Head of Finance

Job description

About Foundation Health Foundation Health is an AI operating system for pharmacy - built by a team who lived the problem firsthand, not one that came to healthcare from the outside. Every day, prior authorizations delay prescriptions, pharmacists lose hours to paperwork instead of patients, and prescriptions slip through the cracks between health systems. We believe thoughtfully applied AI can finally change that - deep, integrated infrastructure that streamlines how care is coordinated, purpose-built for the complexity of specialty pharmacy. We're building toward a world where pharmacy teams spend their time on patients, not paperwork - where AI handles the routine so clinicians can focus on what only humans can do. Getting there takes the right people. We're looking for curious, ambitious folks who want to help solve healthcare's hardest problems - for our patients, our partners, and each other. THE ROLE In a high-growth environment, finance isn't just about accounting; it's about resource orchestration. As our Head of Finance, you will sit at the intersection of strategy and execution. Your journey begins by translating our capital and momentum into strategic growth, ensuring our resources are deployed with precision. In the early days, you will be a builder. You’ll own and scale the entire finance function from the ground up, implementing the financial infrastructure and "cutting-edge" tools required for a high-growth US startup. You will shift us from foundational setups to high-fidelity reporting, giving our leadership team crystal-clear visibility into revenue, burn, and margins. As we scale, your role shifts from builder to architect. You will become the primary strategic partner to our CEO, modeling our next big moves, evaluating new market opportunities, and leading the charge on future fundraises. You won’t just be reporting on the past; you’ll be the person architecting our financial future. THE PATH AHEAD This role is designed for a high-trajectory leader who has played a key role in the scaling phase of a successful startup and is now ready to own the entire function. WHAT YOU’LL OWN While this is a strategic leadership role, the foundations must be rock solid. You will be responsible for: - Strategic Planning: Lead financial forecasting, budgeting, and long-term planning (runway, burn, and growth scenarios) while developing robust sales and revenue models. - Operational Excellence: Oversee day-to-day accounting operations, including AP, AR, payroll, and cash flow management. - Financial Reporting: Own monthly board packs and financial reporting, translating data into actionable recommendations for the leadership team. - Partner with the CEO in board and investor interactions, providing clear financial narrative and insight - Infrastructure & Compliance: Evolve our finance tech stack by selecting and implementing modern, scalable systems. You will also manage US federal and state tax obligations in coordination with external vendors. - Performance Tracking: Build visibility into core financial metrics, including unit economics, margins, and department-level budgeting. - Team Growth: Build and scale the finance function over time, including hiring and developing a high-performing team.” - Risk Management and Controls: Establish financial controls, risk management frameworks, and audit readiness as the company scales. - Treasury & Capital Efficiency: Drive capital allocation decisions to balance growth, efficiency, and runway. - Strategic Finance: Support strategic initiatives such as partnerships, acquisitions, or new market entry through financial evaluation. THE ESSENTIALS - Location: Remote (US-based). - Experience: Proven experience in a high-growth startup or scale-up environment (ideally Series A to C) and experience with managing the finances in multinational organisations - Financial Rigor: A strong grasp of US GAAP, revenue recognition, and modern finance tools. - Strategic Partnership: Ability to act as a commercial partner to the CEO, owning financial inputs into pricing, deal structuring, and revenue strategy, expansion, and fundraising strategy. - Mindset: Strategic, proactive, and deeply analytical. You don't wait for instructions; you identify the levers that move the needle. - Tooling: Experience with Quickbooks online - Proven ability to act as a commercial and strategic partner to the CEO, shaping pricing, growth, and capital strategy NICE TO HAVES - Background in SaaS, API, or healthcare-related business models. - Direct exposure to investor relations and the fundraising process. - Experience implementing enterprise-level scalable systems (e.g., NetSuite).