Finance Manager

Medsien is a leading provider of scalable remote care management, enabling healthcare practices to enhance patient engagement, improve outcomes, and optimize operational efficiency. Hundreds of organizations trust Medsien’s unparalleled technology solutions to implement exceptional remote care management programs, personalize every interaction, and improve the lives of those who need it most. We are committed to innovation, collaboration, and the delivery of exceptional service to our clients and their patients.

Based in San Francisco and venture-backed by top-tier investors, Medsien was founded to reimagine remote care management.

More than 60% of all U.S. adults—over 150 million people—live with at least one chronic condition, which requires dedicated, ongoing medical support outside the four walls of their doctor’s office. Yet, only 20% of these patients have access to remote care from the comfort of their homes, putting their health at significant risk. Together, we can save lives and create a real impact.

We seek a dynamic , results-oriented Finance Manager
to lead the financial operations and report directly to the COO .

As a Finance Manager , you will:

• Lead Medsien’s financial planning, budgeting, forecasting, and management reporting processes.
• Build and maintain financial models that support short-term execution and long-term strategic planning.
• Develop accurate revenue, expense, headcount, cash-flow, and profitability forecasts.
• Analyze company performance against budget, forecast, and prior periods, identifying key drivers, risks, and opportunities.
• Create clear financial reports, KPI dashboards, and executive-level insights for CEO, COO and other company leaders.
• Partner with Sales, Operations, Engineering, Marketing, Patient Growth, and other teams to build departmental plans and improve financial accountability.
• Evaluate pricing, customer profitability, unit economics, margins, investments, hiring plans, and resource-allocation decisions.
• Build financial models for new products, programs, partnerships, and strategic initiatives.
• Support cash management, runway planning, scenario analysis, and capital-planning decisions.
• Partner with internal and external accounting resources to ensure financial reporting is accurate, timely, and aligned with the company’s planning needs.
• Improve the reliability, consistency, and automation of financial data, reporting, and forecasting processes.
• Establish scalable financial planning processes and operating rhythms as Medsien continues to grow.
• Support board, investor, lender, financing, and due diligence materials as needed.
• Serve as a strategic finance partner to leadership by turning financial and operational data into clear recommendations and decisions.

• 6+ years of progressive experience in strategic finance, FP&A, financial planning, or a related finance role,
• Strong experience building and maintaining financial models, budgets, forecasts, cash-flow projections, and long-range plans,
• Demonstrated ability to analyze business performance, identify meaningful trends, and translate financial data into actionable recommendations,
• Experience developing management reporting, KPI dashboards, budget-to-actual analyses, and executive-level financial presentations,
• Strong understanding of financial statements, accrual accounting, revenue, expenses, cash flow, and the relationship between operational and financial performance,
• Experience partnering with business leaders to evaluate investments, headcount, pricing, resource allocation, and other strategic decisions,
• Advanced Excel or Google Sheets skills, including the ability to build reliable and scalable financial models,
• Strong analytical judgment, attention to detail, and ability to independently manage…