Director of Tax and Treasury Finance

Aidoc

19h • Remote

About The Position

Aidoc is revolutionizing clinical decision-making with real-time clinical AI imaging solutions, impacting over 60 million patients annually. Our technology empowers physicians to diagnose urgent cases, ultimately improving patient outcomes. Powered by our proprietary aiOS, Aidoc assists clinicians by precisely highlighting suspected pathological findings directly on medical images and prioritizing cases. This ensures that urgent patients receive the immediate attention they need. As a leader in clinical AI, Aidoc has the most FDA-cleared Computer-Aided Detection (CAD) solutions, with adoption in more than 1,600 medical centers worldwide. Since our founding in 2016, Aidoc has secured over $500 million in funding and was recognized as one of TIME’s 50 most genius companies.

Aidoc is looking for a highly sophisticated Director of Tax and Treasury - a definitive subject matter expert on complex financial, tax, and accounting matters. This is a high-impact individual contributor role reporting directly to the VP of Finance, designed for a sophisticated problem-solver who can navigate ambiguous, cross-functional challenges where there is rarely a single right answer.
The core of this role is owning Aidoc’s Tax and Treasury but the function will also span accounting policy, and end-to-end equity management. Beyond that steady-state ownership, you will serve as a trusted internal advisor—taking on ad-hoc complex initiatives and corporate projects that sit at the intersection of finance, legal, product, and business strategy. These are complex problems that need an expert owner.
You will also be external-facing when it matters most: presenting and defending Aidoc’s financial positions to investors, auditors, and counterparties as the company scales toward its next phase of growth.

Requirements

• 10+ years of experience in professional finance: tax, technical accounting, or a combination, ideally within a high-growth global technology company or a Big 4 / advisory firm serving similar clients
• A proven track record of working through complex, ambiguous problems with no single right answer: you weigh competing considerations, make trade-offs, and drive to a defensible conclusion
• Deep technical fluency across at least one of: international tax, technical accounting (USGAAP), or structured transactions - combined with genuine curiosity and working knowledge of the others
• Experience building policies from scratch and operationalizing them - you don’t just document; you ensure adoption and follow-through
• Strong cross-functional instincts: you know how to work with Legal, R&D, Product, and business teams, translating finance requirements into practical guidance they can act on.
• Executive presence and communication skills: you can present complex topics clearly to the CFO, and external parties, including investors and auditors
• An ‘operator’s’ mindset: you take ownership, move with urgency, and are comfortable being the sole expert in your domain at this stage of the company’s growth

Responsibilities

• Own, develop, and continuously update Aidoc’s tax & financial policies. This means not just establishing the frameworks, but ensuring teams across the organization understand and operate within them—and revisiting them as the business evolves.
• Build and maintain the global financial policy including our tax and accounting, considering business alignment and risk assessments.
• Drive policy adoption: translate complex technical guidance into operational practice, and ensure clear communication to stakeholders around the ‘why’ behind each policy
• Work closely with Legal, Accounting, and external advisors and represent Aidoc externally on finance-related matters in fundraising, M&A due diligence, and IPO readiness processes
• Own and operate these domain with precision, sophistication and policy-thinking.
• Build and maintain Aidoc’s investment and hedging policies; execute FX risk management and cash optimization strategies
• Manage corporate banking relationships and oversee currency liquidity operations
• Own equity and cap table-related financial management end-to-end: cap table governance, equity compliance, administration of grants and exercises, management of the equity planning pool (including headroom modeling, grant planning, and refresh cycles), dilution monitoring, and coordination with internal and external stakeholders on equity-linked transactions
• A significant portion of this role involves being the go-to for high-stakes, non-recurring projects that require deep financial judgment
• Partner with the organization to assess the financial implications of new products, business models, and strategic transactions, ensuring that the right tax position, accounting treatment and compliance framework are established before decisions are made. Examples include structured partnership agreements (with R&D, and commercial initiatives), R&D capitalization, and new business model launches.
• Lead cross-functional finance workstreams on complex corporate initiatives, coordinating with Legal, external advisors, and business stakeholders to bring ambiguous situations to a clear, defensible conclusion
• Own Aidoc’s finance-side readiness for cybersecurity events: map financial exposures, define the finance team’s role and decision rights during an incident, establish response procedures, and ensure the organization is prepared before an event occurs rather than improvising during one
• Take on hard problems as they arise: exercise judgment on trade-offs, manage uncertainty, and deliver outcomes in areas where there is no established playbook

Benefits

• A range of medical, dental and vision benefits
• Stock options for all full-time employees
• Flexible time off to enjoy the autonomy to take time off as needed to rest and recharge without vacation accrual limits, while coordinating with your manager and team to ensure business continuity and project goals are met.
• A 401(k) plan with company match, life insurance, plus long- and short-term disability
• The opportunity to directly improve medical care and impact patient outcomes

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed