Delfina

Fractional Chief Financial Officer

United States full-time Executive Salary not listed
full-time Executive level Technology & IT Curated
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About the role

About Delfina

Every pregnancy deserves to be seen, supported, and safe. Delfina is a maternal health technology company using AI-powered platform to support pregnant and postpartum patients. We partner with health plans, community health centers, health systems, and public sector agencies to close gaps in care before they become emergencies.
Our model is built on outcomes: we increasingly work through value-based arrangements with Medicaid and commercial health plans. That makes financial rigor central to our mission, not separate from it.
The role
We're looking for a Fractional CFO to own Delfina's financial strategy as we scale and prepare for our next phase of growth. You'll be a hands-on partner to our CEO, a trusted voice with our board and investors, and the person who translates our impact into a durable financial model.
This is a great fit for a finance leader who has done this before at an early-stage digital health company and wants their next chapter to matter for families.
What you'll do

Lead fundraising and investor relations: build the financial model, data room, and diligence responses; partner with the CEO on pitch and investor conversations

Own planning and reporting: annual budget, rolling forecasts, cash runway, and monthly board-ready reporting

Build the finance function: oversee accounting, close, audit readiness, tax, and outside providers (bookkeeping, payroll, legal)

Strengthen unit economics: cost-to-serve, gross margin, and contract profitability by partner and program

Manage risk and compliance: controls, grant and public-contract financial requirements, insurance, and vendor contracts

Shape payer contract economics: model pricing, value-based/risk arrangements with health plans and public partners

Advise the leadership team: bring financial clarity to hiring, pricing, and market expansion decisions

What you bring

CFO or VP Finance experience at one or more Seed–Series C digital health companies

Hands-on experience with payers and health plans — ideally Medicaid managed care, value-based contracts, or risk arrangements

A track record of supporting a successful priced equity round (Series A or later)

Board-level presence — you've presented to boards and investors and managed demanding stakeholders with clarity and calm

Comfort being both strategic and in depth in financial data — at our stage, there's no team to delegate to yet

Genuine commitment to health equity and to improving outcomes for women and families

Nice to have

Experience with public sector, grant, or government contract finance

Background in maternal, women's, or population health

Familiarity with FQHC or community health center economics

Prior experience as a fractional or part-time CFO across multiple companies

What we offer

Compensation: Monthly retainer or hourly rate options, equity eligibility if applicable

Flexible, remote-first engagement with a mission-driven team

Potential path to a full-time role as Delfina grows

We value that everyone at Delfina brings a unique background and perspective. Prospective applicants are encouraged to apply even if they do not meet 100% of the listed qualifications and are encouraged to use their resume and other application materials to demonstrate how their skills meet, or are equivalent to, the listed qualifications.
Delfina provides equal employment opportunities (EEO) without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy or family status, national origin, age, veteran or disability status.
Note that Delfina does not currently sponsor or facilitate any U.S. work authorization for this position. All applicants must have unrestricted and independent authorization to work at Delfina. Delfina participates in the E-verify program to confirm employment authorization eligibility.
Originally posted on Himalayas

Interview prep

Walk in with sharper answers.

Use this as a quick practice sheet before you speak with the employer.

Executive
Technology & IT Accounting Data Analysis Finance Remote Collaboration Executive level full-time

Likely questions

  1. Tell us about work you have done that is close to the Fractional Chief Financial Officer role.
  2. How would you approach your first 30 days at Delfina?
  3. Which of Accounting, Data Analysis and Finance have you used recently, and what did it help you achieve?
  4. How have you led people, improved a process, or made a hard decision in a previous role?
  5. How do you handle busy days, changing priorities, or pressure at work?

Prepare before the call

  • A recent example that proves your experience with Accounting, Data Analysis and Finance.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the Fractional Chief Financial Officer role because I can bring practical experience in Accounting, Data Analysis and Finance, learn the team quickly, and contribute to the outcomes Delfina needs from this hire.

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