Fractional Chief Financial Officer

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.