---
title: 'Strategic Finance Lead (Founding) at Junction'
canonical: 'https://feeny.ai/job/strategic-finance-lead-founding-junction-us-east-coast-7tt2g7evne1b'
type: 'job'
last_seen: '2026-11-04'
---

# Strategic Finance Lead (Founding) at Junction

- **Company:** Junction
- **Location:** US East Coast
- **Compensation:** $170k–$220k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-10-28
- **Last confirmed live:** 2026-11-04
- **Apply:** https://jobs.ashbyhq.com/junction/a5899758-47f1-48b5-bbcf-5a50454d82f6

## Job description

Healthcare is in crisis and the people behind the results deserve better. With more and more data coming from wearables, lab tests, and patient–doctor interactions, we’re entering an era where data is abundant. Junction is building the infrastructure layer for diagnostic healthcare, making patient data accessible, actionable, and automated across labs and devices. Our mission is simple but ambitious: use health data to unlock unprecedented insight into human health and disease. If you're passionate about how technology can supercharge healthcare, you’ll fit right in. Backed by Creandum, Point Nine, 20VC, YC, and leading angels, we’re working to solve one of the biggest challenges of our time: making healthcare personalized, proactive, and affordable. We’re already connecting millions and scaling fast.

## Why this role exists, and why now

Junction is a highly analytical business. Our growth depends on understanding the economics of our products, customers, and operations, and using that understanding to make better decisions about where to invest and how to scale. Today, much of that work happens directly with our founder and across individual teams. As we grow, we need someone who can bring it together, establish a clear financial view of the business, and help us turn data into decisions. We're hiring our first dedicated finance leader to build and own the finance function at Junction. This is an opportunity for someone with a strong foundation in FP&A and strategic finance who wants to take on broader ownership. You'll work directly with our CEO and leaders across the company to understand what's driving the business, identify opportunities, and shape the decisions that determine our growth. You'll also own everything that comes with building a finance function at an early-stage company, from financial planning and reporting to managing our external bookkeeping, accounting, and tax partners. You'll have the opportunity to design the systems, processes, and ways of working that will support Junction as we scale. We're looking for someone who is as excited about building a company as they are about finance. Someone who can move between strategic analysis and hands-on execution, and who wants the breadth, responsibility, and learning that comes with being a founding finance hire.

## What you'll do

Financial Planning & Modeling: build and own our financial model, budgets, forecasts, and scenario planning. Connect financial performance to the underlying drivers of the business and help us understand where we're going. Strategic Business Partnership: partner with the CEO and functional leaders to evaluate growth opportunities, investment decisions, pricing, unit economics, and operational performance. Use financial analysis to help the business make better decisions. Business Performance & Visibility: establish consistent financial reporting, KPIs, and performance analysis across the company. Bring together financial and operational data to give leadership a clear view of performance, risks, and opportunities. Own Finance Operations: take responsibility for the company's financial operations, including accounting oversight, financial close, cash management, tax coordination, and compliance. Lead our relationships with external bookkeeping, accounting, and tax partners, ensuring the work is accurate, timely, and well managed. Build the Finance Function: design and implement the processes, tools, reporting, and controls that Junction needs as it grows. Determine what to build internally, what to outsource, and how the function should evolve with the business.

What success looks like

- A trusted financial model and forecasting process that leadership uses to make decisions
- Consistent visibility into the financial and operational performance of the business
- Financial analysis that meaningfully informs growth, pricing, investment, and resource allocation decisions
- A well-run finance function, with reliable reporting, accounting, tax coordination, and financial processes
- A strong finance partnership with the CEO and functional leaders that reduces founder dependency and helps the business scale

## What we're looking for

- 6+ years of experience in FP&A, strategic finance, or a closely related operating finance role, with significant ownership of financial modeling and forecasting
- Experience partnering with business leaders and using financial analysis to influence strategic or operational decisions
- Strong financial modeling and analytical skills, including an ability to connect financial outcomes to commercial and operational drivers
- Experience in a high-growth technology company, ideally at a stage where financial systems and processes were still being built
- A builder's mindset and an appetite for broad ownership. You're excited to take responsibility for the entire finance function, not just one part of it
- Enough accounting and financial operations knowledge to confidently own reporting, manage external providers, and ensure the company's financial obligations are met
- A hands-on approach. You're comfortable working directly with data, building models, managing processes, and figuring things out without a large team
- Strong communication skills and the ability to make financial analysis useful to people outside finance
- Comfort with ambiguity and a genuine interest in learning new areas of finance as the business grows

## Nice to have

- Experience as an early finance hire or helping build a finance function from scratch
- Experience in healthcare technology, infrastructure software, marketplaces, or other operationally complex businesses (SaaS billing experience a plus)
- Experience with transaction-based or usage-based business models and unit economics
- Experience supporting pricing, commercial strategy, or business expansion decisions
- Experience managing outsourced accounting, bookkeeping, or tax relationships
- Your salary is dependent on your location and experience level
- Equity (extended exercise post 2 years of employment)
- Company and team offsites
- Monthly learning budget of $150 for personal development and productivity
- $100 monthly wellness budget
- Flexible, remote-first working, including $1K for home office equipment
- Coworking budget
- 36 days paid time off (including bank holidays)
- Premium healthcare coverage
- 4% monthly contribution to pension/401k
- Yearly blood test on us
- Enhanced parental, foster, and adoption leave

