About ExaCare AI 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 1,500 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 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 Impact We are committed to being a force for good and leaving a lasting, meaningful impact on society. From the products we create and the services we provide, to the way we interact with our employees and customers.

Accountability We are accountable to each other and the communities in which we operate. We take ownership of our mistakes and work to correct them, and we hold ourselves and each other accountable for delivering on our promises and commitments.

Ownership We give everyone ownership of their tasks and projects and everyone is expected to be proactive in finding solutions and overcoming challenges.

Sense of Urgency We value speed and efficiency in everything we do. We strive to continuously improve our processes and find ways to do things faster, without sacrificing quality or attention to detail.

Answer First We value proactive problem-solving. Instead of bringing questions or problems, whenever possible, we bring proposed answers. It's important for us to lead with an answer or solution, but to be flexible to others feedback.

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