Vice President of Finance

About Tiny Health

Tiny Health is advancing lifelong health, from the first 1,000 days to the last, and addressing chronic disease through precision microbiome science. Founded in 2020 and built by microbiome scientists and physicians, our testing platform reveals whether your microbiome is trending toward resilience or imbalances using shotgun metagenomics, proprietary AI, and one of the world's largest longitudinal datasets. Trusted by families and health practitioners alike, our research-backed gut and vaginal tests are redefining the microbiome as a cornerstone of personalized health through every life stage. Learn more at tinyhealth.com and poweredbytiny.com.

The Opportunity

As our VP of Finance, you will own and bring discipline to Tiny Health's finance function at a pivotal moment in our growth. You will build the operating rhythm that keeps the business steered month to month, from a reliable forecast that reconciles against actuals to a monthly business review where every meaningful variance gets a real decision. You will also supply the financial rigor behind how we allocate capital and raise it as we scale through our Series B and beyond.

This is a builder's role. You will start hands-on across the full scope of finance and, over your first year, hire and ramp the team beneath you so you can move from day-to-day execution into true financial partnership with the leadership team. This position reports to our Founder/CEO and Co-Founder/COO.

What You’ll Do

• Own a monthly forecast-to-actuals reconciliation and a driver-based rolling forecast, and tighten the close over the year so re-forecasting is fast

• Run a monthly business review where every meaningful variance gets a documented call to hold, reallocate, or cut

• Evaluate, select, and implement the financial systems stack, then run the next annual planning cycle on it

• Inform business decision making to executive leadership through provision of timely, accurate and succinct financial health information

• Regularly collaborate in async and live discussions with Leadership, informing strategic growth of the company

• Hire and ramp a controller and an FP&A analyst, and move from execution into financial partnership

Qualifications

Required

• 10+ years in finance, including a senior FP&A or finance-leadership role

• Have personally owned a monthly close end-to-end and know where closes break

• Can build a driver-based forecast where a change in a current-month actual flows through to full-year guidance and operational inputs like inventory

• Have evaluated and implemented a financial systems stack, including the judgment to call whether new systems were warranted at all

• Comfortable owning a broad, under-resourced scope solo, triaging deliberately, before the team is built beneath you

• Experience operating in a venture-backed, high-growth environment

• Strong written communication: can explain a complex financial decision so someone outside finance can act without a follow-up call

Preferred

• Have hired and built a small finance team (controller, FP&A)

• Comfortable with revenue-timing and cash-flow nuances like deferred revenue, or quick to get up to speed on them

• DTC / consumer or healthcare / diagnostics domain experience

• Can move a skeptical decision-maker on the strength of the argument, not the title

• CPA or equivalent

• Have been through a priced equity round (Series A/B) on the company side

How we work

• A mission that actually pulls people in
  We make the microbiome measurable and actionable at every life stage, and real people write in to say it's life-changing.

• Remote-first, real overlap
  Our FTEs are based in North America and work core hours from 9am–6pm CST, shiftable by up to two hours either way — start at 7am or 11am, wrap at 4pm or 8pm.

• Written first, huddle second, meet last
  Default to a clear Slack post, huddle when a thread stalls, and meet only to make a real decision.

• Fast, but never sloppy
  Do the two-month thing in two weeks, then check the work—shipping errors is rework, not speed.

• Shape what we build, not just how we build it
  There's no playbook waiting for you, so write it—and bring the alternative, not just the objection.

• Day One mentality
  Fewer titles and layers; process is a guardrail where it counts, never the reason something didn't ship.

• No hidden agendas
  Numbers, misses, and feedback are shared openly and in real time, so you always know where you stand.

• High standards, genuinely fun people
  Take the work seriously and ourselves much less—high-performing and fun to be around is the hiring bar.

• Is this pace for you?
  Venture-scaled and on a steep trajectory, with intensity in spikes, fiercely protected flexibility, and faster growth than anywhere else.

Our Values

1. Learn Fast, Get Better -Find the root cause, not just the fix, and get better every time

2. Be Relentlessly Resourceful - Dig for the answer, move fast, and know when to ask for help

3. Act Like an Owner, Be Hungry to Win - Act like it’s your company, and do whatever it takes to win

4. Act with Honesty and Empathy - Say what’s true, and say it with care

5. Delight People by Anticipating Their Needs - Solve the problem, then get two steps ahead of it