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Director of Finance

XRHealth, Needham Heights, MA, United States


Director of Finance Position Overview We are seeking a strategic and hands‑on Director of Finance to join our growing leadership team. The Director of Finance will serve as a key business partner supporting financial planning, operational scalability, and data‑driven decision‑making across the organization.

This role requires a leader with:

7+ years of progressive finance experience in high‑growth environments

Prior Big 4 or public accounting background (CPA preferred)

Experience in VC‑backed or PE‑backed companies

Strong expertise in corporate finance and financial planning & analysis

Familiarity with blended hardware + SaaS revenue models

Healthcare, medtech, or healthtech experience preferred

Key Responsibilities Financial Planning & Analysis (FP&A)

Build and maintain robust forecasting models for hardware sales, SaaS ARR, and blended margins

Own KPI dashboards tracking revenue, CAC/LTV, gross margin by segment, and cash burn

Drive unit economics analysis and identify opportunities for operational efficiency

Lead annual budgeting process and maintain rolling forecasts

Accounting & Controls

Support accounting operations including revenue recognition (ASC 606), inventory accounting, and cost accounting across all countries and departments

Ensure GAAP and tax compliance

Contribute to scalable financial systems and internal controls

Support the audit process and coordinate with external auditors

Corporate Finance Support

Assist with financial modeling for fundraising, strategic financing, and scenario planning

Support investor reporting and preparation of board materials

Contribute to valuation analysis and M&A or IPO readiness initiatives

Operations & Cross‑Functional Partnership

Partner with Operations on supply chain, hardware COGS, and inventory planning

Collaborate with Commercial teams on pricing strategy and margin analysis

Support Product and R&D with capital allocation insights

Contribute to finance team development and process improvement initiatives

Risk & Compliance

Support healthcare regulatory financial compliance (as applicable)

Assist with risk management, treasury, and working capital optimization

Help maintain and update Accounting Policies, Processes, Procedures, and Controls

Support Transfer Pricing Masterfile maintenance and accuracy

Ideal Candidate Profile Experience

7+ years in finance roles with increasing responsibility, including 2+ years in a senior finance or director‑level capacity

Experience in VC‑backed or high‑growth technology companies ($20M–$100M+ revenue preferred)

Public accounting or Big 4 background preferred (CPA preferred)

Exposure to blended revenue models (hardware + SaaS)

Healthcare, medtech, or digital health industry experience preferred

Statutory and tax compliance

Core Competencies

Strong FP&A and financial modeling skills

Solid understanding of SaaS metrics (ARR, churn, LTV/CAC)

Hardware margin and supply chain financial acumen

Proficiency in financial systems and BI/reporting tools

Clear and effective communicator with cross‑functional stakeholders

Data‑driven mindset with strong attention to detail

Leadership Attributes

Hands‑on executor comfortable in fast‑paced, scale‑up environments

Collaborative team player with strong cross‑functional partnership skills

High integrity and governance mindset

Ability to manage multiple priorities and deadlines effectively

Education & Credentials

Bachelor's degree in Finance, Accounting, Economics, or related field

MBA a plus

CPA preferred

Prior Big 4 or public accounting experience preferred

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