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Strategic Finance Manager

AcuityMD - Boston, MA, United States - Hybrid - posted 2026-09-21

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Salary: USD 150,000 - 180,000 / annual

AcuityMD is an AI platform for MedTech serving over 500 medical technology companies, including 16 of the top 20. The company was ranked No. 316 on the 2026 Inc. 5000 list and named to Forbes' 2025 "Next Billion-Dollar Startups" list. Backed by Benchmark, Redpoint Ventures, ICONIQ, and Atreides Management, AcuityMD helps commercial leaders identify target markets, surface opportunities, and accelerate medical technology adoption through real-world healthcare data and AI-powered insights. You will join the Strategic Finance & FP&A team, which sits at the center of decision-making. This generalist finance role with a strategic orientation spans financial analysis, strategic projects, planning, AI-enabled transformation, business performance, and procurement. Rather than owning one narrow process, you will tackle a changing set of high-priority problems across the business. Key responsibilities include: • Strategic Analysis & Business Partnership: Independently tackle high-priority questions including AI costs and ROI, market opportunities, new products, pricing and packaging, and strategic investments. Partner cross-functionally to structure ambiguous problems, evaluate tradeoffs, and turn imperfect data into clear recommendations. • Financial Modeling & Forecasting: Own key areas of forecasting, headcount and spend planning, and financial modeling. Build driver-based models that help leadership understand performance, evaluate scenarios, and make informed decisions around growth, efficiency, and investment. • AI Transformation & Automation: Help build the next generation of Finance infrastructure. Improve data quality and connectivity across systems, and develop AI-enabled workflows that make Finance faster, more accurate, and more scalable. Redesign processes and automate repetitive work to create capacity for higher-value analysis. • Business Performance & Insights: Analyze financial and operational performance, identify key drivers and leading indicators, and translate findings into clear recommendations. Define and track metrics and KPIs that matter most to the business, and build reporting and operating cadences that help leadership proactively identify risks and opportunities. • Procurement & Spend Optimization: Own and continuously improve procurement processes, tooling, and request workflows. Support vendor evaluations, renewals, benchmarking, and negotiations while identifying opportunities to reduce costs, optimize licenses, and improve spend efficiency. You will have meaningful ownership from the start, independently driving analytical and cross-functional work-streams while partnering closely with senior Finance and company leaders. This role is ideal for someone with strong financial and analytical judgment who enjoys solving ambiguous problems, forming a point of view, and translating analysis into decisions and action. AcuityMD is remote-first with a Boston hub. Expect 4-5 in-person opportunities per year through company/team on-sites and critical project collaboration. If based near Boston, there is no set requirement for office attendance. REQUIREMENTS: • 5–7 years of experience across investment banking, management consulting, Strategic Finance / FP&A, Business Operations, or similar analytical roles • Experience operating in a high-growth technology company strongly preferred • Strong financial modeling and analytical skills; comfortable building analyses from a blank page in Excel or Google Sheets • High bar for accuracy and understanding of when additional precision will—or won't—change a decision • Highly analytical and intellectually curious, with ability to structure ambiguous problems, reason from first principles, and distinguish what matters from what doesn't • Organized, dependable, and comfortable independently managing multiple workstreams • AI- and systems-minded, with willingness to rethink existing processes and use AI, automation, and better tooling to improve work • Comfortable working directly with data; experience with SQL, BI tools, or data visualization is a plus • Clear, concise communicator who can turn complex analysis into executive-ready recommendations and build strong relationships with cross-functional partners • Must have an eligible work permit in the USA

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