About the Opportunity:Upside is hiring a
Vice President of Finance to build and lead the company's finance function as we scale across health plans, government payers, and employer groups. This role will bring greater financial rigor, accountability, and strategic insight to the business while building the systems and processes needed to support continued growth.
The VP of Finance will partner closely with the executive team to strengthen financial planning, reporting, and decision-making across the business. This leader will build the processes, models, and operating discipline needed to connect customer growth, revenue performance, and operational execution while helping shape the long-term structure of the Finance function.
This role reports to the Chief Operating Officer.
Work Location and Schedule: - Full-time, hybrid in Fort Lauderdale
- Candidates based in South Florida
- Must be available for travel as needed for leadership meetings, board meetings, fundraising, and other strategic business needs
What You'll Do: - Own financial planning, budgeting, forecasting, and long-range modeling across the business
- Serve as a strategic thought partner to the executive team on growth planning, investment decisions, risk management, and capital allocation
- Build internal processes to track financial performance, establish accountability, and ensure leaders understand how their teams are performing against plan
- Develop financial models that evaluate revenue, margins, cash flow, customer profitability, and the ROI of new initiatives
- Partner with Sales and Customer Success during the contracting process to evaluate pricing, contract economics, billing requirements, and financial risk
- Assess the financial and operational performance of health plan contracts, customer portfolios, and lines of business
- Build scalable processes for customer invoicing, revenue recognition, accounts receivable, collections, and cash flow management
- Strengthen revenue cycle operations, including billing readiness, claims, reimbursement, denials, payer requirements, and month-end reconciliation
- Oversee accounting operations and external partners responsible for bookkeeping, tax, audit, and financial reporting
- Ensure accurate monthly closes, financial statements, reconciliations, GAAP compliance, and audit readiness
- Establish internal controls, financial policies, reporting standards, and systems that support continued growth
- Prepare financial reporting, forecasts, and materials for executive leadership, the board, and investors
- Support fundraising, financial due diligence, investor relations, and potential M&A or acquisition activity
- Build the internal Finance team over time and determine the appropriate long-term structure across Finance, Accounting, FP&A, and Revenue Cycle
- Partner with Technology, Data, and Operations to improve financial reporting, data integrity, and automation
What We're Looking For: - 10+ years of progressive experience across strategic finance, FP&A, accounting, or related finance functions
- Experience serving as a VP of Finance, Head of Finance, Controller, or senior finance leader in a scaling organization
- Strong healthcare finance experience, ideally within digital health, payer services, managed care, value-based care, or healthcare technology
- Hands-on understanding of revenue cycle management, including billing, claims, reimbursement, payer contracts, and collections
- Experience building financial models, forecasts, budgets, and performance reporting from the ground up
- Ability to understand complex customer contracts and translate them into billing processes, financial forecasts, and operational requirements
- Experience partnering with Sales and executive teams on pricing, contract economics, and growth decisions
- Strong knowledge of GAAP, financial statements, monthly close, audit readiness, and internal controls
- Experience overseeing outsourced accounting teams, external advisors, or other financial partners
- Experience preparing financial materials for boards, investors, and executive leadership
- Exposure to fundraising, due diligence, M&A, or acquisition processes
- Strong business judgment and the ability to balance financial discipline with growth opportunities
- Ability to translate financial insights into clear operational actions and accountability across teams
- Comfort operating in a fast-paced environment where processes, systems, and team structures are still being built
- Experience with ERP, accounting, financial planning, and data visualization tools
Compensation and Benefits: - Salary Range: 180k - 215k
- Meaningful equity
- Medical, dental, and vision coverage
