Chief Financial Officer (CFO)

XRHealth•Needham, MA

About The Position

We are a pioneering global Healthtech organization transforming healthcare delivery through immersive technology and clinically validated digital therapeutics. Leveraging extended reality (XR) and advanced therapeutic software, we deliver evidence-based virtual care solutions that improve patient outcomes across physical rehabilitation, cognitive health, and behavioral health. Our platform integrates proprietary therapeutic content, connected XR hardware, and a scalable SaaS infrastructure to provide end-to-end digital health solutions for providers, payers, and patients. Through strategic growth initiatives and international expansion, we have built one of the most comprehensive XR therapeutic platforms in the market. Backed by leading venture investors, we are entering our next phase of growth — scaling enterprise partnerships, expanding recurring SaaS revenue, optimizing hardware-enabled care delivery models, and positioning the organization for long-term value creation and strategic optionality. Position Overview We are seeking a strategic, hands-on Chief Financial Officer (CFO) to join our executive leadership team. The CFO will serve as a key business partner to the CEO and Board, driving financial strategy, capital planning, operational scalability, and long-term enterprise value creation. This role requires a leader with: · 10+ years of CFO experience in high-growth environments · Prior Big 4 audit background (CPA strongly preferred) · Experience in VC-backed or PE-backed companies · Deep expertise in corporate finance and capital markets · Strong familiarity with blended hardware + SaaS revenue models · Healthcare, medtech, or healthtech experience strongly preferred

Requirements

10+ years as CFO in high-growth technology companies
Experience in VC-backed scaling companies ($20M–$150M+ revenue preferred)
Big 4 audit background (CPA required or strongly preferred)
Experience managing blended revenue models (hardware + SaaS)
Healthcare, medtech, or digital health industry experience preferred
Strategic thinker with operational execution capability
Deep understanding of SaaS metrics (ARR, churn, LTV/CAC)
Strong hardware margin and supply chain financial acumen
Advanced corporate finance and capital structuring expertise
Investor-facing communication excellence
Data-driven decision maker
Hands-on builder comfortable in scale-up environments
Executive presence and Board-level communication skills
High integrity and strong governance mindset
Ability to operate in fast-paced, high-growth settings
Collaborative, cross-functional leader
Bachelor’s degree in Finance, Accounting, Economics, or related field
MBA preferred
CPA strongly preferred
Prior Big 4 audit experience required

Nice To Haves

Experience preparing for IPO or leading successful M&A transactions is a plus

Responsibilities

Develop and execute long-term financial strategy aligned with growth objectives
Lead capital strategy including equity, venture debt, and strategic financing
Partner with CEO and Board on fundraising, investor relations, and exit strategy (IPO or M&A)
Build financial models supporting scaling, pricing strategy, and new market expansion
Lead future fundraising rounds and strategic financing initiatives
Manage relationships with venture capital investors, lenders, and advisors
Oversee valuation strategy and scenario planning
Prepare company for potential IPO or strategic acquisition
Build robust forecasting models for hardware sales, SaaS ARR, and blended margins
Maintain FP&A tools gathering and defining the right KPI dashboards for revenue, CAC/LTV, gross margin by segment, and cash burn
Drive unit economics optimization and operational efficiency
Oversee annual budgeting and rolling forecasts
Oversee accounting operations including revenue recognition (ASC 606), inventory accounting, and cost accounting across all Countries and Departments
Ensure compliance with GAAP and regulatory requirements
Build scalable financial systems and internal controls
Lead audit process and manage external auditors
Partner with Operations on supply chain, hardware COGS, and inventory planning
Collaborate with Commercial teams on pricing strategy and margin expansion
Support Product and R&D with capital allocation strategy
Lead finance team recruitment and development
Ensure healthcare regulatory financial compliance (as applicable)
Oversee risk management, insurance, and treasury functions
Manage working capital and cash flow optimization
Maintain, adapt and build the relevant Accounting Policies, Process, Procedures and Controls.
Update Transfer Pricing Masterfile ensuring compliance and accuracy in the resulting rates