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Head of Finance

Full-time

Foundation Health

Role Description

In a high-growth environment, finance isn't just about accounting; it's about resource orchestration. As our Head of Finance, you will sit at the intersection of strategy and execution. Your journey begins by translating our capital and momentum into strategic growth, ensuring our resources are deployed with precision.

In the early days, you will be a builder. You’ll own and scale the entire finance function from the ground up, implementing the financial infrastructure and "cutting-edge" tools required for a high-growth US startup. You will shift us from foundational setups to high-fidelity reporting, giving our leadership team crystal-clear visibility into revenue, burn, and margins.

As we scale, your role shifts from builder to architect. You will become the primary strategic partner to our CEO, modeling our next big moves, evaluating new market opportunities, and leading the charge on future fundraises. You won’t just be reporting on the past; you’ll be the person architecting our financial future.

Qualifications

  • Proven experience in a high-growth startup or scale-up environment (ideally Series A to C).
  • Experience with managing the finances in multinational organisations.
  • A strong grasp of US GAAP, revenue recognition, and modern finance tools.
  • Ability to act as a commercial partner to the CEO, owning financial inputs into pricing, deal structuring, and revenue strategy, expansion, and fundraising strategy.
  • Strategic, proactive, and deeply analytical mindset.
  • Experience with Quickbooks online.

Requirements

  • Lead financial forecasting, budgeting, and long-term planning (runway, burn, and growth scenarios) while developing robust sales and revenue models.
  • Oversee day-to-day accounting operations, including AP, AR, payroll, and cash flow management.
  • Own monthly board packs and financial reporting, translating data into actionable recommendations for the leadership team.
  • Partner with the CEO in board and investor interactions, providing clear financial narrative and insight.
  • Evolve our finance tech stack by selecting and implementing modern, scalable systems.
  • Manage US federal and state tax obligations in coordination with external vendors.
  • Build visibility into core financial metrics, including unit economics, margins, and department-level budgeting.
  • Build and scale the finance function over time, including hiring and developing a high-performing team.
  • Establish financial controls, risk management frameworks, and audit readiness as the company scales.
  • Drive capital allocation decisions to balance growth, efficiency, and runway.
  • Support strategic initiatives such as partnerships, acquisitions, or new market entry through financial evaluation.

Benefits

  • Remote work (US-based).

Nice to Haves

  • Background in SaaS, API, or healthcare-related business models.
  • Direct exposure to investor relations and the fundraising process.
  • Experience implementing enterprise-level scalable systems (e.g., NetSuite).
Vacancy posted 13 hours ago
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