Commercial Finance Manager / Director
About The Position
Rezilient is seeking a strategic finance professional to build financial models, insights, and commercial frameworks that guide growth and inform business decisions. The position sits at the intersection of Commercial Finance, Growth, and strategic advisory, partnering with the Executive Leadership Team and cross-functional leaders across Growth, Clinical, Product, Operations, and Business Development. The role shapes how Rezilient prices, scales, and positions its care delivery model. It owns core planning and forecasting processes and develops models for pricing strategy, partnership economics, contract structures, and long-term market positioning in healthcare delivery. This is a high-impact, visible opportunity to establish foundational processes, influence senior-level strategy, and support sustainable growth.
Requirements
- Bachelor’s degree in Finance, Accounting, Economics, or a related field.
- 5–7+ years of progressive experience in strategic finance or commercial finance, with meaningful exposure to high-growth or startup environments.
- Strong financial modeling and analytical skills, including the ability to build models from scratch and pressure-test complex scenarios.
- Demonstrated experience supporting investor materials, fundraising processes, and board-level presentations.
- Experience supporting pricing strategy, contract economics, or partnership evaluation in a complex operating environment.
- Willingness to work on-site or relocate to the headquarters in St. Louis, Missouri.
Nice To Haves
- MBA or advanced degree.
- Experience in a Series A–C startup environment.
- Experience in healthcare, healthcare technology, or care delivery models.
Responsibilities
- Own and advance commercial finance strategy, including pricing models, unit economics, profitability analysis, and expansion economics across markets and service lines.
- Build, own, and evolve deal forecasting, budgeting, and long-term planning processes in a fast-paced, scaling healthcare environment.
- Lead scenario modeling and investor-facing financial analyses to inform strategic decisions, capital planning, and fundraising discussions.
- Serve as a strategic finance partner to leadership and cross-functional teams, including Operations, Clinical, Growth, Product, Business Development, and Revenue Operations, to evaluate business performance and identify drivers of growth, margin, and efficiency.
- Partner with Business Development to evaluate partnerships, payer contracts, and enterprise opportunities, assessing financial viability, risk, and long-term strategic fit.
- Advise on Rezilient’s strategic positioning within the healthcare care delivery ecosystem using market data, competitive insights, and financial analysis.
- Develop and maintain financial models supporting contract structuring, pricing strategies, and negotiation decisions.
- Deliver clear, actionable insights on financial results, performance metrics, and key business levers to senior leadership.
- Play a key role in annual budgeting, partnering with Finance leadership and cross-functional teams on budget development, monitoring, and variance analysis against financial targets.
- Communicate findings and recommendations to the Executive Leadership Team, Board, and external stakeholders as needed.
Benefits
- Stock options.
- Competitive base compensation.
- Medical, dental, and vision coverage options, with Rezilient contributing toward premiums.
- Complimentary access to Rezilient clinical programs for the employee and household members.
- 401(k) retirement plan.
- Flexible Paid Time Off.
- Dedicated Paid Sick Leave separate from Flexible Time Off.
- 11 paid company holidays each year.
- Paid family leave.
- Optional ancillary benefits, including life insurance, disability coverage, and a Health Savings Account (HSA).
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What This Job Offers
Job Type
Full-time
Career Level
Manager
