FP&A Manager, GTM

Garner is on a mission to transform the U.S. healthcare system — and we’re the only proven player doing exactly that. We partner with employers to redesign how healthcare works: applying 550+ proprietary clinical metrics across 80+ specialties to a dataset of 320M+ patients to identify the best-performing doctors, t...

The result is a rare “win win” — better care and lower costs for both members and employers. In just five years, our work has helped over 2.5 million people access higher-quality care and saved $1B in healthcare costs. We recently raised our Series E and have doubled five years running. If you've ever wanted your wo...

We are looking for an FP&A Manager, GTM to join our team. You will be on the front lines of informing company strategy through financial analysis and responsible for building up scalable processes to match company growth. This role reports to the Director, FP&A.

We are looking for an FP&A Manager, GTM to join our team. You will be on the front lines of informing company strategy through financial analysis and responsible for building up scalable processes to match company growth. This role reports to the Director, FP&A.
This position is fully remote.
Lead monthly GTM reporting: pipeline generation, conversion, CAC and pipe-to-spend by channel, with variance analysis for leadership
Own the GTM budget and re-forecast cycle, including the demand-gen envelope and in-year reallocation across channels
Build and own the pipeline coverage model: how much pipeline must be created, by segment and channel, to hit the bookings target
Own GTM unit economics — CAC, payback, LTV, and net revenue retention by segment — and the measurement standards behind them
Serve as a thought partner on sales capacity to determine quota coverage, rep ramp, territory productivity and headcount required to carry out the plan
Partner directly with the CRO and CMO as the finance counterpart in pipeline reviews, channel bets, and budget reallocation
Conduct in-depth ad-hoc financial analysis to evaluate new business opportunities

4-8+ years of experience; ideally in investment banking, private equity or GTM / sales finance at a high growth startup Bachelor’s degree in Finance, Accounting, Economics, or a related field
Strong financial modeling and analytical skills, with advanced proficiency in Excel Salesforce reporting and AI tooling; nice to have - demonstrated experience owning GTM forecasting and modeling
Ability to manage multiple priorities in a fast-paced, ambiguous environmentStrong communication and presentation skills, with the ability to partner effectively across departments
Demonstrated ability to improve processes and build scalable reporting infrastructure; comfort operating where attribution is imperfect — able to say when a number isn't good enough to plan on, and propose the fixIntellectual curiosity and a structured, problem-solving approach to breaking down complex challenges
A proactive, hands-on mindset with a willingness to roll up your sleeves and take ownership
A desire to be a part of a high-performing, mission-driven team that operates with intense urgency, a strong sense of individual accountability, and a commitment to authentic feedback

This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.