VP of Finance

XRHealth•Needham, MA

3d•Hybrid

About The Position

XRHealth is a pioneering digital health company at the intersection of extended reality (XR) and evidence-based therapeutics. Our FDA-cleared platform delivers immersive, data-driven rehabilitation and mental health solutions across clinical and home settings. As we scale our commercial footprint and pursue strategic growth initiatives — including partnerships, M&A activity, and new care delivery models, we are building out a world-class finance function to support our next chapter. The Vice President of Finance will serve as a strategic financial leader and trusted partner to the CEO and executive team. This is a hands-on, high-impact role suited for a finance executive who thrives in a fast-moving, mission-driven environment. The VP of Finance will own the full spectrum of financial planning, reporting, and operational finance, while helping shape the company's growth strategy through rigorous analysis and sound financial judgment.

Requirements

Bachelor's degree in Finance, Accounting, Economics, or a related field; MBA or CPA strongly preferred
8–12+ years of progressive finance experience, with at least 3–5 years in a senior finance leadership role
Proven experience in a healthcare, digital health, SaaS, or life sciences environment
Strong command of GAAP, financial modeling, and financial reporting
Demonstrated ability to operate effectively in a lean, high-growth company environment
Experience managing or supporting M&A transactions, including due diligence, financial structuring, and post-close integration finance
Excellent executive communication skills — able to distill complexity for diverse audiences
Experience with MSO/MSA structures and DME billing, reimbursement workflows, or healthcare revenue cycle management
Prior experience as a finance leader in a venture-backed or PE-backed company, ideally through a fundraising round or liquidity event
Experience with debt financing, including securing credit facilities, venture debt, or other structured financing arrangements
Strong FP&A capabilities, including scenario modeling, cash runway management, and Board-level financial reporting

Nice To Haves

Experience with multi-entity corporate structures and intercompany accounting
Proficiency with NetSuite, Rippling, or similar ERP/HRIS platforms

Responsibilities

Lead annual budgeting, multi-year financial modeling, and rolling forecasts in close partnership with the CEO and department heads
Develop and maintain financial models to support strategic decisions including pricing, market expansion, partnerships, and capital allocation
Translate financial data into clear, actionable insights for executive leadership and the Board of Directors
Oversee accurate and timely preparation of monthly, quarterly, and annual financial statements in accordance with GAAP
Establish and strengthen internal controls, policies, and procedures to ensure financial integrity across all entities
Manage external auditors, tax advisors, and banking relationships
Partner with Revenue Cycle, Clinical Operations, and Commercial teams to optimize revenue recognition, billing processes, and reimbursement workflows
Own cash flow management, treasury functions, and working capital optimization
Evaluate and improve financial systems and tools to enhance scalability and reporting efficiency
Support due diligence, financial structuring, and integration activities related to acquisitions, partnerships, and operating agreements
Lead financial modeling for transaction scenarios including valuations, earnouts, and go-forward P&L projections
Build and mentor a high-performing finance team as the organization scales
Serve as a key cross-functional partner to HR, Legal, Operations, and Commercial leadership
Prepare Board-level financial presentations and investor materials