Strategic Finance Manager

Pharmacy1st Health is building the clinical infrastructure for rural America by transforming independent pharmacies into integrated care delivery hubs. Our model combines primary care, pharmacy services, and chronic disease management under one roof, creating a new, lower-cost site of care for underserved communities.

We operate across multiple states and are rapidly expanding a network of rural clinics co-located with pharmacies. Our goal is to deliver scalable, high-quality care while improving access, outcomes, and cost efficiency.

Role Overview

The Strategic Finance Manager will work directly with the CEO on financial strategy, capital formation, and analytical decision-making.

This is a high-impact role for someone with an investment banking or buy-side background who is strong in financial modelling and comfortable operating in an entrepreneurial environment. You will be responsible for building and owning the financial models that underpin the company’s growth, while supporting equity and debt fundraising efforts.

This is not a back-office role. You will be deeply embedded in how the business is built and financed.

Key Responsibilities

Financial Modelling and Analysis

• Build and maintain detailed financial models, including:

  • Company-level operating model

  • Site-level unit economics (clinic + pharmacy)

  • New market and service line expansion models

• Analyse key drivers of revenue, margin, and cash flow

• Support scenario analysis for growth, capital allocation, and strategic decisions

Capital Raising (Equity and Debt)

• Support the CEO in fundraising efforts with:

  • Venture and growth equity investors

  • Debt providers (banks, credit funds, venture debt)

• Build and maintain investor materials, including:

  • Investor decks

  • Financial projections and data rooms

• Manage diligence processes and respond to investor requests

• Track and analyse market comps and financing benchmarks

Strategic Finance

• Evaluate new market entry, acquisitions, and partnerships

• Support structuring of transactions, including pharmacy acquisitions and clinic buildouts

• Analyse reimbursement dynamics and their impact on financial performance

• Help define and track key company metrics (run-rate revenue, contribution margin, cash flow)

Performance Tracking and Reporting

• Build dashboards to track:

  • Revenue and growth by site

  • Script volume and mix

  • Clinic utilization and contribution margin

• Support monthly and quarterly reporting for internal and external stakeholders

• Identify performance gaps and provide actionable insights

Cross-Functional Support

• Work closely with:

  • Operations on site-level performance

  • Clinical leadership on service line economics

  • Leadership team on strategic initiatives

• Translate complex financial insights into clear recommendations

Qualifications

Required

• 2–5 years of experience in:

  • Investment banking, or

  • Private equity, growth equity, or credit investing

• Advanced financial modelling skills (3-statement models, scenario analysis, sensitivity analysis)

• Strong understanding of capital structures and financing strategies

• High attention to detail and analytical rigour

• Ability to operate independently in a fast-moving environment

Preferred

• Experience in healthcare or healthcare services

• Experience evaluating multi-site businesses or roll-up strategies

• Familiarity with debt financing structures (term loans, asset-based lending, venture debt)

• Exposure to companies such as UnitedHealth Group, HCA Healthcare, or similar healthcare platforms