VP of Finance

Overview

Axil Health is a privately owned pharmacist collective offering both independent pharmacy, consulting, and clinical services located inside established medical facilities. The Vice President of Finance (VP of Finance) will serve as a strategic partner to the CFO & CEO, Executive Team and Board owning the company’s financial strategy, capital planning, and operational finance functions. This role requires a hands-on leader who can balance tactical execution with long-term planning.

• Must be able to work on-site in Raleigh, NC (if necessary, relocation to the Raleigh area within 3 months).
• Reports directly to CFO and CEO while partnering closely with Executive Team and external advisors.
• Plays a pivotal role in investor relations, compliance, and company growth trajectory.

• Financial Strategy & Planning:
  Own budgets, forecasts, and long-range planning to align capital allocation with growth priorities.
• Drive Fundraising Efforts:
  Build financial models, investor materials, manage data room, and lead diligence for equity raises or credit facilities.
• Participate in preparing investor presentations (“Pitch Decks”) and Board presentations when needed in addition to presenting information to both external and internal audiences.
• Unit Economics & Pricing:
  Develop deep understanding of margins (per patient, per provider, per deployment) and participate in pricing strategies.
• Revenue Cycle & Compliance:
  Oversee billing and collections.
• Responsible for all AR-AP duties in conjunction with FP&A team (Financial Planning & Analysis).
• Operational Finance:
  Build systems for accounting, FP&A and KPI dashboards; manage audit and tax.
• Cost Discipline:
  Identify levers for efficiency (headcount, vendor contracts, tech tools).
• Board & Investor reporting:
  Deliver timely, clear reporting with insights (not just numbers).
• Lead in reporting out necessary information to current investors and shareholders.
• Maintain company Cap Table tracking and manage CARTA or any other entity that is responsible for investor tracking and 409A.
• Process & People Building:
  Build scalable finance/accounting team and processes that are tied to and support company growth trajectory.
• Manage the outside accounting team.
• Manage the outside tax accounting firms to evaluate and choose to file taxes and related documents as required.
• Conduct weekly finance meetings with core finance team.
• Lead Annual budgeting process for the company and prepare periodic updates throughout the year.
• Lead general insurance and worker’s compensation policies, health plan, annual renewal and vetting process.

• Experience:
  
  5–15 years in finance roles; which could include 2–3 years in investment banking, private equity, or VC role, and/or 2–5 years as VP/Director of Finance at a venture-backed startup.
• Industry Knowledge:
  Exposure to healthcare services, payers/providers, or healthcare revenue cycles.
• Technical
  
  Skills:
  
  Mastery of financial modeling (build flexible 3-statement and scenario models with clear sensitivity analyses); proficiency with implementing finance/accounting systems (i.e. Net Suite, Quick Books, Adaptive, Mosaic).
• Capital Markets:
  Proven track record with venture fundraising, debt financing, investor relations, and cap table management.
• Compliance:
  Knowledge of CMS reimbursement, tax reporting, and Delaware C-Corp compliance.
• Leadership:
  Demonstrated ability to present complex financial insights simply to a variety of audiences (investors, Board of Directors, C-Suite, peers and direct reports); experience building finance teams and scalable processes.
• Mindset:
  Analytical and strategic thinker with scrappy, hands-on approach; able to execute day to day tasks while designing systems for scalability and growth.

• Ability to use a keyboard to enter and retrieve data.
• Must have good eyesight to view computer monitor and phone.
• Lifting and/or carrying of 5 to 20 lbs.
• Willing to travel