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Vice President, Finance

US - Remote

About Waymark

Waymark is a mission-driven team of healthcare providers, technologists, and builders working to transform care for people with Medicaid benefits. We partner with communities to deliver technology-enabled, human-centered support that helps patients stay healthy and thrive. We’re designing tools and systems that bring care directly to those who need it most—removing barriers and reimagining what’s possible in Medicaid healthcare delivery.

Our Values

At Waymark, our values are the foundation of how we work, grow, and support one another:

  • Bold Builders: We tackle the toughest challenges in care delivery by harnessing the power of community and technology.
  • Humble Learners: We seek feedback, embrace diverse perspectives, and welcome challenges to our assumptions.
  • Experiment to Improve: We use data to inform decisions and continuously assess our performance.
  • Focused Urgency: Our mission drives us to act swiftly and relentlessly in pursuit of meaningful results.

If this resonates with you, we invite you to bring your creativity, energy, and curiosity to Waymark.

About this Role

As the Vice President of Finance at Waymark, you lead Waymark’s FP&A and Accounting teams, with significant autonomy. You will help define and drive the strategic financial direction for Waymark, manage day-to-day forecasting, budgeting, and accounting operations, and serve as Waymark’s most senior finance leader, responsible for helping to build and scale Waymark’s finance function. This is not a role where you manage from a distance — you will personally own the models, build the reports, and stay deep in the details of our financials every day. As the source closest to the financials, you will be the primary point of contact for the Executive Leadership Team, Board, and investors, providing authoritative answers, updated projections, and rigorous ROI analyses to drive key decisions. You are a strong team builder and communicator, able to develop finance team talent while keeping investors and leadership fully informed on financial performance and strategic outlook.

Reporting directly to the Head of Revenue (acting CFO), you will have full ownership of both the FP&A and Accounting functions and are expected to operate with a high degree of independence. You will define our systems and processes, and serve as a trusted strategic partner to the CEO, Executive Leadership Team, Board, and investors, shaping financial strategy at the highest levels of the organization.

Key Responsibilities

  • Build and maintain FP&A systems for tracking and reporting on spend.
  • Own and oversee the accounting function, including GL creation and maintenance, and ensure the budget operates efficiently within our Netsuite environment.
  • Build and update budgeting and forecasting models to reflect the most recent staffing, technologies, memberships, save estimates, etc.
  • Lead monthly meetings with internal partners on staff and non-staff spend.  Ensure that staffing is on track with budget.
  • Monthly budget vs. actual reporting as well as discussion around variances.  This includes a quarterly meeting with the Executive Leadership Team.
  • Investor financial reporting, as required.
  • Co-lead the development of board narrative / decks for quarterly meetings.
  • Co-lead financial strategy for capital raises, including investor materials, scenario modeling, and due diligence support.
  • Assist with payroll operations, ensuring accuracy and compliance
  • Drive independently on all things Finance across accounting, payroll, and FP&A. As a VP, you will be expected to proactively identify and resolve issues independently, with the support of Executive, Accounting, and Actuarial teams, while actively developing the capabilities of the finance organization

Minimum Qualifications

  • 10+ years of progressive experience in Healthcare Finance, with meaningful exposure to both FP&A and Accounting
  • Prior VP Finance, Controller, or equivalent role at a growth-stage company preferred, with direct experience overseeing or managing an accounting function
  • Deep familiarity with healthcare value-based contract economics and the financial frameworks that support them
  • Proven track record building and scaling finance teams and infrastructure, including tools and processes that enable efficient, high-quality reporting
  • Experience supporting or leading a fundraising process, including investor materials, data room management, and due diligence; demonstrated ability to present complex financial information to boards, investors, and executive leadership
  • Highly self-directed and autonomous operator with advanced Excel skills (index formulas, complex IFs, scenario/sensitivity modeling) and the ability to thrive in a fast-paced, high-change environment
  • Strong cross-functional partner and team builder who embraces a collaborative culture centered on improving lives for patients

Preferred Qualifications 

  • CPA, CFA, or MBA
  • Familiarity with Managed Medicaid
  • Netsuite Experience

Salary Range

US Employees in San Francisco/Bay Area, New York City - $175,000 - $259,000

US Employees in Boston, Los Angeles, Seattle, Washington DC - $161,000 - $238,000

US Employees in Arlington, Denver, San Diego, Sacramento - $154,000 - $228,000

US Employees in Albany, Atlanta, Austin, Baltimore, Central/Southern, Charlotte, Chicago, Dallas/Fort Worth, Detroit, Houston, Las Vegas, Miami, Milwaukee, Philadelphia, Portland, Research Triangle, Salt Lake City, Twin Cities - $140,000 - $207,000

US Employees in Baton Rouge, Birmingham, Charleston, Cincinnati, Cleveland, Daytona Beach, Indianapolis, Nashville, New Orleans, Omaha, Phoenix, Pittsburgh, St. Louis, Tampa - $135,800 - $201,000

In addition to salary, we offer a comprehensive benefits package. Here’s what you can expect:

Stock Options: Opportunity to invest in the company’s growth.

Work-from-Home Stipend: A dedicated stipend for your first year to help set up your home office.

Medical, Vision, and Dental Coverage: Comprehensive plans to keep you and your family healthy.

Life Insurance: Basic life insurance to give you peace of mind.

Paid Time Off: 20 vacation days, accrued over the year, plus 11 paid holidays.

Parental Leave: 16 weeks of paid leave for birthing parents after six months of employment, and 8 weeks of bonding leave for non-birthing parents.

Retirement Savings: Access to a 401(k) plan with a company contribution, subject to a vesting schedule.

Commuter Benefits: Convenient options to support your commute needs.

Professional Development Stipend: A dedicated stipend supports professional development and growth.

Offer of employment is contingent upon successful completion of a background check.

Don’t check off every box in the requirements listed above? Please apply anyway! Studies have shown that some of us may be less likely to apply to jobs unless we meet every single qualification. Waymark is dedicated to building a supportive, equal opportunity, and accessible workplace that fosters a sense of belonging – so if you’re excited about this role but your past experience doesn’t align perfectly with every preferred qualification in the job description, we encourage you to still consider submitting an application. You may be just the right candidate for this role or another one of our openings!

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