Midstream creates a foundation that connects contract pricing, rebates, and item master data within one system. Learn more today. Backed by a16z.
About the role
We are looking for a Strategic Finance and Operations Lead to work directly with our CEO on some of the most consequential decisions we make as a company. You will help build the financial and strategic infrastructure behind those decisions by developing a forward-looking view of the business, evaluating where we should invest, supporting capital strategy, and clarifying the tradeoffs behind our biggest bets. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- You have a strong foundation in finance and understand how businesses and investments are evaluated
- You have likely spent several years in private equity, growth equity, venture capital, investment banking, strategic finance, or another highly analytical environment
- You move comfortably between detailed financial analysis and high-level company strategy
- You are intellectually curious and naturally ask why something works the way it does
- You reason from first principles rather than relying solely on established frameworks
- You are comfortable developing and defending a point of view with incomplete information
More about this role
Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone.
Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match.
We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it.
We are looking for a Strategic Finance and Operations Lead to work directly with our CEO on some of the most consequential decisions we make as a company.
You will help build the financial and strategic infrastructure behind those decisions by developing a forward-looking view of the business, evaluating where we should...
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