Vice President of Finance

Overview

About Sirona Medical
At Sirona Medical
, we’re building software that enables physicians to work as fast as they can think. Billions of patient images are captured each year in the U.S., and radiologists review and diagnose nearly all of them. Radiologists are central to diagnostic medicine, and over 80% of healthcare data flows through radiology IT systems. Sirona provides RadOS
, a unified, AI-powered operating system powering radiology workflows. We are a San Francisco-based, cloud-native software company with employees worldwide.

Sirona solves the problem by delivering a unified, platform-agnostic solution, a streamlined workspace for radiologists, and the freedom to read from anywhere. By reducing clicks and optimizing diagnostic time, Sirona extends efficiencies beyond the reading room into all care settings.

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Sirona Medical is seeking a strategic, hands-on Vice President of Finance to lead our financial operations, planning, and strategic decision support as we scale. You’ll oversee both Accounting and FP&A, elevate financial rigor, and partner with the CEO and executive team. Reporting to the CEO, you will work with department heads, the board, and external partners to ensure scalable financial systems, reporting, and analytics.

This role is ideal for someone who thrives in fast-paced, high-growth environments and can build a mature, data-driven finance organization.

Headquartered in downtown San Francisco with a remote-first culture, this role requires in-person presence in the SF office 15-20 days per quarter for strategic leadership meetings.

You’ll join a mission-driven team transforming a critical area of healthcare. As Vice President of Finance, you will influence company-wide strategy, own core financial processes, and help build a foundation for global scale. This position offers high visibility, meaningful ownership, and a path toward future executive opportunities.

Strategic Finance & Leadership

• Lead and mature Sirona’s Finance function across Accounting, FP&A, reporting, and operations
• Partner with the CEO and executive team, providing data-driven insights to shape strategy and resource allocation
• Own long-range planning, annual budgeting, quarterly forecasting, and scenario modeling
• Provide regular financial updates and strategic analysis to the board, investors, and executive leadership

Financial Operations & Reporting

• Oversee monthly close, consolidated financial reporting, and compliance, ensuring accuracy and timeliness
• Manage and mentor the finance team, including a Senior Accountant and future FP&A hires
• Maintain robust internal controls, policies, and financial governance

Revenue, SaaS Metrics & GTM Partnership

• Partner with Go-To-Market on pipeline analysis, pricing, renewals, revenue operations, and SaaS unit economics
• Ensure accurate revenue recognition under ASC 606, including multi-entity and international considerations
• Build dashboards, KPI frameworks, and operational reporting for predictable growth

Financial Systems & Scalability

• Own and enhance the company’s financial model to reflect real-time performance and priorities
• Evaluate and implement financial systems, tools, and processes that support scale and automation
• Lead cross-functional initiatives to improve financial efficiency, billing, collections, and cash management

Business Partnering & Decision Support

• Work across Product, Engineering, and Operations to align financial plans with company objectives
• Provide ROI analysis, investment frameworks, and business cases to support strategic initiatives
• Support global expansion, including new market entry, international entity management, and operational readiness

• 7–12 years of progressive finance experience (SaaS startup experience strongly preferred)
• Strong foundation in FP&A, financial modeling, SaaS metrics, and strategic planning
• Background in accounting or a CPA is preferred but not required
• Demonstrated ability to build and lead high-performing finance teams
• Exceptional Excel and financial modeling skills; comfortable owning complex, dynamic models
• Strong…