Build the future with our visionaries.

Head of Finance



Accounting & Finance
New York, NY, USA
Posted on Saturday, March 18, 2023

Guaranteed is a care company that makes tough moments easier. By blending at-home treatment with cutting-edge technology, we’re here to deliver care how you want it. Guaranteed is backed by some of the best investors in the game (including: BrandProject, Precursor, Springbank Collective, Lakehouse and Cake Ventures) and have raised $6.5 million in seed funding - one of the largest seed rounds for a Black female solo founder.

Our goal is to provide tech-enabled hospice services in a hybrid setting: best in class in-person and telemedicine care. Our care providers are highly-trained healthcare professionals focused on support, comfort, and dignity. We are obsessed with providing for patients and families and want to change the cultural conversation around death.

Who You Are

  • You are obsessed with patient-experience and delivering excellence in care, support, and comfort through technology.

  • You are driven, in work and in life, by your compassion for people.

  • You believe the US Healthcare system is deeply problematic and inequitable, and you want to help architect a solution.

  • You are always learning new things from your friends, you colleagues, your communities, and the world.

  • You thrive when building alongside diverse teams, opinions, and cross-discipline roles.

  • You are more than comfortable in a 0 to 1 startup. You manage yourself as well as anyone else and you love iterating quickly.

Who We Are

  • We are equally obsessed with patient-experience, and also caregiver-experience, family-experience, and care provider-experience. We strive to support everyone affected by death.

  • We are compassionate by nature.

  • We dream of healthcare systems that are more equitable and more human - and we work everyday to make them that way.

  • Medicine often ignores end of life care - we don’t. We talk about death. We talk about dying, about grief, about losing our patients and losing our loved ones.

  • We love teaching what we know and bringing humility to what don’t.

Director of Finance


As the Director of Finance, you will be the leader for the financial operations of our rapidly growing company and a meaningful member of the company’s leadership team. Initially, you will be a team of one (supported by an outsourced virtual accounting service) so you must be a hands-on, roll up your sleeves type of contributor and should enjoy a fast-paced, start-up environment. The position requires strong FP&A and accounting skills, a strong business sense and the ability to understand the big picture while also being detail oriented.

The role requires decision support and P&L management as well as analyzing key performance indicators related to hybrid healthcare business models including revenue, labor management, acquisition costs, operating expenses, Medicare/Medicaid reimbursements and hospice license acquisitions. This will require developing financial models, implementing accounting best practices, scenario analysis, cash flow management and decision-making tools.

The Finance Director will report directly to the CEO. This position will be based in person in our NYC office.

Job Responsibilities

  • Provide strategic insights and conclusions based on financial analysis, working side-by-side with the leads of business units.

  • Develop and track cross-company efforts to improve margin efficiencies and cash flow.

  • Create and maintain key performance metrics and dashboards to ensure the optimal operation of the business, identify initiatives for improvements that can positively impact the financial outlook of the company, including developing, tracking, and executing business initiatives with the company’s leadership.

  • Guide planning and functional resource management (e.g. headcount, capital and/or any other targeted investment approvals, etc.) for specific business units within the company, including development of financial forecasts.

  • Manage our outsourced accounting firm to ensure proper and meaningful reporting, appropriate management of cash flows and timely review of results.

  • Prepare timely and informative reports on financial performance on a weekly, monthly, quarterly, and annual basis.

  • Prepare budgets, forecasts and variance analysis for the company and its departments.

  • Evaluate the revenue, profit, cash flow and value creation potential of new service introductions or business decisions.

Skills and Toolsets You'll Need to Bring

  • Great understanding of the drivers and metrics of hybrid healthcare businesses, specifically in hospice and home care.

  • Ability to work with large sets of data to uncover and communicate insights to the broader team.

  • Excellent interpersonal and communication skills with a demonstrated ability to work with all levels and collaborate with partners across the organization.

  • Strong business sense with the ability to utilize financial data to influence company decision making.

  • Experienced in developing and presenting business plans, models, and financial forecasts to senior management and the board of directors.

  • Detail oriented, to the point communicator with a strong work ethic.

  • Successful in driving process improvements and system implementations with a continuous improvement mentality.

  • Must thrive in a fast-paced and dynamic company environment.

  • Willingness to own the building of complex financial models, considering a variety of business inputs and be able to communicate the results and their impact to the business economics, accounting, tax and cash.

Nice to Haves

  • Experience at a health tech startup or company

  • Experience cultivating or working with a hybrid health care model

  • Experience at a startup in the 0 to 1 phase

Relevant Experience

  • Bachelor’s Degree in Finance/Accounting or equivalent technical discipline, or equivalent experience

  • 5+ years of experience in financial leadership roles

  • Implementation of accounting and cash flow management best practices

  • Proficiency with online accounting packages (e.g., QuickBooks or Xero); experience with enterprise-class financial systems a plus

  • Demonstrated success with analyzing and interpreting insights from large amounts of data

  • Deep expertise in organizational, analytical, prioritization, time management, project management, and people management skills

Actual compensation is based on several factors including but not limited to, the primary work location, candidate's skills, qualifications, and experience. The target base salary for this position ranges from $150,000 to $180,000 in addition to a competitive equity and benefits package (as applicable).

Guaranteed is a proud Equal Opportunity Employer. We recruit, train, and compensate our team members based on their qualifications. We want to hear from you regardless of your race, religion, national origin, sex, gender identity, sexual orientation, disability, age, veteran status, or any other applicable legally protected characteristics.

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