Advice? I was hired into a startup because they needed someone with healthcare experience "develop FP&A processes." The thought of getting to use my 15+ years of experience + MBA in HC data analytics really appealed. But now I'm here, and I've realized...my boss is a MICRO manager. She has no industry experience, and simply refuses to think that I may have a better understanding of "best practice" for processes. I thought at first it was because I was new, but there's no sign of it changing.

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I always choose the nuclear option with no recourse

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I report to the VP of Finance, and it was announced recently that we just hired a new CFO. He (also healthcare background) and I get along great, and the VP is supposed to be getting him up to speed so she can retire and he will take over the management of our dept. But it feels like she's sabotaging him...our healthcare business is just now getting off the ground, so I've been having a lot of cross-functional meetings to nail down things like Rev Cycle - how is our billing being handled? Credentialing? Eligibility checks? Who will be responsible for applying payments based on EORs? etc. The VP (current boss) INSISTS on being invited to every meeting I set up. I roll my eyes, but whatever, sure. I have nothing to hide. I invite her. However, when I've floated the idea of including the new CFO in some of the higher level discussions, the VP has immediately shut me down, saying "he's just too overwhelmed right now to absorb this." But I feel like - for a lot of this - #1 - he NEEDS to be involved as he will eventually be responsible for the processes we are building. And #2 - the questions she has been asking in these meetings make it clear to me she is not understanding how commercial insurance billing "works" Am I wrong to ping him directly and ask if he wants to be included when my boss already told me not to invite him?

Try talk to him about it on the phone if you can. No paper trail and less room for misinterpretation and less chance of your words getting forwarded to her. You can also hint that she said not to include him without actually saying it. He can then cover for you by taking it upon himself to request being included without looking like it came from you.

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Most start ups fail. A start up boss that is focused on micro managing you is not focused on building revenues and client relationships which means the business will either fail
Or not be as successful as it could be.

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