Director of Finance

Job Description

About the role

VIVIO Health is a Public Benefit Corporation rebuilding how specialty and high-cost medications are managed and paid for. We are a transparent, pass-through alternative to the traditional PBM, helping self-funded employers cut drug spend while their members get better care. The business is growing fast, and we are hiring a Director of Finance to build the financial engine that grows with it.

This is a true leadership seat. The accounting team reports to you, and you own the full finance function: planning and forecasting, the close, revenue recognition, treasury, tax, audits, and the reporting our board, clients, and partners rely on. You will also turn pharmacy benefit economics into decisions: which clients and products create value, how to price and guarantee them, and where to invest next.

You report to the CEO and partner closely with the CFO and the leadership team. The role is remote, and as VIVIO scales there is a clear path to expanded financial leadership.

What you will do:

• Lead the accounting team. Develop and manage the accountants, and run day-to-day operations across general ledger, accounts payable, payroll, and financial reporting.
• Own a clean, timely close. Ensure the accuracy and integrity of monthly, quarterly, and annual financials.
• Plan and forecast. Own the annual plan, budget, and sales plan, and build the models and rolling forecasts that guide business decisions.
• Make unit economics visible. Deliver contribution margin by client and product line, and run the KPIs and leadership dashboard that serve as our single source of truth.
• Shape pricing and guarantees. Partner with Sales and Client Success on pricing for new business and renewals, including the modeling and true-up of pricing and performance guarantees.
• Manage cash and capital. Run treasury, pharmacy claims payment cycles, client billing and collections, float and working capital, and banking relationships, and set the framework for how we allocate capital, including headcount.
• Build the controls that scale. Establish the internal controls, reporting infrastructure, and financial systems a fast-growing company needs.
• Keep us audit- and diligence-ready. Lead tax compliance and filings, financial, client, and plan sponsor audits and SOC examinations, and planning for state licensing fees and surety bonds.
• Report to the board and executives. Prepare board-grade, diligence-ready financial packages with the CEO and CFO.
• Partner across the business. Bring the financial lens to partner and customer contracts, leases and facilities, HR policy and compliance, and strategic and operating model decisions.

What success looks like

• First 90 days: You have assessed our accounting, close, and controls; built strong working relationships with the CEO, CFO, and accounting team; reached a consistent monthly close; and delivered a first rolling forecast and KPI dashboard.
• First 6 months: Contribution margin reporting by client and product line is live, a board package is co-prepared with the CFO, and a capital-allocation framework and finance team plan are in place.

How we work

• VIVIO is remote-first, with structured written communication as the default. You will be equally at home in the boardroom and in the details, in a company where structure, priorities, and systems are still taking shape as we grow. We look for people who take ownership, use sound judgment when things are not yet defined, enjoy working across internal teams and external partners, and want to make a positive difference in healthcare. Occasional travel to VIVIO events and site meetings is expected.

Qualifications

What we need

• Bachelor’s degree in Finance, Accounting, or Economics; MBA or CPA preferred
• 10+ years in finance, including forecasting and FP&A, with experience in fast-paced or high-growth companies
• Deep corporate accounting expertise and a track record of clean financial audits
• Proven ability to lead and develop teams
• Finance experience in a PBM, health plan, specialty pharmacy, or other healthcare benefits organization
• Expert Excel skills for financial modeling and scenario analysis, plus experience with QuickBooks and BI or reporting tools
• Track record of implementing or improving financial systems and controls
• Executive presence, and comfort presenting to boards and investors
• Direct communicator with high ownership and strong judgment in fast-moving, high-change environments

Nice to have

• Working knowledge of PBM economics: AWP- and NADAC-based pricing, rebates, and client pricing and performance guarantees
• Familiarity with HIPAA, ERISA, and the federal and state regulatory landscape for PBMs
• Experience supporting client or plan sponsor audits and SOC 2 examinations 

Additional Information

Compensation and Benefits:

• The anticipated salary range for this position is $120K-150K per year. The actual salary offered will be determined by a variety of factors, including the candidate’s qualifications, experience, and the position’s geographic location.
• Bonus Eligible
• Comprehensive Benefits Package:
• Medical, Pharmacy, Dental, Vision
• Life Insurance
• Stock Options
• 401(k) with Company Match
• PTO
• Full-time position
• Dynamic, collaborative work environment
• Opportunity to make a real impact at a growing Public Benefit Corporation

VIVIO does not provide employer support or sponsorship for any immigration related employment benefit for this role.

Applicants must be currently authorized to work in the United States on a fulltime basis without the need for employer support, visa transfer support, DSO documentation or sponsorship now or in the future. This includes having the legal right to work in the United States without the need for VIVIO support or sponsorship for any immigration related employment authorization (e.g., H1B, O1, E3, H1B1, TN, F1 OPT, F1 STEM OPT, F1 CPT, E-2, E-3 etc.) now or in the future.

VIVIO Health is an Equal Opportunity Employer. All information will be kept confidential according to EEO guidelines. 

Please be advised that job opportunities will only be extended after a candidate submits a completed job application and undergoes a thorough interview process, including 1:1 and/or group interviews via phone, video conferencing, and/or in-person. All legitimate correspondence from a VIVIO employee will come from our Smart Recruiter Applicant Tracking System "@smartrecruiter.com" or "@viviohealth.com" email accounts.