Director of Finance

VIVIO Health•Remote, UNITED STATES
•$120,000 - $150,000•Remote

About The Position

VIVIO Health is hiring a Director of Finance to build and lead the financial function for its growing pharmacy benefits business. The role owns planning and forecasting, accounting and the close, revenue recognition, treasury, tax, audits, and financial reporting for the board, clients, and partners. It also translates pharmacy benefit economics into business decisions, including client and product profitability, pricing and guarantees, and investment priorities. The accounting team reports to the Director of Finance, who reports to the CEO and partners closely with the CFO and leadership team. The position is remote in a remote-first organization, with occasional travel to company events and site meetings. As the company scales, there is a path to expanded financial leadership.

Requirements

  • Bachelor’s degree in Finance, Accounting, or Economics.
  • 10 or more years of finance experience, including forecasting and FP&A, with experience in fast-paced or high-growth companies.
  • Deep corporate accounting expertise and a track record of clean financial audits.
  • Proven ability to lead and develop teams.
  • Finance experience in a PBM, health plan, specialty pharmacy, or other healthcare benefits organization.
  • Expert Excel skills for financial modeling and scenario analysis, plus experience with QuickBooks and BI or reporting tools.
  • Track record of implementing or improving financial systems and controls.
  • Executive presence and comfort presenting to boards and investors.
  • Direct communication, strong ownership, and sound judgment in fast-moving, high-change environments.
  • Must be currently authorized to work in the United States without employer support or sponsorship now or in the future.

Nice To Haves

  • MBA or CPA.
  • Working knowledge of PBM economics, including AWP- and NADAC-based pricing, rebates, and client pricing and performance guarantees.
  • Familiarity with HIPAA, ERISA, and the federal and state regulatory landscape for PBMs.
  • Experience supporting client or plan sponsor audits and SOC 2 examinations.

Responsibilities

  • Lead and develop the accounting team and oversee general ledger, accounts payable, payroll, and financial reporting.
  • Ensure accurate and timely monthly, quarterly, and annual financial closes.
  • Own the annual plan, budget, and sales plan, and develop financial models and rolling forecasts.
  • Report contribution margin by client and product line, and manage KPIs and the leadership dashboard.
  • Partner with Sales and Client Success on new-business and renewal pricing, including modeling and true-ups for pricing and performance guarantees.
  • Manage treasury, pharmacy claims payment cycles, client billing and collections, float, working capital, and banking relationships.
  • Establish a capital-allocation framework, including headcount allocation.
  • Build internal controls, reporting infrastructure, and financial systems to support company growth.
  • Lead tax compliance and filings; financial, client, and plan sponsor audits; SOC examinations; and planning for state licensing fees and surety bonds.
  • Prepare board-grade and diligence-ready financial packages with the CEO and CFO.
  • Provide financial input on partner and customer contracts, leases and facilities, HR policy and compliance, and strategic and operating-model decisions.

Benefits

  • Medical insurance
  • Pharmacy benefits
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Stock options
  • 401(k) with company match
  • PTO
  • Bonus eligibility
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service