Founded in 2020, Lavender is the largest nurse-owned and operated online psychiatry and therapy office in the United States. Our extraordinary team of 100+ talented and like-minded folks works remotely from across the United States, Canada and the Philippines to collaboratively increase access to high-quality, high-touch mental healthcare. Lavender is a human-first organization and our people embody:

• A bias towards action
• A capacity for self-direction
• Originality and creative instincts
• Courageous and bold thinking
• And the potential to achieve even more

If you’re looking for a fast-paced, constantly evolving environment where your voice matters and you can truly have an impact creating high-quality, user-centric mental health services, we want to hear from you!

Lavender is an equal opportunity employer. We are proud to foster a workplace free from discrimination. We strongly believe that diversity of experience, perspectives and background will lead to a better environment for our team and a better experience for our clients. We strongly encourage people of color and members of the LGBTQ+ community to apply.

Lavender is seeking a Director, Finance and Accounting to lead and scale our financial operations, ensuring the company’s fiscal health, operational efficiency, and compliance in a complex, multi-state healthcare environment.

Reporting to the Co-founder (Operations), this role is both strategic and hands-on. The Director will oversee all aspects of finance, accounting, and revenue cycle management (RCM), ensuring that every dollar earned is accurately captured, billed, collected, and reported. This position will play a key role in shaping financial systems and processes, driving clarity and accountability across the organization, and partnering with leadership to guide sustainable growth.

This is an exciting opportunity for a finance leader who thrives in a dynamic, mission-driven environment and is eager to make a meaningful impact on the future of mental healthcare.

What You’ll Be Doing

Revenue Cycle Management

• Provide strategic oversight of end-to-end revenue cycle operations, including billing systems, workflows, and payor relationships.
• Develop and implement strategies to optimize reimbursement, ensure compliance, and align revenue processes with financial reporting.
• Define, monitor, and analyze key performance indicators (e.g., days in AR, collection rates, denial trends) to ensure revenue integrity.
• Lead development of dashboards and analytics to support data-informed decision-making.
• Conduct regular audits to ensure compliance with CMS, HIPAA, and state regulations, preventing revenue leakage.
• Partner with Product and Technology teams to align systems, data flow, and reporting with financial, compliance, and efficiency needs.

Finance & Accounting Leadership

• Oversee all financial operations, including budgeting, forecasting, and monthly reporting.
• Partner with executive leadership to develop and execute financial plans that support company goals and growth strategies.
• Ensure timely and accurate preparation of financial statements, reconciliations, and analysis.
• Maintain financial controls and manage compliance with accounting standards, tax requirements, and audit processes.
• Oversee accounts payable, inter-company transfers, and banking functions; manage relationships with financial institutions.
• Support founders with banking setup, debt instruments, and collaboration with external legal teams on corporate structure or entity changes.
• Lead tax planning, filing, and payments at federal, state, and local levels to minimize tax burdens.
• Collaborate with department leaders to monitor budgets, identify variances, and recommend efficiency improvements.
• Support long-term financial planning, strategic initiatives, and corporate entity compliance.
• Maintain and document all financial and accounting policies and procedures.

Team Leadership & Cross-Functional Collaboration

• Lead and mentor the Finance and RCM teams, fostering clear expectations, accountability, and professional growth.
• Build strong, collaborative processes with Growth, Client Support Operations, and Product and Tech teams to ensure alignment on revenue forecasting, data accuracy, and reporting.
• Promote a culture of transparency, continuous improvement, and data-driven decision-making.
• Provide training and guidance on financial and revenue procedures across the organization.
• Identify and implement technology and process improvements that enhance scalability, accuracy, and efficiency.
• Evaluate and support new revenue opportunities and service models in collaboration with leadership.

What You Bring

• Degree in business, finance, accounting, or related field—or an equivalent combination of education and experience.
• Proven leadership experience in revenue cycle management (RCM) and financial operations, ideally within healthcare or telehealth.
• Experience managing budgets, financial reporting, accounts receivable/payable, and forecasting across multi-entity or multi-state operations.
• Strong understanding of U.S. accounting principles, financial planning, and regulatory compliance.
• Knowledge of professional fee billing, reimbursement, and third-party payer regulations.
• Demonstrated success in defining and optimizing financial workflows for efficiency and accuracy.
• Proven ability to analyze revenue performance and recommend pricing or reimbursement strategies by geography.
• Experience developing and executing financial strategies that enhance operational effectiveness and revenue growth.
• Working knowledge of regulatory requirements related to healthcare operations and their financial implications.
• A strategic mindset with strong analytical, problem-solving, and leadership skills.

Why You Should Join Lavender

• Work for a company that is truly making a difference in mental healthcare.
• Remote-first environment with flexibility to work where you thrive.
• A caring, experienced, and collaborative team that values curiosity and innovation.
• Diverse and inclusive culture that celebrates unique perspectives.
• Be part of a growing startup where your expertise helps shape the company’s future.
• In-person meetups for connection and collaboration.
• Competitive compensation and opportunities for professional growth.

Learn more about what it’s like to work at Lavender at joinlavender.com/careers.

Bring Your Whole Self to Work

Lavender believes that nurturing an environment where diversity and inclusion thrive is essential to our success. We are proud to be an equal opportunity employer and do not discriminate on the basis of any protected status, including race, colour, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, or genetic information.

If you require accommodation during the recruitment process, please contact people@joinlavender.com