Commercial Finance & BI Lead

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. We are at 140 Borough High Street, SE1 1LB

Reporting to: Mark Jenkins, CEO

 

About Paloma

In 2024, our founders, Mark and Darshak, were shocked to find that children needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments. Delayed assessments result in children being more likely to develop mental health conditions and fall behind in education. Furthermore, the much-needed pre/post-assessment support (outside of ADHD medications) is typically not funded by the NHS. 

These long waits have built up due to increased recognition and understanding of neurodevelopmental conditions and a lack of investment and innovation within the NHS to meet the growing demand.

Mark and Darshak, with their 25 years of combined NHS experience, including building services that have treated over 1,000,000 patients in obesity & ophthalmology, founded Paloma to change this. Our mission is to make NHS autism and ADHD assessments and care accessible within 4 weeks of a GP referral, and, in turn, help every child achieve their potential.

As of May 2026, we have successfully reduced waits to 3 months by;

• Taking a product-first approach to redesign the care pathway to give families a more consumer-like experience of care
• Our in-house product, engineering and AI team building our own autism and ADHD specific electronic patient record and AI documentation tool to free clinicians from their significant documentation burden to re-focus on supporting families
• Investing in expanding the clinician workforce and upskilling them in new ways of working

We are proud that Paloma is:

• Loved by families, with 4.9 out of 5 Trustpilot and Google ratings
• Care Quality Commission (CQC) registered and quality-focused
• Clinically-led, with a team of 130 people, including over 80 clinicians supporting families through their assessment journey. We are hiring 100+ more roles over the next 12 months.
• A community of passionate, mission-driven and innovative team members who challenge the status quo and test and learn from new ideas and approaches.
• Backed by leading healthcare investors Triple Point and Heal Capital

What’s next?

• Whilst we have reduced wait times, it is estimated that up to 500,000 children are still waiting for an NHS autism or ADHD assessment. We won’t rest until this comes down.
• We want to build new services to support families and children diagnosed with autism or ADHD who feel lost after their assessments when the NHS is no longer there for them.

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
• You want to be part of an always-learning environment that embraces software and AI tools, and you will help us go further and faster with your positive and collaborative attitude.

 

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. You won't just report the ‘what’; you will explain the ‘why’ and the ‘what next?’
• 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 and helping the Exec and Board understand their performance through data
• 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 and creative in your approach to maximising time spent on value-add topics

 

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, as we're unfortunately unable to provide sponsorship at this time

 

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 team building, transparency, and career development. This includes protected time and budget for team connection and learning.
• 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
• A unique annual leave benefits package which includes:
  • 37 days of annual leave. This is 28 standard days, plus eight bank holidays, plus your birthday off.
  • Option to buy an additional 5 days per year (giving a maximum of 42 days)
  • Where required, 2 days per year of special leave, for events that can happen in life, whether personal or family-related
• Additional benefits include:
  • A premium performance company laptop
  • NHS discounts, including the Blue Light Card (as we are an NHS provider)

 

Equality & Diversity

Paloma Health is an equal opportunity employer committed to diversity and inclusion in the workplace and throughout the application process. We do not discriminate based on any protected characteristic.

 

Accommodations

We’re glad to accommodate candidates who need adjustments throughout the hiring process. We encourage you to be open about the adjustments you need, so we can adapt our interview process accordingly.

 

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. As part of our pre-employment checks, you will be asked to complete a Disclosure and Barring Service (DBS) check. Depending on your role within the business, this will be at either an Enhanced, Standard, or Basic level. We are committed to safer recruitment practices and expect all applicants to share our dedication to safeguarding. Our recruitment processes are designed to ensure we appoint individuals who align with our values and will help maintain a safe and supportive environment for everyone we work with.

 

Application process

Please apply via our website. We understand that applying for a new job requires significant effort, and we appreciate your time. We look forward to reviewing your application.

 

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