Job Title: Finance Manager Position Type: Full-Time, Remote Working Hours: U.S. business hours About the Role: We are seeking a highly analytical and hands-on Finance Manager to take ownership of financial operations and support strategic decision-making in a fast-paced, growth-oriented environment. This role combines day-to-day accounting with forward-looking financial planning. You will be responsible for maintaining financial accuracy, managing cash flow, building forecasts, and supporting leadership with insights that drive business decisions. The ideal candidate is detail-oriented, proactive, and comfortable operating independently in a startup setting. Responsibilities: Financial Operations & Accounting • Manage day-to-day bookkeeping, general ledger, and financial record-keeping. • Maintain accurate financial data within QuickBooks. • Oversee accounts payable/receivable and ensure proper documentation and controls. Cash Flow & Financial Health • Monitor cash flow, liquidity, and overall financial health on a weekly basis. • Track burn rate and maintain accurate runway projections. • Provide insights into financial sustainability and risk areas. Reporting, Budgeting & Analysis • Prepare monthly, quarterly, and annual financial reports for leadership. • Build and maintain financial forecasts and projections. • Develop and manage budgets, tracking actuals vs. planned spend. Strategic Finance & Decision Support • Support leadership with financial analysis for key business decisions. • Build financial models for growth initiatives and new opportunities. • Contribute to long-term financial planning and strategy. KPI & Operational Metrics • Define and track financial and operational KPIs. • Analyze revenue trends, cost drivers, and performance metrics. Tax Strategy & Compliance • Coordinate with external accountants or partners for tax compliance. • Support tax filings, audits, and regulatory requirements. Systems & Process Improvement • Improve financial processes, reporting systems, and workflows. • Maintain financial dashboards and reporting models. Growth & Scaling Support • Prepare financial reports and materials for investors or fundraising. • Support scaling of the finance function as the business grows. What Makes You a Perfect Fit: • Strong ownership mindset with the ability to work independently. • Detail-oriented with a high standard for accuracy and organization. • Comfortable operating in a fast-paced startup environment. • Analytical thinker who can translate data into actionable insights. • Proactive in identifying financial risks and opportunities. Required Experience & Skills (Minimum): • 3–7+ years of experience in accounting, finance, or a related role. • Strong hands-on experience with QuickBooks. • Advanced proficiency in Excel or Google Sheets for financial modeling and tracking. • Experience managing financial reporting, budgeting, and cash flow. • Strong understanding of financial statements and accounting principles. • Ability to work independently and manage multiple priorities. • Excellent written and verbal communication skills. Ideal Experience & Skills: • Experience working in a startup or high-growth environment. • Exposure to healthcare or multi-entity business structures. • Familiarity with cash vs. accrual accounting transitions. • Experience supporting investor reporting or fundraising processes. • CPA certification or progress toward certification. What Does a Typical Day Look Like? A Finance Manager’s day is centered around maintaining financial accuracy while supporting business decisions. You will: • Manage bookkeeping and update financial records. • Monitor cash flow and track financial performance. • Prepare reports and analyze financial data. • Collaborate with leadership on planning and strategy. • Improve financial processes and systems. In essence: you are the financial backbone of the business, ensuring clarity, accuracy, and informed decision-making. Key Metrics for Success (KPIs) • Accuracy and timeliness of financial reporting. • Cash flow visibility and financial stability. • Budget adherence and forecasting accuracy. • Quality of financial insights provided to leadership. • Efficiency of financial processes and systems. Interview Process: • Initial Recruiter Screen • Client Interview • Offer & Onboarding