PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.
About the RoleWe are seeking a strategic, data-savvy, and execution-driven leader to serve as our Senior Vice President, Strategic Finance. This is a high-impact executive role for a proven finance leader who thrives in ambiguity, brings deep lending and balance sheet expertise to complex financial challenges, and has scaled finance functions at high-growth companies. You will own our financial strategy end to end — capital raising, capital allocation, short and long-term forecasting, pricing and unit economics. — ensuring our long-term growth is backed by rigorous planning and sound judgment.
In this role, you will report to the Chief Financial Officer and own and scale the Strategic Finance team. You will collaborate closely with Accounting, Capital Markets, Go-To-Market (Sales & Marketing), Product, and Human Resources to drive company-wide alignment and performance. This position is based in our San Francisco headquarters with in-office days on Mondays, Tuesdays, and Thursdays.
ResponsibilitiesOwn company-wide financial planning and analysis (FP&A) strategy, including annual budgeting, long-range planning, liquidity forecasting, and management and board-level performance reporting.
Design and govern the company's financial operating cadence, giving the executive team and Board real-time visibility into business health, risk, and opportunity.
Partner with Go-To-Market and Product leaders to develop sophisticated pricing models, unit economic analyses, and impact sizing for new strategic initiatives.
Own lending economics (yield, spread income vs. fee income, portfolio performance, and loss trends), and partnering with Risk and Product to inform underwriting and pricing decisions.
Build and scale the Strategic Finance function, hiring and developing senior talent and implementing scalable financial systems, models and dashboards.
15+ years of experience in a blend of strategic finance, investment banking, private equity or venture capital investing, consulting, or corporate strategy, with a track record of taking on progressively greater scope—ideally within high-growth fintech, lending, or healthcare finance environments.
Deep understanding of lending and balance sheet economics—credit risk, interest rate dynamics, spread income vs. fee income, and portfolio/loss performance—with the judgment to advise on pricing and underwriting tradeoffs.
Proven track record partnering directly with CEOs, CFOs, and Boards on capital allocation, capital raises, and high-stakes strategic decisions.
Exceptional analytical capabilities with the ability to translate large datasets into compelling strategic narratives and business cases.
Demonstrated ability to lead through influence, building trust and driving clarity across executive, technical, and operational teams in high-ambiguity environments.
Strong organizational skills with a focus on doing things the right way and maintaining a high personal standard of excellence.
Able to work out of our San Francisco HQ.
An opportunity to positively affect the lives of thousands of patients
A chance to join a high-growth company at an early stage
Contribute to the development of a product that revolutionizes medical payments in ways never seen before
Become a key member of a collaborative, high performing team, shaping its growth and success
Competitive pay, benefits and stock options
Skills Required
- 10+ years of experience in strategic finance, investment banking, consulting, or corporate strategy
- Experience in high-growth fintech, technology, or healthcare environments
- Proven track record managing complex financial performance, KPI ownership, and decision frameworks for executive leadership
- Exceptional analytical capabilities; translate large datasets into strategic narratives and business cases
- Demonstrated ability to lead with empathy, build trust, and drive clarity across executive, technical, and operational teams
- Strong organizational skills and a high personal standard of excellence
- Experience leading FP&A: annual budgeting, long-range planning, liquidity forecasting, and business performance reviews
- Experience leading capital raises and high-priority strategic corporate initiatives
- Experience building and scaling finance functions, implementing scalable financial systems and dashboards
- Familiarity or willingness to champion AI tools and automation in finance reporting and forecasting
PayZen Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about PayZen and has not been reviewed or approved by PayZen.
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Healthcare Strength — Fully paid employee medical plans for U.S. roles, with robust mental health and fertility support, are highlighted. This reduces out‑of‑pocket burden and elevates total compensation value.
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Parental & Family Support — Sixteen weeks of paid parental leave and childcare-related support are part of the package. These benefits enhance family support alongside core pay.
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Fair & Transparent Compensation — Performance‑driven pay with bi‑annual compensation reviews and career planning is emphasized. Clear processes and competitive ranges signal transparency around pay decisions.
PayZen Insights
What We Do
PayZen's embedded, AI-powered patient financing solutions drive a significant revenue lift for healthcare providers while improving patient affordability and satisfaction. Our platform automatically engages patients who need flexible payment options and offers them interest-free payment plans for up to 60 months tailored to their unique ability to pay. At the same time, we can pre-fund providers without recourse, eliminating bad debt and bringing A/R days to zero. Providers get a much higher patient payment rate and accelerated cash. Patients get affordable access to care and an intuitive payment experience. While we got our start in patient financing, PayZen's vision is broader than breaking large balances into monthly payments. We are building an integrated, data-driven platform that automates manual processes to holistically address the affordability needs of patients, resulting in an overall increase in revenue for providers. We have an amazing team, a big market and top tier investors. More importantly, our mission is our motivator: we are hyper-focused on making a dent in America's healthcare affordability crisis, improving the lives of patients and providers alike.
Why Work With Us
At PayZen, we are building an efficient and effective team of “A-players” with a big goal: transform access to healthcare. That requires intentionality around how we show up to work everyday. We’ve defined a set of values and a playbook called, The PayZen Way to keep us aligned, focused, and moving forward together.
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