Director of Finance & Accounting

About the RoleVentaris Surgical is seeking a Director, Finance & Accounting to serve as the operational finance leader of the company and a trusted partner to the CEO and leadership team. This is a critical hire for a business at an exciting stage of growth. The Director will own the day-to-day accounting and finance functions, build the financial infrastructure needed to scale, and help ensure the company has the visibility and controls in place to make sound decisions as we advance our technology and expand the team.Key ResponsibilitiesAccounting and Financial CloseOwn the full accounting function including general ledger, accounts payable, accounts receivable, payroll, and expense managementLead timely and accurate monthly, quarterly, and annual financial close processes, producing financial statements in accordance with GAAPEstablish and maintain internal controls, financial policies, and accounting procedures appropriate for a growing early-stage companyManage relationships with external accountants, auditors, banking partners, and tax advisors, coordinating the annual audit and tax filingsBudgeting, Planning, and ReportingLead the annual budgeting process in partnership with department heads, tracking actuals versus budget and providing regular variance analysisMaintain cash flow models and runway projections, keeping leadership informed on the companys financial position and key burn metricsPrepare financial reporting packages for leadership, the board, and investors, including monthly financial statements and key performance metricsPartner with the CEO and department leaders on resource allocation decisions, headcount planning, and vendor spend managementEquity Administration and ComplianceOversee cap table management, stock option administration, and equity program compliance in coordination with legal counselEnsure compliance with applicable federal, state, and local tax requirements and maintain proper business registrations and filingsSupport due diligence requests from investors and other external parties as needed, maintaining organized financial records and data room materialsBuild scalable financial systems and processes that can grow with the company, identifying and implementing tools that improve efficiency and accuracyCross-Functional PartnershipCollaborate with operations, R&D, and clinical teams to support project-level financial tracking and cost managementServe as a resource and thought partner to department heads on budget management, purchasing decisions, and financial best practicesSupport the CEO in preparing financial updates for board meetings and investor communications, including financial summaries and KPI dashboardsHelp evaluate vendor contracts, leases, and other financial commitments, flagging risks and providing financial analysis to support decision-makingThrive in ambiguity and bring structure to unstructured situations, proactively identifying what the company needs before being askedStartup Finance MindsetWear multiple hats and take ownership across the full finance and accounting spectrum, from running payroll to presenting financial results to leadershipBuild financial infrastructure that is right-sized for today while positioned to scale as the company grows headcount, revenue, and complexityBring a scrappy, get-it-done attitude while still maintaining the rigor and accuracy that investors, auditors, and regulators expectRequirements6 to 10 years of progressive finance and accounting experience, with meaningful hands-on responsibility in day-to-day accounting and financial operationsPrior experience in a startup or early-stage company, ideally in a first or sole finance hire capacity where you built processes from scratchStrong command of GAAP accounting, financial close processes, and the fundamentals of financial reporting and controlsProficiency with accounting software (e.g., QuickBooks, NetSuite, or similar) and strong Excel skills for budgeting, forecasting, and financial modelingComfortable managing competing priorities and working independently without a large finance team around youHighly organized, detail-oriented, and reliable, with a track record of meeting deadlines and producing accurate workClear, confident communicator who can translate financial data into plain language for a non-finance audience including the CEO and department headsHigh integrity, sound judgment, and a genuine comfort with the ambiguity and pace that comes with working at a small, fast-moving companyDemonstrated ability to handle confidential and sensitive financial and employee information with discretionEducationBachelors degree required, preferably in finance, accounting, economics, or a related fieldCPA strongly preferred; MBA is a plus but not requiredPreferred QualificationsExperience in the medical device, diagnostics, or broader life sciences sector, or another regulated industryPrior work at a venture-backed startup navigating the transition from development-stage to commercial-stage operationsFamiliarity with FDA-regulated environments and an understanding of how regulatory and development timelines affect financial planning and burn rateExperience supporting a fundraising process, including organizing financial data, maintaining a data room, or preparing board-level financial materialsHands-on experience implementing or optimizing financial systems such as QuickBooks, NetSuite, Expensify, Rippling, or similar platforms in a startup context.
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