Finance Manager

The role

The Finance Manager will lead financial planning, budgeting, forecasting, and management reporting. This person will build financial models and partner with various departments to support strategic decisions and operational efficiency.

What you will do

• Lead financial planning, budgeting, forecasting, and management reporting processes.
• Build and maintain financial models for short-term execution and long-term strategic planning.
• Develop revenue, expense, headcount, cash-flow, and profitability forecasts.
• Analyze company performance against budget, forecast, and prior periods.
• Create financial reports, KPI dashboards, and executive-level insights.
• Partner with Sales, Operations, Engineering, Marketing, and Patient Growth teams.
• Evaluate pricing, customer profitability, unit economics, margins, and hiring plans.
• Build financial models for new products, programs, partnerships, and strategic initiatives.
• Support cash management, runway planning, scenario analysis, and capital-planning.
• Partner with internal and external accounting resources.

Required qualifications

• 6+ years of progressive experience in strategic finance, FP&A, financial planning, or a related finance role
• Strong experience building and maintaining financial models, budgets, forecasts, cash-flow projections, and long-range plans
• Demonstrated ability to analyze business performance, identify meaningful trends, and translate financial data into actionable recommendations
• Experience developing management reporting, KPI dashboards, budget-to-actual analyses, and executive-level financial presentations
• Strong understanding of financial statements, accrual accounting, revenue, expenses, cash flow, and the relationship between operational and financial performance
• Experience partnering with business leaders to evaluate investments, headcount, pricing, resource allocation, and other strategic decisions
• Advanced Excel or Google Sheets skills, including the ability to build reliable and scalable financial models
• Strong analytical judgment, attention to detail, and ability to independently manage recurring planning and reporting processes
• Strong executive communication skills and the ability to explain complex financial information clearly to non-finance leaders
• Ability to work hands-on in a fast-growing organization while building more scalable financial processes and reporting systems

Nice to have

• Experience at a high-growth, venture-backed, SaaS, technology-enabled services, or healthcare technology company
• Understanding of healthcare economics, medical billing, claims, reimbursements, or revenue-cycle operations
• Experience supporting a business with recurring, usage-based, per-member, or service-based revenue
• Experience analyzing unit economics, customer profitability, gross margins, pricing, and contribution margins
• Experience with workforce planning, capacity modeling, sales commissions, and departmental budgeting
• Experience preparing reporting and financial materials for executives, boards, investors, or lenders
• Experience supporting fundraising, financing, due diligence, or strategic transactions
• Familiarity with accounting and finance systems such as QuickBooks, NetSuite, Ramp, Bill.com, or similar platforms
• Experience improving financial data quality, reporting automation, and cross-functional planning processes
• CPA, CFA, CMA, MBA, or another relevant finance credential

Benefits

• Competitive USD salary
• Generous vacation and PTO policies
• Fully remote work opportunities
• Training, mentorship, and coaching from leadership

Before you apply

• Only short-listed candidates are contacted

About the company

Medsien is a provider of scalable remote care management based in San Francisco. The company is venture-backed and aims to reimagine remote care management.