Senior Manager, Commercial Finance

🏢 BetterHelp · all BetterHelp jobs
📍 Remote · North America
💰 $160,000 - $190,000 / year
📅 Posted 2026-08-01 · via RemoteIO
🏷 Finance,Healthcare,Financial Modeling,Data Analysis,Strategic Planning
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Who are we and why should you join us? BetterHelp is on a mission to remove the traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, we are now the world’s largest online therapy service, providing affordable and convenient therapy across the globe. Our network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever. And we’re not stopping there – as the unmet need for mental health services continues to grow, BetterHelp is committed to being part of the solution. The Senior Manager, Commercial Finance will be a strategic finance partner to business and commercial leaders, helping BetterHelp make better decisions across growth, revenue, marketing investment, pricing, health plan partnerships, unit economics, margin, and long-term business performance. And as a mental health company, we take employee mental health just as seriously as we do our mission. We deeply invest in our team’s well-being and professional development, because we know that business and individual growth go hand-in-hand. At BetterHelp, you’ll carve your own path, make an immediate impact, and be challenged every day – with a supportive community behind you the whole way. What are we looking for? This individual will support a business that spans both cash-pay subscription dynamics and insurance-covered healthcare economics. The ideal candidate must bring experience in digital / online mental health or closely related healthcare businesses, with a strong understanding of how healthcare revenue models work, including payer relationships, reimbursement dynamics, revenue cycle management, claims, collections, and the operational drivers that influence insurance revenue realization.  This is not just a reporting role. It is about understanding what is happening in the business, why it is happening, what it means, and what actions we should take. The Senior Manager will own 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. What will you 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,

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