Head of Finance

The Director of Finance is responsible for establishing financial clarity, structure, and

decision-making capability across the business, with a strong focus on identifying what is

profitable, what is not, and where corrective action is required. This role is centered on financial planning & analysis (FP&A) and management accounting, translating financial data into business decisions for a telehealth company.

The position operates in conjunction with existing accounting support and is

accountable for ensuring that financial outputs are accurate, supportable, and aligned

with operational reality in a regulated healthcare environment. This role is designed for an environment where financial infrastructure, forecasting, and KPI frameworks are not fully established and must be built, validated, and operationalized.

Responsibilities

Establish and maintain visibility into product- and service-level profitability, including

contribution margin, cost-to-serve, and segment-level performance.

Analyze and evaluate pricing structures, cost drivers, and margin dynamics; identify

and implement opportunities to improve financial performance through pricing

alignment and cost optimization.

Identify, quantify, and escalate revenue leakage, cost inefficiencies, and margin

compression drivers; support development and execution of corrective actions.

Build and operationalize financial models, forecasts, and scenario analyses, ensuring

outputs are used to guide real business decisions.

Establish and maintain core financial KPIs, ensuring consistent tracking and alignment

across leadership; implement KPI frameworks where none currently exist.

Develop and issue forward-looking budgets and financial plans, aligned to business

objectives; proactively guide leadership on financial constraints, tradeoffs, and

resource allocation.

Ensure all financial outputs are grounded in validated assumptions, operational data,

and realistic constraints; challenge inputs that are unsupported or inconsistent.

Establish structured financial reporting frameworks, including product-level reporting,

cash visibility, and performance tracking, designed for decision-making rather than

retrospective reporting.

Identify and rationalize operating expenses, including vendor, subscription, and

service-based cost structures; establish visibility and control over spend.

Align financial analysis with actual operational workflows, ensuring financial outputs

reflect true business activity and constraints.

Operate in conjunction with existing accounting functions; utilize accounting outputs to

drive analysis and decision-making without duplicating bookkeeping responsibilities.

Provide direct financial guidance to leadership; ensure finance acts as a proactive

driver of business decisions, not a reactive reporting function.

Independently identify and resolve financial problems; operate effectively in

environments where processes, data, or structures may be incomplete or evolving.

Build financial frameworks aligned to the future operating model, avoiding optimization

of legacy or misaligned systems.

Required Experience (Non-Negotiable)

8-12+ years of experience in FP&A, financial operations, or management accounting in

a business-facing role.

Demonstrated experience and success performing product-level or unit-level

profitability analysis, including pricing, cost structure, and margin evaluation.

Strong financial modeling capability, including forecasting, scenario planning, and

sensitivity analysis.

Experience building or restructuring financial processes, reporting frameworks, or KPI

systems.

Working knowledge of accounting principles sufficient to accurately interpret financial

statements and underlying data structures

Demonstrated ability to translate financial analysis into clear, actionable business

decisions.

Preferred Experience

Experience in telehealth, healthcare services, pharmacy, or regulated environments.

Familiarity with cost-to-serve models, multi-product service environments, or pricing

strategy development.

Experience operating in lean, high-change, or rebuilding environments.

Exposure to strategic finance or business model evaluation.

Strong experience in working with executive leadership and stakeholders.

Performance Expectations

Establishes clear, supportable visibility into product-level profitability and cost structure

within defined onboarding period.

Builds and operationalizes financial models, forecasts, and KPI frameworks that are

actively used by leadership.

Produces financial outputs that are accurate, traceable, and aligned with accounting

and operational data.

Identifies and escalates material financial risks, inefficiencies, and inconsistencies in a

timely and structured manner.

Influences measurable improvements in financial performance through pricing

alignment, cost control, or product-level decisions.

Develops financial plans and budgets that are realistic, defensible, and aligned with

business objectives.

Operates independently and resolves financial challenges without reliance on

predefined processes or extensive direction.

Key Attributes

Business-oriented financial operator with strong analytical discipline.

Ability to isolate financially material drivers and act on them.

Structured, methodical, and grounded in data integrity.

Clear communicator capable of translating financial insight into operational terms.

Comfortable operating in ambiguity and building structure where it does not exist.

Work Environment

Regulated healthcare / telehealth operating environment with defined compliance

expectations.

Business undergoing active operational and financial rebuild.

Cross-functional collaboration with leadership, operations, and clinical/pharmacy

functions.

Conditions of Employment

Adherence to internal financial controls, documentation standards, and organizational

policies is required.

Financial outputs must be accurate, supportable, and consistent with underlying

accounting records and operational data.

Participation in financial planning, reporting, and cross-functional decision-making

processes is required.

Responsibilities must be performed in alignment with applicable regulatory

expectations and organizational standards.

Identification and escalation of financial discrepancies, risks, or inconsistencies is

required in accordance with internal practices.

Outcome

Clear, validated visibility into true profitability across products and services.

Financial infrastructure (KPIs, models, forecasts) established and operational.

Improved alignment between pricing, cost structure, and operational execution.

Elimination of unsupported assumptions and financial ambiguity.

Finance operating as a core driver of business decision-making and planning..

Work Location

Onsite (Las Vegas, NV)

Equal Employment Opportunity

The Company is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. The Company is committed to providing a workplace free from discrimination and harassment and complies with all applicable employment laws and regulations.