Director of Finance at XRHealth – Needham, Massachusetts

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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• Bachelor's degree in Finance, Accounting, Economics, or related field
• MBA a plus
• CPA preferred
• Prior Big 4 or public accounting experience preferred