Finance Manager, North America

Who We Are Healthcare needs a better rhythm: one that keeps care continuous and deeply human. Heidi is building an AI Care Partner that works alongside clinicians to make that possible. We’re a team of doctors, engineers, designers, researchers, and creatives building tools that help clinicians stay focused on what matters most: their patients. In just 18 months, Heidi has given back more than 18 million hours to healthcare professionals — supporting 73 million patient visits in 116 countries. Today, more than two million patient visits each week are powered by Heidi worldwide. Backed by nearly $100 million in funding, we’re growing in the US, UK, Canada, and Europe, partnering with leading health systems including the NHS, Beth Israel Lahey Health, and Monash Health. The Role We’re hiring a Finance Manager to lead the finance function for North America. Supported by Heidi’s central finance team, you’ll work closely with regional leadership to bring financial rigor to the region and giving NA leadership a finance partner they can trust for forecast accuracy and clear answers, in their own timezone. The role has two equally important parts. First, you’ll own the region’s financial control and compliance environment. While the central finance team manages the month-end close, core accounting and day-to-day finance operations, you’ll oversee the accuracy of regional results, reporting and forecasts; manage cash; maintain strong local controls; and take responsibility for statutory and compliance requirements. Second, you’ll be a hands-on business partner: helping leaders understand the story behind the regional P&L, translating performance into clear insights and actions, challenging assumptions and shaping decisions across revenue, investment, profitability and cash. You’ll bring a commercial point of view—not simply report the numbers—and ensure teams understand the financial impact of the choices they make. This role is for someone who is confident with business partnering: comfortable sitting with Sales and GTM leadership on commissions design, pipeline and forecast conversations, and also able to run point on the controls and compliance backbone that keeps those conversations trustworthy. You’ll report to the Group Financial Controller, with a dotted line to FP&A, and work closely with North America’s commercial leadership, Sales, Customer Success, outsourced advisors and audit partners, and the wider global Finance team across Sydney, Melbourne and Manila — with NA-hours coverage closing the timezone gap that currently slows decisions down. What You’ll Do Financial reporting and month-end close Own the integrity of the NA balance sheet, with reconciliations that stay current, reviewed and explainableOwn the accuracy of the NA monthly group reporting and management accounts with variance commentary that explains movementsBe the single point of contact for group finance on anything NA: queries, adjustments, restatements, consolidation-level questions Compliance and risk oversight Own the NA compliance calendar (state registrations, sales tax nexus, annual filings) by directing external advisers and tax specialists, not by doing the work yourselfBuild an early-warning process so compliance risk is caught and escalated well before it threatens trading statusBe the accountable owner if something in the compliance chain breaks down Commercial business partnering Be the trusted finance partner in the room for NA Sales and GTM leadership — forecast accuracy, pipeline-to-revenue linkage, sales efficiency and commissions economicsOwn the NA regional P&L narrative: budget vs actual, variance analysis and a clear view of what is driving performanceBring a commercial lens to pricing, deal terms and customer economics, flagging risk and opportunity earlyTranslate regional performance into clear, decision-ready input for FP&A and company leadershipGive NA business leaders a reliable, self-serve view of their numbers, so decisions stop waiting on Australian hoursFeed central finance the regional inputs it needs at close: accrual and commissions estimates, revenue and spend context, then review and sign off on the NA resultPartner with Sales and RevOps on commissions design so plans are reflected accurately in forecast and accruals Revenue risk and collections Partner with Sales and Customer Success to resolve aged and disputed balances and unblock stuck revenueOwn the commercial view of collection risk: which accounts, why, and what it means for cash, and feed it into forecastingDrive down NA DSO by fixing the upstream causes (contracting, disputes, process), not by chasing invoices FinOps, controls and performance frameworks Build the operating rhythm that turns NA finance from reactive support into a reliable performance framework: clear KPIs, owners, review cadences and escalation pathsStrengthen financial controls across spend, approvals, vendor onboarding, card usage, subscriptions and commercial commitments, while keeping the process pragmatic for a fast-moving regionReview regional AP and card activity, including prompt removal of leaver access and cards, and escalate anomalies to central finance operationsPartner with external advisers, vendors and finance operations support where needed, making sure work is well-scoped, reviewed and connected back to Heidi’s internal finance standardsCreate simple documentation and control checks so the region can scale without relying on informal knowledge or one-off fixes What We’re Looking For Minimum 5+ years’ experience in strong commercial finance and/or FP&A business partnering experience, ideally supporting a Sales or GTM organizationComfortable partnering with Sales/RevOps leadership on commissions, forecasting and pipeline-linked economicsExperience owning spend or expense controls in a way that supports the business rather than only governing itComfortable directing (not necessarily performing) US and Canadian statutory and sales tax compliance through external advisersExperience in a multi-entity or multi-currency businessComfort operating with a high degree of autonomy, NA-hours, in a small global finance teamStrong commercial judgement — able to spot when a number doesn't match the story behind itClear, confident communicator across finance and non-finance audiences Attitude is more important than ticking every box. If you are a hungry, highly motivated operator who has a knack for problem solving, building relationships and learning quickly, we want to hear from you. Nice to have Experience in a high-growth SaaS or technology companyCPA or equivalent qualificationGAAP experienceExperience standing up or improving collections processes in the US marketExposure to Campfire, Airwallex, Rippling or similar modern finance toolingExperience working across timezones with a remote/global finance team The Way We Work Build to Last We design for safety and reliability so clinicians, patients, and our teams can trust what we build every day. Own Your Practice Ideas rise on merit, not title, and everyone shares responsibility for the standards we set together. Move Fast, Stay Steady We move quickly but never at the cost of trust. Progress only matters if people can depend on what we make. Make Others Better Honest feedback, steady support, and shared growth keep our teams improving together. Why you will flourish with us Flexible remote-first workingMonthly wellbeing benefit to invest in your physical and mental wellbeingRecharge Days after major milestones and busy periodsA generous personal development budget per annumBecome an owner, with shares (equity) in the company — if Heidi wins, we all winA one-time home office setup contributionGenerous paid parental leave for primary and secondary carersA fertility support benefit covering IVF, egg freezing or sperm freezing10 days per year dedicated to supporting clinicians in maintaining accreditationThe rare chance to create a global impact as you help scale one of the fastest-growing healthtech companiesIf you have an impact quickly, the opportunity to fast track your startup career (Benefit specifics vary by entity/region — final detail to be confirmed with People team.)