulting, private equity, corporate development, or related fields.
• Proven experience leading enterprise planning, forecasting, performance management, and strategic decision-support functions.
• Healthcare experience preferred, particularly within provider, payer, healthcare services, value-based care, or risk-bearing organizations.
• Demonstrated ability to influence executive stakeholders and drive enterprise decision-making through rigorous financial analysis and business insight.
• Exceptional communication and presentation skills, including experience working with Boards, investors, lenders, and senior leadership teams.
• Proven success building and leading high-performing Finance teams, scalable processes, and organizational capabilities.
• Ability to operate effectively as both a strategic leader and hands-on player/coach in a fast-paced, high-growth environment characterized by ambiguity and change.

What We Offer (Benefits + Perks)


The role offers a base salary range of $220,000 - $275,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.


We provide these additional benefits and perks:

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer

What We Live By


We’re guided by our five core values:

Our Values:

• Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.
• Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments.
• Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale.
• Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve.
• One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward — together.

We Value Diversity, Equity, Inclusion and Belonging

We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.