Important details before applying:

- We only hire folks physically based in GMT and EST timezones
- We do not sponsor visas right now given our stage

## About Junction

## Company Overview
- **One-liner**: Junction provides a unified API that connects healthcare organizations to nationwide lab networks and 300+ connected devices, streamlining diagnostic data and operations.
- **Entity Type**: Private (Series A)
- **Headquarters**: New York, United States
- **Founded**: 2021
- **Founders**: Maitham Dib

## Core Business
- **Industry**: Healthcare technology / Infrastructure (Hospitals and Health Care)
- **Target customers**: B2B – digital health clinics, virtual-first care platforms, EHR/EMR providers, consumer diagnostics & wellness companies
- **Mission**: “Building better infrastructure to reduce the cost of predicting and managing chronic diseases by 100x.” ([junction.com/app/careers](https://www.junction.com/app/careers))

## Products & Services
- **Unified API for Labs and Devices**: A single integration that enables lab test ordering (walk-in, at-home, mobile phlebotomy across all 50 states) and continuous device data monitoring from 300+ wearables and medical devices.
- **Automated Workflows & Operations Support**: Patient reminders, result tracking, exception handling – available 6 days a week to reduce manual administrative work for care teams.
- **Lab Testing Infrastructure**: Access to a nationwide lab network (including LabCorp and Quest) with transparent pricing, white-labeled test ordering, kit logistics, and results delivery.
- **Device Data Monitoring**: Converts raw device data into clinically relevant insights, with predictive AI insights coming soon.

## Market Standing
- **Valuation / Market Cap**: Not publicly disclosed.
- **Key Metric**: $18M in total funding (Series A, led by Creandum, with participation from Y Combinator, Point Nine, Amino Collective, and Inflect Health). See [junction.com/post/series-a](https://www.junction.com/post/series-a).
- **Notable Investors / Partners**: Creandum, Y Combinator, Point Nine, Amino Collective, Inflect Health; customers include Hims, Calm, Superpower, Found, Parsley Health, Evidation.
- **Growth Signals**:
  - Over 6 million lab tests and 3.5 million+ patients served via device data.
  - Supports 500K+ lab tests annually with 2 million+ connected devices.
  - Serves 140+ healthcare organizations.
  - Headcount: ~40+ (spread across EST and GMT timezones); active job postings and quarterly growth of +233% in postings ([linkedin.com/company/junctionapi](https://www.linkedin.com/company/junctionapi)).

## Competitive Advantages
- **Single API for labs and devices** – eliminates the need for multiple integrations (typically 6+ months of build work replaced by weeks).
- **Nationwide lab coverage** (all 50 states) with built-in compliance (HIPAA, SOC 2 Type II, ISO 27001, GDPR ready).
- **Operational support included** – reduces support hours by 62% and engineering costs by an average of $150K per customer.
- **White-labeled, embeddable workflows** – allows customers to launch their own diagnostics products quickly without building infrastructure.

## Strategic Focus
- **Scale the platform** and expand the API network to enable smarter, more connected patient care.
- **Launch predictive AI insights** on continuous device data.
- **Grow the team** (actively hiring across engineering, sales, customer success, and people functions) with a remote-first, timezone-specific approach.
- **Shift from fragmented systems to a connective infrastructure layer** for labs, devices, and data.

## Why Work Here
- **Culture**: Mission-driven, fast-paced startup building foundational healthcare infrastructure. Team of 40+ distributed across EST and GMT timezones.
- **Remote / Hybrid**: Remote-first; open roles are tagged by timezone (e.g., EST, GMT) and some positions in NYC Metro are hybrid.
- **Notable perks**: Opportunity to impact millions of patient journeys directly; modern tech stack; strong engineering culture focused on speed and quality.
- **Values**: “Believe healthcare should look different,” work at “breakneck speed,” and “reduce the cost of predicting and managing chronic diseases by 100x.”

## Sources
1. [junction.com (homepage)](https://www.junction.com/)
2. [junction.com/app/careers](https://www.junction.com/app/careers)
3. [linkedin.com/company/junctionapi](https://www.linkedin.com/company/junctionapi)
4. [junction.com/post/series-a](https://www.junction.com/post/series-a)

## Other roles at Junction

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- [Technical Implementation Analyst](https://feeny.ai/job/technical-implementation-analyst-junction-us-east-coast-qbjq93rwytzr) — US East Coast
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- [Customer Support Associate](https://feeny.ai/job/customer-support-associate-junction-us-east-coast-7z83p1e1g2da) — US East Coast
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- [External Referral Form](https://feeny.ai/job/external-referral-form-junction-western-european-eastern-time-zones-ytn52xcvvk0f) — Western European + Eastern time zones
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