Strategic Finance Manager

AcuityMD, Inc.; United States; On-site; USD 120,000 - 180,000; Full time

Job summary

AcuityMD is seeking a Strategic Finance Manager to join our FP&A team, driving strategic analysis, forecasting, and cross-functional partnerships as we scale a fast-growing MedTech AI platform.

You’ll own forecasting, headcount planning, and finance automation initiatives, partner with senior leaders, and translate data into actionable insights that influence resource allocation and strategic investments.

Qualifications

• 5–7 years of experience in investment banking, management consulting, Strategic Finance/FP&A, or similar analytical roles.
• Strong financial modeling and analytical rigor with high accuracy.

Responsibilities

• Strategically analyze high-priority questions across the business, including AI costs and ROI, market opportunities, pricing and packaging, and strategic investments.
• Own forecasting, headcount and spend planning, and financial modeling; build driver-based models for leadership.
• Help build Finance infrastructure with AI-enabled workflows; automate repetitive work to enable higher-value analysis.
• Analyze financial and operational performance, identify key drivers and KPIs, and translate findings into actionable recommendations.
• Own and improve procurement processes, tooling, and spend optimization to reduce costs and improve efficiency.

Skills

Strategic Finance

FP&A

Financial Modeling

Excel/Google Sheets

Tools

Excel

Google Sheets

Job description

Location: United States

Strategic Finance Manager

AcuityMD is the AI platform for MedTech trusted by over 500 MedTech companies – including 16 of the top 20. Commercial leaders use AcuityMD to identify target markets, surface top opportunities, and grow their business. By combining real-world healthcare data with AI-powered insights, AcuityMD enables companies from pre-commercial to enterprise to understand where and how to sell faster to accelerate the adoption of medical technology. AcuityMD ranked No. 316 on 2026 Inc. 5000 list of the fastest-growing private companies in America and was named to Forbes' 2025 "Next Billion-Dollar Startups" list - an elite group of 25 venture-backed U.S. companies identified as most likely to reach a $1 billion valuation. AcuityMD is backed by Stepstone Group, Benchmark, Redpoint Ventures, ICONIQ, and Atreides Management.

You’ll join a high-impact Strategic Finance & FP&A team that sits at the center of decision-making at AcuityMD. Our team helps leadership understand where the business is going, how we should allocate resources, and what actions will create the most long-term value.

This is a generalist finance role with a Strategic Finance orientation. You'll work across financial analysis, strategic projects, planning, AI-enabled transformation, business performance, and procurement. Rather than owning one narrow process, you'll tackle a changing set of high-priority problems across the business.

You’ll 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.

Team Mission

FP&A exists to bring financial clarity and strategic discipline to AcuityMD. We turn data into insight and insight into action - enabling leadership to make smarter, faster decisions. Our team drives the planning and forecasting processes that align resources with company priorities, and we ensure financial rigor across departments through modeling, reporting, and business partnership. In a fast-scaling environment, we act as both stewards of financial performance and architects of scalable processes. We're not just tracking the numbers - we're helping shape the future of the company.

What You’ll Do

• Strategic Analysis & Business Partnership: Independently tackle high-priority questions across the business, 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 and decisions.
• Financial Modeling & Forecasting: Own key areas of forecasting, headcount and spend planning, and financial modeling. Build and improve 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 at AcuityMD. 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 and decision support.
• Business Performance & Insights: Analyze financial and operational performance, identify key drivers and leading indicators, and translate findings into clear recommendations. Define and track the metrics and KPIs that matter most to the business, and build reporting and operating cadences that help leadership proactively identify risks, opportunities, and actions.
• 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, eliminate redundant tools, and improve spend efficiency.

What We're Looking For

• Experience: 5-7 years of experience across investment banking, management consulting, Strategic Finance / FP&A, Business Operations, or similar analytical roles, with experience operating in a high-growth technology company strongly preferred.
• Financial & Analytical Rigor: Strong financial modeling and analytical skills; comfortable building analyses from a blank page in Excel or Google Sheets, with a high bar for accuracy and an understanding of when additional precision will—or won't—change a decision.
• Business Judgment & Problem Solving: Highly analytical and intellectually curious, with the ability to structure ambiguous problems, reason from first principles, distinguish what matters from what doesn't, and move from analysis to