Strategic Finance Lead

Ambience HealthcareSan Francisco, CA
$190,000 - $225,000Remote

About The Position

Ambience is looking for a Strategic Finance / FP&A Lead to own and scale the company's financial forecasting, planning, and reporting infrastructure. In this role, you will build and maintain the financial models that drive high-confidence decision-making across GTM, Product, and Executive leadership. You will bring discipline to top-line modeling, support investor and board storytelling, and partner with accounting to ensure forecasting practices are GAAP- and audit-ready. This is not a back-office finance role. You will be embedded in the business, working directly with sales, product, and operations leaders to translate operational reality into forward-looking financial visibility. The right person combines deep SaaS finance fluency with the ability to operate independently in a fast-moving, high-growth environment.

Requirements

  • 6-10 years in strategic finance, FP&A, or investment banking with progression into operating roles at high-growth SaaS or technology companies.
  • Direct experience owning company-wide financial models and annual planning processes, including multi-year P&L forecasting and scenario analysis.
  • Strong fluency in SaaS metrics, cohort-based revenue modeling, and enterprise sales finance (pipeline conversion, rep productivity, CARR/ARR).
  • Demonstrated ability to partner cross-functionally with GTM, Product, and G&A leaders to align financial planning with business strategy.
  • Excellent executive communication: translates complex financial models into crisp, defensible insights for leadership and board audiences.
  • High ownership mentality: independently manages forecast updates, builds repeatable processes, and drives automation without hand-holding.

Nice To Haves

  • Healthcare or other regulated industry experience.
  • Experience partnering closely with Accounting on GAAP revenue recognition, close processes, and audit readiness.
  • Familiarity with modern planning and BI tools such as Adaptive, Pigment, Sigma, or similar.
  • Experience supporting fundraising processes or investor relations at a venture-backed company.
  • Background in management consulting or investment banking prior to operating roles.

Responsibilities

  • Fully own and maintain Ambience's 2-year financial model and rolling P&L forecast, including version control, updates, and internal distribution.
  • Lead the annual planning process end-to-end, including bottoms-up budgeting, goal alignment with department leads, and integration into the operating model.
  • Establish and run a monthly reporting cadence for forecast vs. actuals, including budget variance analysis, cash forecasting, and key variance commentary.
  • Lead financial preparation for quarterly board meetings, including top-line forecast updates, performance narratives, and investor-ready materials.
  • Build forecasting engines that link rep capacity, pipeline stages, and pricing into revenue forecasting, partnering with GTM and RevOps to validate assumptions.
  • Represent finance at deal desk to ensure effective margin representation across customer engagements.

Benefits

  • Comprehensive medical, dental, and vision coverage for you and your dependents
  • 401(k) with a company match of up to 3% of base salary
  • A remote-friendly culture (with a San Francisco HQ) and full equipment provisioning to ensure you can work effectively from wherever you’re based.
  • Parental leave to support your family needs
  • Annual company-wide off-sites, team off-sites and regular team lunches and all-hands gatherings, with travel, lodging and meals covered
  • Flexible time off with no annual cap, company-wide holidays and an annual holiday shutdown from December 24–January 1 designed to support real rest and long-term sustainability.
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