Vice President Finance

Company Overview

Exacare ai is a leading health tech company on a mission to build the AI operating system for post-acute care. Our platform turns messy, unstructured referral packets into clear clinical insights and next steps, so teams can make faster, safer placement decisions with less administrative burden. Today, exacare ai powers more than 2,000 facilities, and is growing rapidly.

We recently raised a $30M Series A led by Insight Partners, and are bringing world-class talent together to transform healthcare. If you like building, learning, and want to make a real impact, come join us!

About the Role

As exacare's VP of Finance, you will be responsible for leading all accounting and financial planning and analysis functions, driving strategic financial decisions, and ensuring robust financial health to support our rapid growth. You will ensure financial rigor, forecast accuracy, compliance, and excellent financial health so exacare ai can scale responsibly, raise capital, meet investor expectations, and drive profitable growth. You will balance being hands-on in accounting and operations with strategic financial planning and stakeholder management.

What you’ll do

Strategic Financial Leadership

• Partner with the executive team, and Board on financial strategy, fundraising, capital allocation, and long-term planning.
• Build models, run scenario planning (growth, cost, cash burn, runway).
• Define and monitor key metrics (SaaS-focused: MRR/ARR growth, churn, LTV/CAC, net retention, burn multiple, sales efficiency, etc.).

FP&A, Forecasting & Budgeting

• Lead all aspects of financial planning and analysis, including budgeting, forecasting, long-range planning, and financial modeling to support strategic initiatives and while balancing operational goals.
• Establish and lead the annual & quarterly budgeting process; coordinate budgets across departments.
• Build rolling forecasts, track variances, perform root cause analysis.
• Provide financial insight for hiring and investment decisions.

Accounting, Compliance & Reporting

• Oversee accounting operations: monthly close, AR/AP, revenue recognition (ASC 606), payroll, expense management.
• Ensure compliance with accounting standards, tax, audit, regulatory matters.
• Prepare internal management reporting, investor / Board decks.
• Maintain “audit readiness” for external audits.

Operational Excellence

• Managing and optimizing cash flow, working capital, and capital expenditures to ensure the company’s financial stability and maximize returns.
• Manage relationships with banks, lenders, accountants.
• Select, implement, and optimize financial systems (ERP, billing / revenue recognition, forecasting tools).
• Build scalable processes and controls to enable growth.
• Oversee finance operations: invoicing, collections, payment terms, vendor contracts.

Fundraising and Investor Relations

• Lead debt or equity fundraises. Own financial narrative, data room, and term-sheet modeling for growth equity, PE, and prospective public investors.
• Leading audit and due diligence efforts and financial integration for potential mergers, acquisitions, or strategic partnerships, if applicable.

Team Building & Leadership

• Collaborating cross-functionally with all departments to understand their financial needs, support their growth initiatives, and ensure financial discipline throughout the organization.
• Recruit, mentor, and scale the finance team (Accounting, FP&A, operations, RevOps if under Finance).
• Foster a culture of ownership, transparency, accountability.

What You’ll Bring

• 7+ years of progressive experience in finance
• Strong FP&A toolkit: budgeting, forecasting, scenario modeling, and partnering with leaders on headcount and investment decisions.
• Solid accounting foundation with mastery of SaaS revenue recognition (ASC 606), monthly close, cash management, and audit/tax support.
• Deep familiarity with SaaS metrics (ARR/MRR, net retention, LTV/CAC, burn multiple, sales efficiency) and using them to drive decisions.
• Proven experience owning board and investor reporting, fundraising support (equity and/or debt), and working directly with executives and directors.
• Track record of building and leading lean, high-performing finance teams in fast-paced startup environments.
• Systems and process builder: comfortable selecting and implementing tools (ERP, billing, FP&A/BI) and designing scalable, lightweight processes.

Benefits and perks

• Competitive salary and equity in a high-growth startup
• Flexible PTO, take what you need
• Medical, dental, and vision coverage
• Great startup culture, including ChatGPT premium and company off-sites
• High-achieving team, including ex-Amazon engineers and alumni of Bain, BCG, and Goldman Sachs

An insight into our Core Values

Only the best belong here

We are unapologetic about talent. This should be the best team you have ever been on. Protecting that standard is how we honor each other’s time, ambition, and craft.

We work even harder to keep our partners than we did to earn them initially

The work does not stop when a customer first onboards to our platform. It deepens over time. We partner with operators, listening and learning about real problems, and translate that into solutions that help them succeed in practice. We earn trust through consistent delivery.

We keep the patient downstream of every decision

At the end of the day, this is about the patient. We get there by deeply respecting and reflecting on our purpose: to develop software that aids teams in delivering better care.

Raise the bar on ownership

We grow because people here go beyond the minimum. We invest extra effort, care, and ownership into what we build.

The world is moving fast. We move faster.

This is a race. We work hard, we move early, and we stay ahead of problems and competitors. If we slow down, someone else will pass us.

Radical candor, zero politics

We say what’s true, early, and we keep communication direct and clean so the team can move.

Bring good vibes and win together

We win as a team. We bring energy, support each other, and make the workplace somewhere people are excited to show up.

If this sounds like you, we'd love to have a chat!