Finance Manager

Medsien

. Lead Medsien’s financial planning, budgeting, forecasting, and management reporting processes .

Posted 9/22/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial planning, budgeting, and forecasting, with a strong ability to analyze performance and provide actionable insights. Proficient in building financial models and developing executive-level reporting to support strategic decision-making.

Highest-signal resume keywords

Financial PlanningBudgetingForecastingFinancial ModelingExecutive Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial AnalysisKPI Dashboard DevelopmentAccrual AccountingCash Flow ProjectionsManagement ReportingBudget-to-Actual AnalysisRevenue ForecastingUnit Economics AnalysisStrategic Decision EvaluationAttention to Detail

Soft Skills

Analytical JudgmentCommunication SkillsCollaborationProblem-SolvingIndependence

Tools & Technologies

ExcelGoogle SheetsQuickBooksNetSuiteRampBill.com

Certifications & Qualifications

CPACFACMAMBA

Industry Keywords

SaaSHealthcare TechnologyVenture-BackedRevenue-Cycle OperationsFinancial Reporting Automation

About the role

Key responsibilities & impact

Lead Medsien’s financial planning, budgeting, forecasting, and management reporting processes
Build and maintain financial models supporting 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, identifying drivers, risks, and opportunities
Create financial reports, KPI dashboards, and executive-level insights for company leaders
Partner with Sales, Operations, Engineering, Marketing, Patient Growth, and other teams on departmental plans and financial accountability
Evaluate pricing, customer profitability, unit economics, margins, investments, hiring plans, and resource allocation
Build models for new products, programs, partnerships, and strategic initiatives
Support cash management, runway planning, scenario analysis, and capital-planning decisions
Partner with internal and external accounting resources to ensure accurate and timely financial reporting
Improve the reliability, consistency, and automation of financial data, reporting, and forecasting processes
Establish scalable financial planning processes and operating rhythms as Medsien grows
Support board, investor, lender, financing, and due diligence materials as needed
Serve as a strategic finance partner to leadership by turning financial and operational data into recommendations and decisions
Report directly to the COO

Requirements

What you’ll need

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
Nice-to-have: understanding of healthcare economics, medical billing, claims, reimbursements, or revenue-cycle operations
Nice-to-have: experience supporting recurring, usage-based, per-member, or service-based revenue
Nice-to-have: experience analyzing unit economics, customer profitability, gross margins, pricing, and contribution margins
Nice-to-have: experience with workforce planning, capacity modeling, sales commissions, and departmental budgeting
Nice-to-have: experience preparing reporting and financial materials for executives, boards, investors, or lenders
Nice-to-have: experience supporting fundraising, financing, due diligence, or strategic transactions
Nice-to-have: familiarity with QuickBooks, NetSuite, Ramp, Bill.com, or similar platforms
Nice-to-have: experience improving financial data quality, reporting automation, and cross-functional planning processes
Nice-to-have: CPA, CFA, CMA, MBA, or another relevant finance credential

Benefits

Comp & perks

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