Principal (Boston or San Francisco)

Foreground Capital•Boston, MA

2d•Hybrid

About The Position

Foreground Capital is a San Francisco- and Boston-based venture capital firm focused on transforming women’s health. Investing out of Fund III, the firm backs early-stage companies across therapeutics, medical devices, diagnostics, and tech-enabled healthcare services. The Principal will lead and support investments across these areas, with significant responsibility and autonomy in a senior investing role. The position is based in Boston or San Francisco, operates in a hybrid work environment, and requires travel as needed. The Principal will manage deals end-to-end, from sourcing and diligence through investment recommendations, board representation, and exit. They will work closely with the Managing Partners on investment decisions and broader firm priorities, and collaborate with all team members. The role offers an opportunity to help build a franchise in women’s health investing, with a path to Partner for the right candidate.

Requirements

Demonstrated passion for women’s health and its potential to transform care.
At least 7 years of relevant experience, including at least 3–4 years of venture capital investing at a healthcare-focused fund.
Demonstrated investment track record in sourcing, evaluating, executing, and creating value in investments.
Ability to evaluate opportunities across multiple healthcare business models, with demonstrated depth in at least one, such as life sciences, digital health, or tech-enabled services.
Ability to assess scientific, clinical, regulatory (FDA), reimbursement, and commercial risk in early-stage companies.
Deep understanding of the U.S. healthcare ecosystem, including providers, payers, employers, pharma, and medtech.
Strong financial and analytical skills, including modeling, valuation, and venture return analysis.
Established network across founders, co-investors, clinicians, and industry.
Clear, persuasive written and verbal communication skills, including preparation of investment memos and presentations to an investment committee and LPs.
Sound judgment, high integrity, and ability to build trust with entrepreneurs, partners, and investors.
Ability to take ownership of workstreams while collaborating closely with the Managing Partners and broader team in a small, entrepreneurial environment.
Bachelor’s degree required.

Nice To Haves

Advanced degree, such as an MBA, PhD, or other relevant degree.
Board or board observer experience at venture-backed companies.
Operating, clinical, or scientific experience, such as drug or device development, clinical practice, or building a digital health company.
Experience in multiple segments, for example therapeutics plus digital health or tech-enabled services.
Prior experience in a women’s health or adjacent company or fund.
Experience supporting fund formation and LP fundraising.
Demonstrated investment outcomes, including realized exits, markups, or meaningful portfolio value creation.

Responsibilities

Lead sourcing of early-stage investment opportunities across women’s health and build a proprietary pipeline through founders, scientists, clinicians, academic centers, accelerators, and co-investors.
Develop investment theses in priority areas and identify opportunities across life sciences, devices, diagnostics, digital health, and tech-enabled services.
Lead full-cycle due diligence, assessing scientific, clinical, regulatory, reimbursement, commercial, and team risks; engage and manage outside experts and consultants.
Build and review financial models, valuations, and return analyses appropriate to each business model.
Author investment memos and present clear, well-supported recommendations to the Managing Partners and Investment Advisory Committee.
Drive deal execution, including term sheet negotiations, syndicate building, co-investor communications, and coordination with legal counsel.
Serve as a board director or observer at select portfolio companies, as appropriate.
Advise founders on clinical development, regulatory and reimbursement strategy, go-to-market, hiring, and follow-on financing.
Monitor portfolio performance, evaluate follow-on investment opportunities, and develop recommendations on exit strategies.
Help design and run portfolio support programs, including founder convenings, webinars, and retreats.
Support fundraising, including engagement with current and prospective Limited Partners, LP meetings, preparation of materials, and due diligence.
Support investor relations, including the annual LP meeting and Annual Impact Report.
Represent Foreground at conferences and on panels, and contribute written thought leadership.
Build relationships with peer investors, strategics, and industry leaders to strengthen deal flow and syndication.