Director of Finance

XRHealth • Needham, MA

4d

About The Position

We are seeking a strategic and hands-on Director of Finance to join our growing leadership team. The Director of Finance will serve as a key business partner supporting financial planning, operational scalability, and data-driven decision-making across the organization.
This role requires a leader with:
7+ years of progressive finance experience in high-growth environments
Prior Big 4 or public accounting background (CPA preferred)
Experience in VC-backed or PE-backed companies
Strong expertise in corporate finance and financial planning & analysis
Familiarity with blended hardware + SaaS revenue models
Healthcare, medtech, or healthtech experience preferred

Requirements

• 7+ years in finance roles with increasing responsibility, including 2+ years in a senior finance or director-level capacity
• Experience in VC-backed or high-growth technology companies ($20M–$100M+ revenue preferred)
• Public accounting or Big 4 background preferred (CPA preferred)
• Exposure to blended revenue models (hardware + SaaS)
• Healthcare, medtech, or digital health industry experience preferred
• Statutory and tax compliance
• Strong FP&A and financial modeling skills
• Solid understanding of SaaS metrics (ARR, churn, LTV/CAC)
• Hardware margin and supply chain financial acumen
• Proficiency in financial systems and BI/reporting tools
• Clear and effective communicator with cross-functional stakeholders
• Data-driven mindset with strong attention to detail
• Hands-on executor comfortable in fast-paced, scale-up environments
• Collaborative team player with strong cross-functional partnership skills
• High integrity and governance mindset
• Ability to manage multiple priorities and deadlines effectively
• Bachelor's degree in Finance, Accounting, Economics, or related field

Nice To Haves

• MBA a plus
• CPA preferred
• Prior Big 4 or public accounting experience preferred

Responsibilities

• Financial Planning & Analysis (FP&A)
• Build and maintain robust forecasting models for hardware sales, SaaS ARR, and blended margins
• Own KPI dashboards tracking revenue, CAC/LTV, gross margin by segment, and cash burn
• Drive unit economics analysis and identify opportunities for operational efficiency
• Lead annual budgeting process and maintain rolling forecasts
• Accounting & Controls
• Support accounting operations including revenue recognition (ASC 606), inventory accounting, and cost accounting across all countries and departments
• Ensure GAAP and tax compliance
• Contribute to scalable financial systems and internal controls
• Support the audit process and coordinate with external auditors
• Corporate Finance Support
• Assist with financial modeling for fundraising, strategic financing, and scenario planning
• Support investor reporting and preparation of board materials
• Contribute to valuation analysis and M&A or IPO readiness initiatives
• Operations & Cross-Functional Partnership
• Partner with Operations on supply chain, hardware COGS, and inventory planning
• Collaborate with Commercial teams on pricing strategy and margin analysis
• Support Product and R&D with capital allocation insights
• Contribute to finance team development and process improvement initiatives
• Risk & Compliance
• Support healthcare regulatory financial compliance (as applicable)
• Assist with risk management, treasury, and working capital optimization
• Help maintain and update Accounting Policies, Processes, Procedures, and Controls
• Support Transfer Pricing Masterfile maintenance and accuracy

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 1-10 employees