Commercial Finance & BI Lead in London

Time commitment: 1 FTE

Location: Hybrid working in our London office (3 days Mon/Wed/Thu, 2 days remote) preferred, with some flexibility based on individual needs.

Reporting to: Mark Jenkins, CEO

About Paloma

Paloma’s mission is to make children’s autism and ADHD assessments and care available on the NHS within 4 weeks of GP referral. We are making this possible by setting a new standard for high-quality autism and ADHD care, building great software & AI tools, and investing in clinicians' learning & development.

Since launching, we have:

• Grown a fantastic team of 120 people, of whom over 80 are clinicians supporting families through their assessment journey.
• To meet the needs of families, we are recruiting over 100 more people over the next 12 months.
• Raised £5m pre-seed funding from leading healthcare investors (Triple Point Ventures and Heal Capital), helping us to invest in our technology and our team.
• Achieved financial sustainability.

The Opportunity

We are looking for a commercially astute and data-driven Finance & BI Lead to partner with our co-founders (our CEO and Exec Chair) and lead Paloma’s Finance & BI function through our current rapid growth. You will build a first-principles financial understanding of our organisation to support our functional leaders in achieving their goals and budgets, and partner with our co-founders to create those budgets and report to our Board and investors.

You will lead our BI team, ensuring robust internal and external reporting to our NHS partners. You will line manage a team of three: a Central Operations Associate, a Business Intelligence (BI) Analyst, and a BI Associate, and take on management of our outsourced accountant. This role offers unique finance & BI leadership responsibilities that will directly impact our ability to reduce autism and ADHD wait times for families. With success in the role, you can progress to our Head of Finance & BI.

About you

You are someone who loves high-growth situations, where you can make a positive difference in the world. From a skills perspective, you are:

• A curious and proactive self-starter who seeks to understand concepts deeply and continuously improve processes.
• A fast learner with strong problem-solving skills and financial acumen, able to work independently with minimal direction.
• An effective communicator and stakeholder manager, skilled at building strong relationships and influencing outcomes.
• Detail-oriented and 100% accuracy-focused.
• Comfortable working with ambiguity and at pace - the problem may not always be clearly defined, but you are able to identify what will add value and then deliver solutions.

Responsibilities:

Within Finance:

• Stakeholder partnership: Build strong relationships with senior managers, understand their functions, and become a trusted advisor.
• Insight generation: Interpret complex data sources to produce meaningful business insights.
• Business cases: Evaluate efficiency initiatives and commercial opportunities with a targeted focus on driving ROI.
• Forecasting/Budgeting: partnering with our co-founders and VP Operations, generate reliable, data-driven forecasts whilst proactively challenging assumptions.
• Formal reporting: Lead the month-end and year-end process in partnership with our outsourced accountant, ensuring a high level of accuracy.
• Cash management, payments and forecasting: Lead on our cash management and payments, including payroll and suppliers.

Within BI:

• Setup: Partner with our VP of Engineering to ensure robust data pipelines from our Data Warehouse.
• Internal reporting: Support all functions with commercial and operational data.
• External reporting: Ensure Paloma delivers all NHS reporting on time to a high standard.

Overall:

• Mentoring; Support in the coaching and development of your team, providing direction and leadership to them in their career development.
• Continuous Improvement; Being an advocate for challenging the status quo, relishing the challenge of optimising workflows.

Qualifications and experience:

Required:

• A qualified accountant with 3 years of post-qualification experience.
• Proven experience in a fast-paced environment managing simultaneous deadlines.
• Demonstrated business impact, for example, coaching leaders to achieve budgets.
• An aptitude for managing large/complex datasets – a good working knowledge of Google Workspace tools is required, whilst SQL exposure would be advantageous.
• The independent right to work in the UK.

Desirable:

• Experience in tech-enabled healthcare services.

Why join Paloma?

You will be part of a mission-driven organisation that’s transforming access to autism and ADHD care in England. For all employees, we offer:

• A strong and positive culture that prioritises staff well-being, transparency, and career development.
• Protected time and budget for team connection, learning, and community-building.
• Comprehensive compensation, including:

• Salary of £85,000 per year.
• Annual salary reviews, ensuring they are competitive.
• 5% employer pension contribution.
• Equity compensation through Share Options in Paloma Health.
• Private Medical Insurance and Employee Assistance Programme.
• Home Office Equipment Allowance.
• Professional Registration Fees Allowance.

• 37 days of annual leave.
• Option to buy an additional 5 days per year.
• Where required, 2 days per year of special leave.

• A premium performance company laptop.
• NHS discounts, including the Blue Light Card.

Equality & Diversity

Paloma Health is an equal opportunity employer committed to diversity and inclusion in the workplace and throughout the application process.

Accommodations

We’re glad to accommodate candidates who need adjustments throughout the hiring process.

Safer Recruitment & Pre-Employment Checks

Paloma Health ensures that supporting people to be safe is at the heart of our work and a key priority across all areas of the organisation.

Application process

Please apply via our website. We appreciate your time and look forward to reviewing your application.

Join us and be part of our journey to revolutionise access to NHS autism and ADHD care!