VP of Finance in Needham, Massachusetts at XRHealth

XRHealth is a pioneering digital health company at the intersection of extended reality (XR) and evidence-based therapeutics. Our FDA-cleared platform delivers immersive, data-driven rehabilitation and mental health solutions across clinical and home settings. As we scale our commercial footprint and pursue strategic growth initiatives — including partnerships, M&A activity, and new care delivery models, we are building out a world-class finance function to support our next chapter.
The Vice President of Finance will serve as a strategic financial leader and trusted partner to the CEO and executive team. This is a hands-on, high-impact role suited for a finance executive who thrives in a fast-moving, mission-driven environment. The VP of Finance will own the full spectrum of financial planning, reporting, and operational finance, while helping shape the company's growth strategy through rigorous analysis and sound financial judgment.
Financial Strategy & Planning

• Lead annual budgeting, multi-year financial modeling, and rolling forecasts in close partnership with the CEO and department heads
• Develop and maintain financial models to support strategic decisions including pricing, market expansion, partnerships, and capital allocation
• Translate financial data into clear, actionable insights for executive leadership and the Board of Directors

Reporting & Controllership

• Oversee accurate and timely preparation of monthly, quarterly, and annual financial statements in accordance with GAAP
• Establish and strengthen internal controls, policies, and procedures to ensure financial integrity across all entities
• Manage external auditors, tax advisors, and banking relationships

Operational Finance

• Partner with Revenue Cycle, Clinical Operations, and Commercial teams to optimize revenue recognition, billing processes, and reimbursement workflows
• Own cash flow management, treasury functions, and working capital optimization
• Evaluate and improve financial systems and tools to enhance scalability and reporting efficiency

M&A & Corporate Development

• Support due diligence, financial structuring, and integration activities related to acquisitions, partnerships, and operating agreements
• Lead financial modeling for transaction scenarios including valuations, earnouts, and go-forward P&L projections

Team & Cross-Functional Leadership

• Build and mentor a high-performing finance team as the organization scales
• Serve as a key cross-functional partner to HR, Legal, Operations, and Commercial leadership
• Prepare Board-level financial presentations and investor materials

Required

• Bachelor's degree in Finance, Accounting, Economics, or a related field; MBA or CPA strongly preferred
• 8–12+ years of progressive finance experience, with at least 3–5 years in a senior finance leadership role
• Proven experience in a healthcare, digital health, SaaS, or life sciences environment
• Strong command of GAAP, financial modeling, and financial reporting
• Demonstrated ability to operate effectively in a lean, high-growth company environment
• Experience managing or supporting M&A transactions, due diligence, or integration finance
• Excellent executive communication skills, able to distill complexity for diverse audiences

Preferred

• Experience with multi-entity corporate structures and intercompany accounting
• Familiarity with healthcare revenue cycle, insurance reimbursement, or DME billing
• Prior experience supporting venture-backed or PE-backed companies
• Proficiency with NetSuite, Rippling, or similar ERP/HRIS platforms

This is a hybrid role based in Needham, MA area. The VP of Finance will be expected to be on-site at our Boston headquarters on a regular basis, with flexibility for remote work. Occasional travel may be required for investor meetings, site visits, and corporate development activities.
XRHealth offers a competitive compensation package commensurate with experience, including:

• Base salary commensurate with experience
• Performance-based bonus
• Equity participation
• Comprehensive health, dental, and vision benefits
• 401(k) plan
• Flexible PTO and paid holidays
• Opportunity to grow with a mission-driven company transforming how healthcare is delivered