Senior Manager, Strategic Finance

Hippocratic AI Inc.; Menlo Park (CA); On-site; USD 180,000 - 250,000; Full time

Job summary

Hippocratic AI is seeking a Senior Manager, Strategic Finance to lead the Strategic Finance team and provide strategic insights to leadership during rapid growth. You will own the full P&L forecasts including GPU and cloud expenses, headcount (FTE and hourly), contractor costs, software, and more, while supporting margin analysis and cost optimization initiatives.

You will consolidate and report the 3-statement financial model, manage revenue/expense forecasts, forecast balance sheet and cash

Qualifications

• 7-9 years of experience in investment banking, private equity, and strategic finance/FP&A at a high-growth tech company
• Undergrad degree in a quantitative field
• Very strong financial modeling, analytical, and problem-solving skills

Responsibilities

• Own consolidation and reporting of the 3 statement financial model for the company
• Own consolidation of revenue and operating expense forecasts
• Own balance sheet and cash flow forecasts
• Work with accounting team to maintain accuracy between general ledger and financial model
• Prepare monthly commentaries on actuals vs budget
• Report on key business KPIs and metrics driving P&L performance
• Prepare materials for board and investor reporting
• Own Gross Margin modelling, analysis, and reporting
• Own forecasting, reporting, analysis, and commentary on gross margins
• Own and build forecasts for all COGS related items including GPU/cloud, telephony, ASR, TTS, and customer success teams
• Own GPU, non-GPU cloud cost, and human eval modelling and reporting
• Work closely with the platform engineering and LLM teams to forecast GPUs
• Own and build forecasts for non-GPU cloud costs and human eval
• Provide commentary on plan vs actuals and trends in overall costs and unit economics
• Own headcount forecast and reconciliation while working with the HR team
• Work closely with the recruiting team to maintain headcount cost forecast by department
• Provide variance analysis for monthly plan vs actuals
• Own forecasts and optimization for all contractor, software, and G&A spend
• Track and capture weekly spend desk requests

Skills

Investment banking experience

Private equity experience

Strategic finance/FP&A

Analytical skills

Cross-functional collaboration

Executive communication

Education

Undergrad degree in a quantitative field

Tools

Excel

Financial software

Job description

About the Senior Manager, Strategic Finance

Hippocratic AI is looking for a Senior Manager, Strategic Finance to join the Strategic Finance team. This is a high-impact, foundational role that will be critical in providing strategic insights to the company’s leadership during a period of rapid growth and increasing financial complexity for the company. You will work closely with the various business units, data science, and accounting to own full P&L forecasts including GPU and cloud expense, headcount (full time and hourly) and contractor expense, software costs. You will support margin analysis for the business and drive cost optimization initiatives.

What You Will Do

Own consolidation and reporting of the 3 statement financial model for the company

• Own consolidation of revenue and operating expense forecasts

• Own balance sheet and cash flow forecasts

• Work with accounting team to maintain accuracy between general ledger and financial model

• Prepare monthly commentaries on actuals vs budget

• Report on key business KPIs and metrics driving P&L performance

Prepare materials for board and investor reporting

• Help in preparing presentations, models, and other views for board presentations and fund raise

Own Gross Margin modelling, analysis, and reporting

• Own forecasting, reporting, analysis, and commentary on gross margins for the business while working with the platform engineering, accounting, and GTM teams

• Own and build forecasts for all COGS related items including GPU/cloud, telephony, ASR, TTS, and customer success teams

Own GPU, non-GPU cloud cost, and human eval modelling and reporting

• Work closely with the platform engineering and LLM teams to maintain a running forecast of number of GPUs required for inference and training

• Own and build forecasts for non-GPU cloud costs and human eval

• Provide commentary on plan vs actuals and trends in overall costs and unit economics

Own headcount forecast and reconciliation while working with the HR team

• Work closely with the recruiting team to maintain headcount cost forecast by department and team

• Provide variance analysis for monthly plan vs actuals

Own forecasts and optimization for all contractor, software, and G&A spend

• Own the forecasts and provide detailed commentary for all expenses by department while working closely with business owners of the spend and the accounting team

• Track and capture weekly spend desk requests

Location Requirement

We believe the best ideas happen together. To support fast collaboration and a strong team culture, this role is expected to be in our Menlo Park office five days a week, unless otherwise specified.

Qualifications

Must-Haves:

• 7-9 years of experience in investment banking, private equity, and strategic finance/FP&A at a high-growth tech company

• Undergrad degree in a quantitative field

• Very strong financial modeling, analytical, and problem-solving skills and willingness to work with granular quantitative data

• Strong business judgment with the ability to work cross-functionally on ambiguous questions, and drive accountability with business counterparts

• High degree of ownership and independence with the ability to manage multiple priorities, create driver based forecasts/models, and proactively identifying opportunities and risks for the business

• Excellent communication skills with the ability to distill complex analysis into actionable recommendations, adapting messaging effectively for audiences

• AI first mindset with willingness to learn or experience working with AI applications like Claude Cowork and building dashboards/agents/skills to continuously improve and automate processes

• High proficiency in Excel and experience working with financial software and systems

Nice-to-Haves:

• Experience working at a B2B Enterprise SAAS company

• Experience forecasting and owning GPU/cloud budgets

Why Join Hippocratic AI

Reinvent healthcare with AI that puts safety first. We’re building the world’s first healthcare‑only, safety‑focused LLM — a breakthrough platform designed to transform patient outcomes at a global scale. This is category creation.

Work with the people shaping the future. Hippocratic AI was co‑founded by CEO Munjal Shah and a team of physicians, hospital leaders, AI pioneers, and researchers from institutions like El Camino Health, Johns Hopkins, Washington University in St. Louis, Stanford, Google, Meta, Microsoft, and NVIDIA.

Backed by the world’s leading healthcare and AI investors. We recently raised a $126M Series C at a $3.5B valuation, led by Avenir Growth, bringing total funding to $404M with participation from CapitalG, General Catalyst, a16z, Kleiner Perkins, Premji Invest, UHS, Cincinnati Children’s, WellSpan Health, John Doerr, Rick Klausner, and others.

Build alongside the best in healthcare and AI. Join experts who’ve spent their careers improving care, advancing science, and building world‑changing technologies — ensuring our platform is powerful, trusted, and truly transformative.

Equal Opportunity

Hippocratic AI is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, sexual orientation, gender identity or expression, genetic information, military or veteran status, or any other characteristic protected by applicable law. We are committed to building a team that reflects the patients we serve. We actively encourage applications from candidates of all backgrounds. If you require accommodations during the hiring process, please contact [e-mail].

Please be aware of recruitment scams impersonating Hippocratic AI. All recruiting communication will come from @hippocraticai.com email addresses. We will never request payment or sensitive personal information during the hiring process.