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Head of Finance

TORTUS AI - London, United Kingdom - In-office

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Tortus AI is building an AI clinician assistant for healthcare, helping clinicians reduce administrative burden and spend more time with patients. The company works with the NHS and leading hospitals, is backed by top-tier investors, and is scaling rapidly across multiple markets. You will be Tortus's first Head of Finance, owning the finance function as the company scales through and beyond Series A. You'll transition from a fractional CFO model to become the most senior finance person in the business and a trusted partner to the CEO and leadership team. Key responsibilities include: **Board & Leadership Partnership**: Act as financial partner to the CEO and leadership team, providing clear insight for fast decisions. Own board and investor reporting with investor-grade financial packs, KPIs, cash flow, and strategic progress. Prepare the company for the next fundraise with clean numbers, defensible unit economics, and a ready data room. **Commercial Finance**: Partner with the commercial team on pipeline and revenue forecasting that reflects long public-sector sales cycles. Own critical definitions as pricing evolves: ARR, revenue recognition, billing, and renewal forecasting. Build cost models, stress-test pricing, and help operationalize it into billing systems. Manage unit economics including inference costs, speech-to-text, and LLM costs with engineering. **Financial Planning & Analysis**: Own the financial model with your outsourced provider, maintaining scenario capability and reconciliation to actuals. Run monthly forecasting and variance processes with clear accountability. Manage cash flow and runway with transparent scenario planning. Lead pragmatic budgeting that balances control with speed. **Finance Operations & Systems**: Manage the outsourced accounting provider to ensure accurate bookkeeping and timely close. Build processes first, then systems to support them. Introduce spend-approval and procurement guidelines. Optimize R&D tax claims and manage VAT and payroll. **Risk & Governance**: Develop proportionate financial controls and governance. Maintain oversight of financial risk and contribute to the risk register. Establish governance rhythms appropriate for the stage and investor expectations. Support cap table administration. This is a hands-on, build-it role where you'll work through outsourcing and tooling to focus on commercial and strategic finance. Over time you'll build a small team beneath you. You'll need to be comfortable across the full range in a single day: technical accounting, supplier queries, board papers, and payroll questions.

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