Commercial Finance Manager / Director

At Rezilient, we’re dedicated to revolutionizing primary care by delivering convenient, timely, and seamless access to healthcare. Our innovative CloudClinic model uses virtual provider visits to create a personalized, digital healthcare experience that puts patients at the center of their care. By leveraging cutting-edge technology, we streamline care delivery, enabling our physicians to focus on patient well-being while continuously expanding specialty services for the most comprehensive and convenient healthcare possible.

We’re looking for a strategic finance professional who is passionate about building the financial models, insights, and commercial frameworks that guide our growth and inform critical business decisions. This role sits at the intersection of Commercial Finance, Growth, and strategic advisory, partnering closely with the Executive Leadership Team and cross-functional leaders across Growth, Clinical, Product, Operations, and Business Development.

As our Commercial Finance Manager, you’ll help shape how Rezilient prices, scales, and positions its care delivery model in the market. You’ll own core planning and forecasting processes, build models for our pricing strategy, partnership economics, contract structures, and long-term market positioning within the healthcare delivery landscape. This is a high-impact, highly visible role with the opportunity to build foundational processes, influence strategy at the highest levels, and help define how Rezilient grows sustainably.

If you’re energized by ambiguity, excited by healthcare transformation, and thrive at the intersection of finance, data, strategy, and execution, this role offers a unique opportunity to make a lasting impact.

Key Responsibilities

• Own and advance commercial finance strategy, including pricing models, unit economics, profitability analysis, and expansion economics across markets and service lines.
• Build, own, and evolve deal forecasting, budgeting, and long-term planning processes in a fast-paced, scaling healthcare environment.
• Lead scenario modeling and investor-facing financial analyses to inform strategic decisions, capital planning, and fundraising discussions.
• Serve as a strategic finance partner to leadership and cross-functional teams (Operations, Clinical, Growth, Product, Business Development, Revenue Operations) to evaluate business performance and identify drivers of growth, margin, and efficiency.
• Partner closely with the Business Development team to evaluate incoming partnerships, payer contracts, and enterprise opportunities, assessing financial viability, risk, and long-term strategic fit.
• Advise on Rezilient’s strategic positioning within the healthcare care delivery ecosystem, leveraging market data, competitive insights, and financial analysis.
• Develop and maintain financial models to support contract structuring, pricing strategies, and negotiation decision-making.
• Deliver clear, actionable insights on financial results, performance metrics, and key business levers to senior leadership.
• Play a key role in the annual budgeting process, partnering with Finance leadership and cross-functional teams to support budget development, monitoring, and variance analysis against financial targets.
• Communicate findings and recommendations directly to the Executive Leadership Team, Board, and external stakeholders as needed.

Requirements

• Bachelor’s degree in Finance, Accounting, Economics, or a related field required; MBA or advanced degree strongly preferred.
• 5-7+ years of progressive experience in strategic finance or commercial finance, with meaningful exposure to high-growth or startup environments (Series A–C preferred).
• Strong financial modeling and analytical skills, with the ability to build from scratch and pressure-test complex scenarios.
• Demonstrated experience supporting investor materials, fundraising processes, and board-level presentations.
• Prior experience in healthcare, healthcare technology, or care delivery models strongly preferred.
• Experience supporting pricing strategy, contract economics, or partnership evaluation in a complex operating environment.
• Willingness to work on-site or relocate to our HQ in St. Louis, MO.

Benefits

At Rezilient Health, we're on a mission to make humane healthcare truly abundant, and we invest in the people who make that possible. This is a high-impact role where your ideas directly shape how care is delivered, within a supportive, collaborative, and diverse team that believes healthcare is fundamentally a human experience. We back that commitment with a robust total rewards package:

• Meaningful ownership through stock options, allowing you to share directly in the value you help create as we grow
• Competitive base compensation
• Comprehensive medical, dental, and vision coverage options, with Rezilient contributing toward your premiums
• Complimentary access to Rezilient's clinical programs for you and your household members, the same connected care we deliver to our patients
• 401(k) retirement plan to support your long-term financial well-being
• Flexible Paid Time Off, so you can recharge without counting days
• Dedicated Paid Sick Leave, separate from your FTO, for when health needs come first
• 11 paid company holidays each year
• Paid family leave to support you through life's biggest moments
• Optional ancillary benefits, including life insurance, disability coverage, and a Health Savings Account (HSA)