VP Finance and HR

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Posted Oct 23, 2026

Remote · US Full Time
Est. $160K – $220K/yr

Overview

This role is a fully remote VP Finance position reporting to the Chief Operating Officer. The organization is seeking an experienced finance leader to elevate and lead financial operations while scaling growth following a Series A raise.

Responsibilities

  • Strategic forecasting & modeling: Own and refine financial projection models (revenue, headcount, cash-flow) to drive the strategic roadmap toward cash-flow break-even post-Series A.
  • First 90-day deliverables:
    • Rapidly assess current financial controls.
    • Refine the existing 18-month cash-flow forecast.
    • Establish a streamlined variance analysis reporting cadence for the executive team.
  • Team leadership & delegation: Manage and mentor the existing Finance & HR Manager and Recruiter to ensure smooth day-to-day operations (bookkeeping, AP/AR, payroll, and month-end close) so focus remains on high-impact initiatives.
  • Fundraising & board strategy: Partner with the CEO and COO for venture fundraising by driving data room preparation, cap table scenario modeling, and presenting high-level performance metrics directly to the board.
  • Healthcare commercial analysis: Develop payer- and partner-facing financial models, including unit economics and contract structure analysis for specialty virtual care services, to support commercial and partnership discussions.
  • Cash & resource strategy: Advise leadership on cash management strategy, banking relationships, and optimal budget allocation across clinical and operational departments.
  • Financial reporting & controls: Oversee accurate monthly and quarterly financial reporting and maintain internal controls suitable for a scaling, venture-backed environment, including variance and scenario analyses.
  • Compensation & benefits strategy: Oversee the financial architecture of HR operations, including compensation banding, annual benefits renewal negotiations, and payroll compliance.
  • Headcount planning & HR budgeting: Partner with the Finance & HR Manager to model headcount costs, track employee acquisition spend, ensure HR technology stack alignment with the operational budget, and determine staffing projections.
  • Payroll & compliance oversight: Serve as the final executive escalation point for payroll execution, state-level employment tax compliance, and benefit program funding for a remote workforce.

Requirements

  • 8+ years of progressive finance experience, including experience as a VP of Finance or similar senior finance leader, ideally at a venture-backed startup.
  • Experience working with virtual health care delivery or tech-enabled services companies.
  • Proven track record building financial models, projections, and variance analyses in a fast-growing environment.
  • Experience managing or mentoring finance staff (e.g., a Controller or bookkeeper).
  • Direct experience supporting fundraising processes (e.g., Series A/B diligence, investor reporting).
  • Strong Excel/financial modeling skills.
  • Experience with QuickBooks or a similar accounting system.
  • Experience with enterprise ERP migration is a plus.
  • Comfortable operating with a high degree of autonomy in a full-time, remote capacity.
  • Excellent communication skills—able to translate financial detail into clear, actionable insight for non-finance stakeholders.
  • Sound judgment and discretion handling sensitive financial and cap table information.
  • Must be authorized to work in the United States.
  • Must be based and work in the United States.

Preferred Qualifications

  • Personal passion for health and wellness topics preferred.

Compensation & Benefits

  • Compensation and benefits details were not provided in the source description.

Location

  • Fully remote; based anywhere within the United States.