Vice President of Finance

We are a trailblazing health tech company on a mission to revolutionize the nursing home & post acute space. Our innovative AI software is transforming the admissions process and care delivery in these settings. We’ve just raised $30M and are experiencing rapid growth. We are looking for a VP of Finance to join our growing team.

As Exa Care’s VP of Finance, you will be responsible for leading all accounting and financial planning and analysis functions, driving strategic financial decisions, and ensuring robust financial health to support our rapid growth. You will ensure financial rigor, forecast accuracy, compliance, and excellent financial health so Exa Care can scale responsibly, raise capital, meet investor expectations, and drive profitable growth.

You will balance being hands‑on in accounting and operations with strategic financial planning and stakeholder management.

• Partner with the executive team, and Board on financial strategy, fundraising, capital allocation, and long‑term planning.
• Define and monitor key metrics (SaaS‑focused: MRR/ARR growth, churn, LTV/CAC, net retention, burn multiple, sales efficiency, etc.).

• Lead all aspects of financial planning and analysis, including budgeting, forecasting, long‑range planning, and financial modeling to support strategic initiatives and while balancing operational goals.
• Establish and lead the annual & quarterly budgeting process; coordinate budgets across departments.
• Build rolling forecasts, track variances, perform root cause analysis.
• Provide financial insight for hiring and investment decisions.

• Oversee accounting operations: monthly close, AR/AP, revenue recognition (ASC 606), payroll, expense management.
• Ensure compliance with accounting standards, tax, audit, regulatory matters.
• Prepare internal management reporting, investor / Board decks.
• Maintain “audit readiness” for external audits.

• Managing and optimizing cash flow, working capital, and capital expenditures to ensure the company’s financial stability and maximize returns.
• Manage relationships with banks, lenders, accountants.
• Select, implement, and optimize financial systems (ERP, billing / revenue recognition, forecasting tools).
• Build scalable processes and controls to enable growth.
• Oversee finance operations: invoicing, collections, payment terms, vendor contracts.

• Lead debt or equity fund raises. Own financial narrative, data room, and term‑sheet modeling for growth equity, PE, and prospective public investors.
• Leading audit and due diligence efforts and financial integration for potential mergers, acquisitions, or strategic partnerships, if applicable.
• Collaborating cross‑functionally with all departments to understand their financial needs, support their growth initiatives, and ensure financial discipline throughout the organization.
• Recruit, mentor, and scale the finance team (Accounting, FP&A, operations, Rev Ops if under Finance).
• Foster a culture of ownership, transparency, accountability.

• 7+ years of progressive experience in finance
• Strong FP&A toolkit: budgeting, forecasting, scenario modeling, and partnering with leaders on headcount and investment decisions.
• Solid accounting foundation with mastery of SaaS revenue recognition (ASC 606), monthly close, cash management, and audit/tax support.
• Deep familiarity with SaaS metrics (ARR/MRR, net retention, LTV/CAC, burn multiple, sales efficiency) and using them to drive decisions.
• Proven experience owning board and investor reporting, fundraising support (equity and/or debt), and working directly with executives and directors.
• Track record of building and leading lean, high‑performing finance teams in fast‑paced startup environments.
• Systems and process builder: comfortable selecting and implementing tools (ERP, billing, FP&A/BI) and designing scalable, lightweight processes.

• Competitive salary and equity in a high‑growth startup
• Flexible PTO, take what you need
• Medical, dental, and vision coverage
• Great startup culture, including ChatGPT premium and company off‑sites
• High‑achieving team, including ex‑Amazon engineers and alumni of Bain, BCG, and Goldman Sachs