General Manager, Healthcare Practices

Flex is building the AI-native private bank for business owners.

We’re re-architecting the entire financial system for entrepreneurs—from the first dollar a business earns to how that value compounds, moves, and is ultimately spent in real life. Banking, credit, payments, personal finance, and financial operations—rebuilt from the ground up as a single, intelligent system. Flex is the full financial home for ambitious owners.

Since launching publicly in September 2023, Flex has scaled from zero to nine-figure annualized revenue, with a clear path to profitability by late 2026. We move fast, ship relentlessly, and operate with extreme ownership.

Our customers are affluent business owners ($3–$200M in revenue)—the backbone of the economy and one of the most underserved segments in finance. They’re stuck with outdated banks and fragmented tools. We’re replacing all of it. The opportunity is massive: a ~$1T+ revenue market hiding in plain sight. Our ambition is to build a $100B+ company by delivering a product that is fundamentally better—not incrementally improved.

Flex has raised $100M+ in equity and $300M+ in debt.

- Mission-critical problems: We build software that directly controls how money moves at scale.
- High bar, low ego: Small teams, exceptional people, real ownership.
- Speed over comfort: We prioritize execution, quality, clarity, and results.
- Enduring impact: What we’re building will define how a generation of owners runs their businesses.

Team & Locations

We hire exceptional people who want to build hard things and see their work matter immediately. Roles are available in: San Francisco, Miami, New York, and fully remote.

Flex Fuels Ambition.

About The Role
Flex is hiring a General Manager to build and run its healthcare practices business. You own the sector end to end: the strategy for winning it, the relationships and partnerships that open it, the product priorities it needs, and the P&L it produces. You build on Flex’s platform, balance sheet and teams, and you are responsible for making Flex the primary financial institution for healthcare practices. The role is modeled on sector coverage at an investment bank. You decide which relationships matter, which partnerships can move hundreds of owners onto Flex at once, and what the product must deliver to win them. Flex’s product, credit, risk and member experience teams execute and service alongside you. The role reports directly to the CEO. Healthcare practices are a large, fragmented and fast-consolidating owner market: independent physician, dental, aesthetic, veterinary and specialty practices, and the DSOs, MSOs and sponsors rolling them up. Practices carry steady receivables, significant supply and equipment spend, and frequent ownership transitions, and they decide where to bank on the advice of GPOs, lenders, brokers and the software they run on. The General Manager owns that circle.

What You'll Do
Own the sector P&L. You are accountable for one number: owners in healthcare practices banking with Flex and the revenue they generate. You build the model behind it, report against it weekly, and answer for it. Map the sector and cover it. Within 90 days you have identified the 200 people who move healthcare practices and have a coverage plan for each. From then on, that is where your time goes. Originate. Bring owners and firms to Flex directly, through dinners, site visits, conferences, portfolio days and referrals. You represent Flex in your sector and you are expected to be present in it. Structure the partnerships that move the sector. A GPO or buying group. A DSO or MSO standardizing its practices on Flex. A practice-management or EHR integration. An equipment-lender or practice-broker referral program. A specialty society. You identify them, negotiate them, and own the relationship after signature. Set the product agenda for your sector. You tell product leadership what owners require before they will move their primary banking relationship, in what order, and why. Build the team as the book grows. You begin with Flex’s account executives, account managers and member experience team supporting you. When the pipeline exceeds what one person can cover, you hire and lead your own sector team. Work AI-native. Research, relationship tracking, outreach and modeling run on tools you build or adopt, so your time goes to relationships.

Requirements
7 to 12 years in investment banking, private credit, private equity, venture, or a senior commercial seat inside healthcare practices. You have a demonstrable record of originating business, not servicing it. An active network in healthcare practices. You can name the 50 people who matter and most of them would take your call this week. Fluent in practice economics: payer mix, collections cycles, supply and equipment spend, how practices are bought and sold, and who lends to them. Comfortable structuring partnerships, negotiating referral economics, and working through a term sheet without support. You build your own models. Banker-level Excel and a working understanding of the unit economics of deposits, cards and credit.

Nice To Haves
Experience in fintech, banking or lending, or selling a financial product to business owners. A standing in healthcare practices: a podcast, a newsletter, a conference stage, or a board seat at a trade body. Investing, advisory or operating experience in a company in healthcare practices.

How To Prepare
As part of the application, please be prepared to submit a one-pager along with your CV on how you would bring healthcare practices to Flex. It should cover: The sector and its owners. Who they are, how many of them fall in Flex’s range, how they make money and where their capital gets tied up. What they need from a bank. The products and terms that would make owners in the sector move their primary relationship, and in what order. The map. The 20 to 30 people and institutions that move the sector, and how many of them you know personally. The first three partnerships. The programs that would put hundreds of owners on Flex at once, and why each counterparty would say yes. The investment and the return. A light P&L for the sector: what Flex would need to put in over the first two years (people, product, partnership economics, marketing) and how that investment comes back, in the form of owners banking with Flex and the revenue they produce. We are looking for the shape of the business and the logic behind it. The plan and the team. How you will build this out and what you will need to do it. Treat it as a coverage pitch. Bring the map, the partnerships and the economics, and be ready to defend each one.

Why Join Us

Build something generational — Capture the full lifecycle of money for ambitious business owners.
Work on real money, real risk — Payments, credit, and banking at serious scale.
Solve hard problems — AI, underwriting, compliance, and global finance from first principles.
True ownership — Small teams, high trust, real accountability.
Founder-level exposure — Direct access to leadership, customers, and investors.
High bar, high taste — Move fast without cutting corners.
Elite peers — People here are builders, not tourists.
Real upside — Meaningful equity if you help build something big.