Finance & Accounting Manager

Job Title: Finance & Accounting Manager Position Type: Full-Time, Remote Working Hours: U.S. business hours About the Role: We are seeking a highly analytical and hands-on Finance & Accounting Manager to take ownership of financial operations and support strategic decision-making in a fast-paced, growth-oriented environment. This role combines day-to-day accounting with forward-looking financial planning. You will be responsible for maintaining financial accuracy, managing cash flow, building forecasts, and supporting leadership with insights that drive business decisions. The ideal candidate is detail-oriented, proactive, and comfortable operating independently in a startup setting. Responsibilities: Financial Operations & Accounting - Manage day-to-day bookkeeping, general ledger, and financial record-keeping. - Maintain accurate financial data within QuickBooks. - Oversee accounts payable/receivable and ensure proper documentation and controls. Cash Flow & Financial Health - Monitor cash flow, liquidity, and overall financial health on a weekly basis. - Track burn rate and maintain accurate runway projections. - Provide insights into financial sustainability and risk areas. Reporting, Budgeting & Analysis - Prepare monthly, quarterly, and annual financial reports for leadership. - Build and maintain financial forecasts and projections. - Develop and manage budgets, tracking actuals vs. planned spend. Strategic Finance & Decision Support - Support leadership with financial analysis for key business decisions. - Build financial models for growth initiatives and new opportunities. - Contribute to long-term financial planning and strategy. KPI & Operational Metrics - Define and track financial and operational KPIs. - Analyze revenue trends, cost drivers, and performance metrics. Tax Strategy & Compliance - Coordinate with external accountants or partners for tax compliance. - Support tax filings, audits, and regulatory requirements. Systems & Process Improvement - Improve financial processes, reporting systems, and workflows. - Maintain financial dashboards and reporting models. Growth & Scaling Support - Prepare financial reports and materials for investors or fundraising. - Support scaling of the finance function as the business grows. What Makes You a Perfect Fit: - Strong ownership mindset with the ability to work independently. - Detail-oriented with a high standard for accuracy and organization. - Comfortable operating in a fast-paced startup environment. - Analytical thinker who can translate data into actionable insights. - Proactive in identifying financial risks and opportunities. Required Experience & Skills (Minimum): - 3–7+ years of experience in accounting, finance, or a related role. - Strong hands-on experience with QuickBooks. - Advanced proficiency in Excel or Google Sheets for financial modeling and tracking. - Experience managing financial reporting, budgeting, and cash flow. - Strong understanding of financial statements and accounting principles. - Ability to work independently and manage multiple priorities. - Excellent written and verbal communication skills. Ideal Experience & Skills: - Experience working in a startup or high-growth environment. - Exposure to healthcare or multi-entity business structures. - Familiarity with cash vs. accrual accounting transitions. - Experience supporting investor reporting or fundraising processes. - CPA certification or progress toward certification. What Does a Typical Day Look Like? A Finance Manager’s day is centered around maintaining financial accuracy while supporting business decisions. You will: - Manage bookkeeping and update financial records. - Monitor cash flow and track financial performance. - Prepare reports and analyze financial data. - Collaborate with leadership on planning and strategy. - Improve financial processes and systems. In essence: you are the financial backbone of the business, ensuring clarity, accuracy, and informed decision-making. Key Metrics for Success (KPIs) - Accuracy and timeliness of financial reporting. - Cash flow visibility and financial stability. - Budget adherence and forecasting accuracy. - Quality of financial insights provided to leadership. - Efficiency of financial processes and systems. Interview Process: - Initial Phone Screen - Video Interview with Recruiter - Client Interview - Offer & Onboarding