Director of Finance

Sirona Medical•San Francisco, CA

8d•$210,000 - $250,000•Hybrid

About The Position

At Sirona Medical , we’re building software that enables physicians to work as fast as they can think. Each year in the U.S., billions of patient images are captured—and nearly all of them are reviewed and diagnosed by radiologists. These specialists are the central hub of diagnostic medicine: over 80% of all healthcare data flows through radiology IT systems . Yet despite their pivotal role, radiologists are overburdened by outdated, fragmented software which limits their efficiency and ultimately the quality and efficiency of care that health systems can provide patients. That’s where Sirona comes in. We’re a San Francisco-based, cloud-native software company with employees around the world. Our deep understanding of both the practice and business of radiology has allowed us to build RadOS —a unified, AI-powered operating system powering the entire radiology workflows. How Sirona Solves the Problem Sirona is uniquely positioned to transform the way radiology is practiced . We're delivering the organizational shift that both individual radiologists and entire practices urgently need: A unified , intuitive, and platform-agnostic solution A streamlined workspace that makes every part of the radiologist’s workflow faster and easier The freedom to read from anywhere, for anyone By cutting clicks, optimizing diagnostic time, and unlocking efficiencies that extend far beyond the reading room into all care settings , Sirona empowers radiologists—and in doing so, we help the entire healthcare system move faster, smarter, and with greater impact on patient outcomes. For more information, please visit https://sironamedical.com/join/ . Sirona Medical is seeking a strategic, hands-on Director of Finance to lead our financial operations, planning, and strategic decision support as we scale into our next phase of growth. This is an exceptional opportunity for a finance leader with deep SaaS experience who can operate comfortably between high-level strategy and day-to-day execution. You’ll oversee both Accounting and FP&A functions, elevate financial rigor across the organization, and serve as a key strategic partner to the CEO and executive team. Reporting directly to the CEO, you will work closely with department heads, board members, and external partners to ensure the company’s financial systems, reporting, and analytical capabilities are built for scale. This role is ideal for someone who thrives in fast-paced, high-growth environments and is excited to architect a mature, data-driven finance organization—not simply inherit one. Sirona Medical is headquartered in downtown San Francisco with a remote-first culture. This role would require the Director of Finance to be in the SF office 10–15 days per quarter for in-person strategic leadership meetings. Why Sirona You’ll join a mission-driven team transforming a critical area of healthcare. As Director of Finance, you will influence company-wide strategy, own core financial processes, and ensure the financial foundation is built for global scale. This role offers high visibility, meaningful ownership, and a direct impact on Sirona’s long-term success. For a capable and ambitious finance leader, this position provides a clear path toward future executive-level opportunities.

Requirements

7–12 years of progressive finance experience (SaaS startup experience strongly preferred)
Strong foundation in FP&A, financial modeling, SaaS metrics, and strategic planning
Background in accounting or a CPA preferred but not required
Demonstrated ability to build and lead high-performing finance teams
Exceptional Excel and financial modeling skills; comfortable owning complex, dynamic models
Strong communicator with experience presenting to executives, boards, and external stakeholders
Track record of operating in fast-paced, high-growth environments with evolving processes
Ability to translate financial insights into actionable business recommendations
Motivated by growth, ownership, and the opportunity to build a world-class finance function

Nice To Haves

Experience supporting a fast-scaling, venture-backed SaaS or healthcare technology company
Familiarity with ASC 606 revenue recognition, multi-entity consolidation, and international operations
Experience with financial systems such as NetSuite, QuickBooks Online, or modern FP&A tools (e.g., Adaptive, Mosaic, Cube)

Responsibilities

Lead and mature Sirona’s Finance function across Accounting, FP&A, reporting, and operations
Serve as a thought partner to the CEO and executive team, providing data-driven insights that shape strategy and resource allocation
Own long-range planning, annual budgeting, quarterly forecasting, and scenario modeling
Provide regular financial updates and strategic analysis to the board, investors, and executive leadership
Oversee monthly close, consolidated financial reporting, and compliance, ensuring accuracy and timeliness
Manage and mentor the finance team, including a Senior Accountant and future FP&A hires
Maintain robust internal controls, policies, and financial governance
Partner closely with the Go-To-Market organization on pipeline analysis, pricing, renewals, revenue operations, and SaaS unit economics
Ensure accurate revenue recognition under ASC 606, including multi-entity and international considerations
Build dashboards, KPI frameworks, and operational reporting to help drive predictable, efficient growth
Own and enhance the company’s financial model, ensuring it reflects real-time performance and strategic priorities
Evaluate and implement financial systems, tools, and processes that support scale and automation
Lead cross-functional initiatives to improve financial efficiency, billing, collections, and cash management
Work across Product, Engineering, and Operations to align financial plans with company objectives
Provide ROI analysis, investment frameworks, and business cases to support strategic initiatives
Support global expansion efforts, including new market entry, international entity management, and operational readiness