Who is Nest Health?

As the first value-based care provider built for families, Nest is on a mission to make comprehensive medical, behavioral, and social care radically accessible to America’s highest risk families. Nest’s first-of-its-kind family-based, in-home, and virtual care model includes primary adult and pediatric care, mental health and nutrition support, vaccinations and labs, same-and-next-day acute visits, chronic condition and transitions of care management, social services and navigation, and more. Nest’s innovative model has resulted in partnerships, unlocking care for thousands of families across our markets. Nest’s early success has led to national traction across states and payers, laying the groundwork for future expansion to families across the United States.

What does it mean to be a part of a startup?

Working at a healthcare startup can be a unique experience with a fast-paced, ever-changing environment that can involve varied workloads, quick changes, and high expectations. Taking a position at a Healthcare startup allows for the opportunity to be high impact in disrupting the US healthcare system. You will have the chance to be creative, solution oriented, and have your voice heard! You will need to be flexible, accountable, and self-sufficient, and you might take on multiple roles. Here are some things you can expect:

• Role Breadth- Your role may be less defined than in other settings, with the need to wear multiple hats & juggle various responsibilities

• Learning opportunities- you will have the opportunity, at times, to function outside of your standard position and learn about new roles & areas

• Fast Paced- Startups often must move faster than traditional large companies. This means you may be asked to cope with or advise on quick changes regarding systems or processes

• Autonomy- You will need to be highly autonomous, as there is less structure and learning and development than at large orgs. This requires you to be able to learn asynchronously, as well as raise your hand when help is needed, or gaps are identified

• Collaboration- With so many opportunities to build processes and improve how we deliver care to our patients, we rely heavily on one-another to communicate changes effectively to ensure seamless support across functions. This often requires this individual to give and receive feedback frequently and communicate challenges or opportunities effectively.

What is the purpose of this role?

The Senior FP&A Analyst will report directly to the CFO and serve as a core member of the Finance team, responsible for owning Nest’s financial model and supporting data-driven decision-making across the company. The role partners closely with the CFO, operational leadership, department leaders, and accounting to maintain the company’s financial forecast, track budget-to-actual performance, and provide insights that drive strategic and operational decisions.

This is an opportunity to help shape how one of the most innovative healthcare startups in the country measures performance, allocates resources, and plans for growth.

What will you do?

• Core Ownership Areas

• Maintain and continuously improve Nest’s financial forecast model, including monthly updates for revenue, staffing, and operating expenses.

• Partner with accounting and operational leaders to prepare monthly budget vs actual reporting and variance explanations

• Maintain and evolve Nest’s underlying staffing and productivity models, ensuring alignment with hiring plans and provider capacity

• Develop tools to forecast cash flow and runway including sensitivity analysis

• Analysis and Strategic Support

• Perform variance, trend, and scenario analysis to support strategic and operational decisions

• Support board and investor reporting including key metrics, dashboards, and slides

• Collaborate with leaders across markets and departments to evaluate new initiatives, partnerships, and ROI opportunities

• Process Improvement and Enablement

• Identify and implement opportunities to automate recurring reports and processes using Excel, Power BI, or other tools

• Partner with data and operations teams to structure and connect financial data into underlying data systems

• Develop and maintain standard reporting templates for department budgets and forecasts

What do you bring to the Nest?

Education and Experience

• Bachelor’s degree in Finance, Accounting, Economics, or a quantitative field

• 3-6 years’ experience of progressive FP&A, corporate finance, or investment banking experience, with at least 1 year owning or maintaining forecast models for a matrixed organization

• Advanced financial modeling skills including driver-based forecasting, scenario analysis, and error checking

• Experience building integrated P&L, cash flow, and headcount models tied to operational metrics

• Strong analytical and communication skills – able to distill complex data into clear recommendations for leadership

• Working knowledge of accounting principles and the monthly close process

• Experience in a fast-paced, growth-oriented environment preferred

What is required (travel & physical requirements)?

• Travel to headquarters or other markets required twice per year

• Prolonged periods sitting at a desk and working on a computer

• Must be able to lift up to 15 pounds at times.

Nest understands that job requirements sometimes exclude people who identify with historically marginalized groups from applying to jobs for which they are qualified. Even if you don’t meet 100% of the requirements listed, or if you achieved these requirements through unconventional channels, we encourage you to apply.

What does Nest bring to the table?

We are reimagining what a supportive workplace looks like, from the inside out. To ensure every team member feels valued, we provide competitive compensation packages that reflect your skills and contributions, along with equity opportunities that allow you to share in the company’s success. On top of this, we offer a comprehensive suite of benefits such as employer-sponsored health, dental, and life options, and unlimited PTO, we offer an all-of-you, inclusive approach to benefits:

• Family- centric health support with access to Lyric’s comprehensive services for urgent care, behavioral health, psychology, and psychiatry for you and your entire family, including virtual veterinary care for your pets

• Company supported Parental Leave for both primary/non-primary care givers with options for a tiered return to work, and eligibility to receive additional hours PTO for Prenatal Care and Backup Childcare

• Receive reimbursement for work- related vehicle expenses, including commuting and travel costs, for staff who drive as part of their job responsibilities

• Opportunity to receive up to $3,000/year Tuition Reimbursement to support your educational and professional development by covering a portion of costs relating to fees, course materials, or other related expenses.

• Receive employer sponsored short-term and long-term disability benefits to provide financial support in the event of illness or injury that prevents you from working

• Enrollment in 401 (k) Retirement Plan through Human Interest to help save for your future with flexible contribution options

Why choose Nest Health?

Nest and its leaders have won multiple awards including Rock Health's Next-Gen Pediatric innovations, New York Times Top Five Who Spread Hope, New Orleans City Business Power 50, and CB Insights Digital 150. Additionally, Nest has become a prominent thought and brand leader garnering national attention from outlets such as 60 Minutes, Business Insider, NYTimes, Fierce Healthcare, Axios , and others. More recently, they were recognized on Inc.'s Female Founder 500 List for 2025.

Founded in 2022 by Former Secretary of Health of Louisiana and practicing OB-GYN, Dr. Rebekah Gee, and Rebecca Kavoussi, former President at Landmark Health, Nest has raised a historical Seed round of over $20M from top healthcare and industry investors including 8VC, Blue Venture Fund, SpringTide Health, Alumni Ventures, Gaingels, MVP, Health 2047, Ochsner Louisiana Investment Fund, Tulane Ventures, and others.

Learn more about us at https://www.nesthealth.com/.

To learn more about the Nest care model, watch this video, by the award- winning HBO Katrina Babies filmmaker Edward Buckles, JR.

Nest Health celebrates the diversity of our patient population and seeks diversity on our team. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristics.