Strategic Finance Manager

Company Overview

Viva Eve is a high-growth healthcare organization focused on transforming women’s healthcare through comprehensive services, technology, data, and operational excellence. Women’s healthcare has been underbuilt and underfunded for decades. Viva Eve exists to change that—delivering comprehensive women’s health through a model that pairs exceptional clinical care with modern technology, data, and operational rigor. As we scale, we are building the finance function that will steer where we invest, how fast we grow, and how we get there.

This is a rare seat: a chance to sit beside the CFO and shape the trajectory of a mission-driven company from a blank page—the kind of ownership and executive exposure you simply can’t get inside a bank or an established finance team. If you want your work to visibly move the business, this is the role for you.

Position Overview

The Strategic Finance Manager reports to the CFO and partners closely with leadership across Finance, Marketing, Technology, Clinical, and Operations. You will build and own the financial models, scenario analyses, and reporting that guide the company’s most consequential decisions—from capital allocation and acquisitions to growth investments and operating efficiency. This is a full-time, hybrid role based in Manhattan.

This is a senior individual-contributor role. The Manager title reflects the seniority, autonomy, and strategic influence of the position rather than direct people management, with a clear path to Senior Manager / Director of Strategic Finance as the company and function scale.

What You’ll Achieve in Your First 6–12 Months

· Take ownership of the company’s core financial model and make it the single source of truth for planning and forecasting.

· Stand up a reporting cadence—monthly and quarterly packages, plus live dashboards—that leadership relies on to run the business.

· Deliver at least one board- or CFO-level strategic analysis (e.g., a growth-investment, pricing, or acquisition decision) that changes how capital is allocated.

· Identify and automate the manual, recurring workflows that slow the finance function down today.

What Sets This Role Apart

This role demands extreme ownership and is reserved for someone who operates with the judgment, autonomy, and polish of a senior finance professional—not someone who needs a model built for them, but someone who builds the model everyone else relies on. The person who merits this role will be able to demonstrate:

· Ownership without oversight. You take an ambiguous business question, structure it, build the analysis, and return with a clear, defensible recommendation—without needing to be told how.

· Executive-grade communication. You are trusted to present directly to the CFO, board, and investors, and to distill complex financial and operational dynamics into a narrative leadership can act on.

· Technical depth plus business judgment. You pair genuinely advanced modeling and data skills with a strong instinct for what actually moves the business, so your analysis changes decisions rather than just describing them.

· A high-growth track record. You have done this work in a fast-moving, resource-constrained environment—ideally PE/VC-backed, healthcare, or another operationally complex sector—and you thrive when building from a blank page.

· Force-multiplier instincts. You improve the systems and processes around you, raise the analytical bar, and make the finance function measurably better than you found it.

Responsibilities:

• Own the creation and maintenance of the company’s core financial models—annual budgeting, forecasts, P&L, cash flow, LTV/CAC, and unit economics—as the single source of truth for financial planning.

• Lead long-range planning, headcount planning, scenario analysis, and acquisition/M&A analysis that directly informs corporate strategy and board-level decisions.

• Own monthly and quarterly close support, including budget-vs-actuals reconciliation, and present results and the story behind them to leadership.

• Define, develop, and track KPIs, and build and own dashboards (Power BI) that leadership uses to optimize performance across the business.

• Build and maintain SQL queries and synthesize financial, operational, and marketing data into actionable, executive-ready recommendations.

• Partner with Marketing, Clinical, and Operations leaders to identify gaps, investment opportunities, and strategic initiatives—and quantify their financial impact.

• Partner with the CFO on capital markets activities—capital raises, debt/equity structuring, investor materials, and due diligence—as the company scales.

• Drive process improvement and automation across finance workflows, raising the standard for the function as it grows.

Qualifications

• 5–8 years of progressive finance experience across high-performing environments such as investment banking, private equity, venture capital, consulting, or valuation—ideally combined with in-house FP&A or strategic finance at a high-growth operating company.

• Bachelor’s degree in Finance, Economics, Accounting, or a quantitative field; MBA, CFA, or CPA a plus.

• Expert-level Excel and financial modeling; working proficiency in SQL; hands-on experience with data visualization (Power BI preferred) and comfort with modern finance systems.

• A proven track record of owning quantitative and financial analyses end to end and translating them into recommendations that senior leaders acted on.

• Exceptional communication skills, including comfort presenting to executives and external stakeholders, and the ability to distill ambiguous problems into clear frameworks.

• A self-starter who leans into ambiguity, takes full ownership of their work product, and consistently operates a level above the brief.

Compensation

Base salary range: $130,000 – $160,000

Annual performance bonus

Equity eligible upon first review cycle

Benefits:

• 401(k)

• Comprehensive health, vision, and dental insurance

• Health savings account

• Paid time off

• Paid parental leave

Please note: Applicants must be currently authorized to work in the United States on a full-time basis. The Company is unable to provide immigration sponsorship or other support for work authorization for this position, either now or in the future.

Location: Hybrid based in Manhattan