Career-defining. Life-changing.
At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best possible cardiac health solutions. Every day, we collaborate, create, and constantly reimagine what’s possible. We think big and move fast, driven by our commitment to put patients first and improve lives. We need builders like you. Curious and innovative problem solvers looking for the chance to meaningfully shape the future of cardiac health, our company, and your career
About This Role:
We are seeking a high-impact finance leader to lead the Business Finance organization supporting Commercial and Operations. This role is accountable for the quality, integration, and accuracy of Commercial and Operations forecasts and for building strong finance leaders, scalable business-finance capabilities, and disciplined performance-management processes. Forecasts and day-to-day business partnership will be delivered through the respective Commercial Finance and Operations Finance leaders and their teams. This role will work in close partnership with Corporate FP&A, which owns the enterprise planning process, consolidated forecast, management reporting, and planning systems, and with IR and Strategic Finance, which owns investor relations, strategic finance, and M&A support.
The Senior Director will operate as a leader of leaders: setting expectations, challenging assumptions, integrating Commercial and Operations perspectives, and holding the organization accountable for forecast accuracy and actionable insights. The role will engage directly with business executives on the most consequential decisions, risks, and performance matters without becoming the primary day-to-day business partner for either function.
Essential Duties and Responsibilities:
Finance Leadership & Talent Development
- Lead and develop the Commercial Finance and Operations Finance Senior Managers and their teams, building each leader’s readiness for broader Director-level responsibility.
- Set clear expectations, operating rhythms, and standards across Business Finance, fostering ownership, accountability, collaboration, and continuous improvement.
- Coach the Senior Managers as the primary day-to-day finance partners to their respective functions while engaging directly on the most consequential business matters.
Business Finance Leadership & Forecast Accountability
- Serve as the single accountable Finance leader for Commercial and Operations forecasting, including revenue, cost of revenue, gross margin, operating expenses, and capital investments; own forecast accuracy, integrity, transparency, and continuous improvement through the respective Finance leaders and teams.
- Ensure integrated, decision-useful forecasts and performance insights through consistent analytical rigor, planning processes, and clear ownership of assumptions, risks, opportunities, and variances.
- Engage with Commercial and Operations executives on material decisions, performance gaps, risks, and trade-offs while routine business support remains with the respective Finance leaders.
- Partner with Corporate FP&A to translate Commercial and Operations forecasts into the enterprise plan and consolidated outlook.
Business Finance Transformation & Scale
- Lead Business Finance transformation initiatives that improve forecast quality, analytical capacity, business insight, and organizational leverage.
- Translate recurring challenges into scalable processes, clear decision rights, and sustainable team capabilities, reducing manual work and key-person dependencies.
- Develop metrics, management tools, and operating-review processes that improve visibility, accountability, and execution.
- Partner with Corporate FP&A on enterprise planning-process improvements and with Strategic Finance on transaction diligence and integration, retaining ownership of Commercial and Operations inputs and execution.
Business Finance Data & Analytics Requirements
- Define and prioritize the data, reporting, and analytics requirements needed by Commercial Finance and Operations Finance to improve forecasting, performance management, and decision support.
- Own business requirements for Commercial and Operations Finance use cases, including Snowflake-based reporting and analytics, and establish the related business rules, definitions, and controls.
- Partner with Corporate FP&A, the planning-systems team, IT, Data Engineering, and business stakeholders on enterprise solutions; Corporate FP&A retains ownership of planning-system architecture and enterprise planning governance.
Cross-Functional Execution & Decision Support
- Lead cross-functional initiatives that materially affect Commercial or Operations performance and require integrated financial leadership.
- Bring an enterprise perspective to resource allocation, investment choices, operating trade-offs, and performance improvement.
- Coordinate with Corporate FP&A and IR and Strategic Finance so business outlooks, enterprise plans, strategic analyses, and external narratives use consistent assumptions.
Experience and Minimum Qualifications:
- Minimum of 15 years of related experience with a Bachelor’s degree in Finance, Accounting, or a related field; or 12 years with a Master’s degree; or equivalent experience, including substantial leadership in Commercial Finance, Operations Finance, or business FP&A.
- Minimum of 7–10 years of leadership experience, with demonstrated success developing experienced finance leaders and building high-performing teams through others.
- Demonstrated accountability for integrated business forecasts and forecast accuracy across revenue, gross margin, operating expenses, and capital investment.
- Experience designing scalable processes, governance, organizational capabilities, and business requirements and leading cross-functional transformation with technology partners.
- Experience contributing business-finance expertise to acquisitions, integrations, and organizational change in partnership with Strategic Finance or corporate development.
- Strong executive presence and ability to influence senior leaders.
- Experience leading finance organizations in a regulated industry such as medical device, healthcare services, medtech, or a related environment.
- Public-company experience, including work with internal and external auditors and support of SOX-compliant processes and controls.
- Strong analytical and financial modeling skills, with the ability to translate operational data into clear financial implications and actionable recommendations.
- Enterprise-minded leader with sound judgment, strong communication skills, and the ability to operate effectively in a fast-paced, matrixed environment.
- High integrity and discretion, proficiency with financial planning, enterprise resource planning, and data and reporting platforms, and legal authorization to work in the country of employment without sponsorship.
Preferred Knowledge, Skills, Abilities or Certifications:
- Experience with QAD or a comparable manufacturing ERP platform.
