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Director of Finance

XRHealth

XRHealth

Accounting & Finance
Needham, MA, USA
Posted on Apr 8, 2026

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