- Experience integrating acquired businesses, supporting new products or adjacencies, or working with globally distributed teams or shared-service organizations.
- Systems thinker and talent developer who can translate business challenges into scalable capabilities across people, process, data, technology, and organizational design.
- Collaborative, action-oriented leader who balances near-term needs with long-term scalability and operates effectively in ambiguity.
Travel Requirements:
Occasional travel to key operations sites and other company locations is required, based on business needs.
Overtime/Additional Hours Requirements:
Additional hours may be required for this exempt position.
Physical Requirements:
Normal office environment. Indoor work in a climate-controlled environment. Sedentary work, including sitting for extended periods and occasionally exerting up to 10 pounds of force to lift, carry, push, pull, or otherwise move objects.
Location:
Remote - USActual compensation may vary depending on job-related factors including knowledge, skills, experience, and work location.
Estimated Pay Range
$206,000.00 - $268,000.00As a part of our core values, we ensure an inclusive workforce. We welcome and celebrate people of all backgrounds, experiences, skills, and perspectives. iRhythm Technologies, Inc. is an Equal Opportunity Employer. We will consider for employment all qualified applicants with arrest and conviction records in accordance with all applicable laws.
iRhythm provides reasonable accommodations for qualified individuals with disabilities in job application procedures, including those who may have any difficulty using our online system. If you need such an accommodation, you may contact us at [email protected]
About iRhythm Technologies
iRhythm is a leading digital healthcare company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information. Through a relentless focus on patient care, iRhythm’s vision is to deliver better data, better insights, and better health for all.
Make iRhythm your path forward. Zio, the heart monitor that changed the game.
There have been instances where individuals not associated with iRhythm have impersonated iRhythm employees pretending to be involved in the iRhythm recruiting process, or created postings for positions that do not exist. Please note that all open positions will always be shown here on the iRhythm Careers page, and all communications regarding the application, interview and hiring process will come from a @irhythmtech.com email address. Please check any communications to be sure they come directly from @irhythmtech.com email address. If you believe you have been the victim of an imposter or want to confirm that the person you are communicating with is legitimate, please contact [email protected]. Written offers of employment will be extended in a formal offer letter from an @irhythmtech.com email address ONLY.
For more information, see https://www.ftc.gov/business-guidance/blog/2023/01/taking-ploy-out-employment-scams and https://www.ic3.gov/Media/Y2020/PSA200121
Skills Required
- Bachelor’s degree in Finance, Accounting, or a related field with at least 15 years of related experience, or a Master’s degree with at least 12 years of experience, or equivalent experience.
- 7–10 years of leadership experience, including building, stabilizing, and developing high-performing finance teams.
- Deep expertise in cost accounting and operational finance, including inventory, standard costs, manufacturing variances, cost of revenue, close processes, and related controls.
- Significant strategic financial leadership experience in complex manufacturing and operational environments.
- Experience leading finance organizations in regulated industries such as medical devices, healthcare services, medtech, or related healthcare environments.
- Public-company leadership experience, including work with internal and external auditors and SOX-compliant processes and controls.
- Deep expertise in US GAAP, inventory accounting, financial controls, planning, forecasting, and executive performance management.
- Experience advising executive leadership, constructively challenging assumptions, and influencing decisions without direct authority.
- Experience improving finance organizations, processes, controls, systems, and analytics in complex or changing environments.
- Strong analytical and financial modeling skills, with the ability to translate operational data into financial recommendations.
- Strong written and verbal communication skills.
- Ability to manage multiple priorities, navigate ambiguity, and work in a fast-paced, matrixed environment.
- High integrity and discretion when handling confidential information.
- Proficiency with Microsoft Office, financial planning tools, ERP systems, and data and reporting platforms.
- Legal authorization to work in the country of employment without employment visa sponsorship.
- Experience with QAD or a comparable manufacturing ERP platform.
- Experience integrating acquired businesses and building finance capabilities for new products, services, or adjacencies.
- Experience leading or materially improving a sales and operations planning process.
- Experience working with globally distributed teams or shared-service organizations.
iRhythm Technologies Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about iRhythm Technologies and has not been reviewed or approved by iRhythm Technologies.
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Healthcare Strength — Core coverage includes medical, dental, and vision alongside HSA contributions, life/disability, and mental‑health resources. Health insurance quality is described positively, including references to being top tier.
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Leave & Time Off Breadth — Paid parental leave, PTO, paid holidays, and a company‑paid Wellness Day are part of the package. These provisions indicate a broad time‑off framework that supports family and recovery needs.
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Fair & Transparent Compensation — Pay is considered competitive in several functions, with technical and product roles often receiving higher total compensation that includes salary, bonus, and equity. Compensation sentiment has improved recently in some areas.
iRhythm Technologies Insights
What We Do
iRhythm is a digital healthcare company redefining the way cardiac arrhythmias are clinically diagnosed by combining our wearable biosensing technology with cloud-based data analytics and machine- learning capabilities. Our goal is to be the leading provider of first-line ambulatory electrocardiogram, or ECG, monitoring for patients at risk for arrhythmias. We have created a unique platform, ZIO by iRhythm, which we believe allows physicians to diagnose many arrhythmias more quickly and efficiently than traditional technologies, avoiding multiple indeterminate tests, allowing for appropriate medical intervention and potentially avoiding more serious downstream medical events, including stroke.








