Top Senior Finance Jobs in Rochester, NY

Serve as a senior, board-facing finance partner providing strategic financial insight, reporting, planning, forecasting, governance, and commercial guidance. Lead budgeting, performance management, cash and risk oversight, support M&A and business-case development, and translate financial data into actionable recommendations for non-finance leaders.

Provide fractional CFO services to high-growth tech startups: build driver-based financial models, institutionalize month-end model updates, own budget vs. actuals reporting, align P&L with accounting, and deliver analyses for fundraising, M&A, pricing, unit economics, and cash management to support strategic decisions.

Serve as a strategic finance business partner focused on revenue: drive growth initiatives, lead payor negotiation strategies, build advanced financial models and automated reporting (Power BI/PowerQuery), manage chargemaster and revenue cycle analytics, monitor CMS/Medicare impacts, and translate financial insights into cross-functional executive decisions.

The role involves leading financial strategy, planning, and operations. Candidates should have experience in building finance teams, integrating values in decision-making, and contributing to business strategies.

As the first finance hire, you'll establish the finance organization, manage accounting, lead budgeting, and support Series A fundraising while building a financial infrastructure for growth.

The VP of Finance will drive financial strategy, capital allocation, and operational efficiency while partnering with the executive team to maximize growth in a SaaS environment.

Lead Step's integrated financial model, forecasting, and dashboards. Partner with cross-functional teams and the CFO to drive financial planning, unit-economics, pricing, and investment decisions. Build AI-augmented forecasts, deliver executive-ready analyses, and own monthly reviews, annual budgeting, rolling forecasts, and long-range planning.

Lead annual planning, forecasting, and CFO reporting across P&L, balance sheet, and cash flow. Build driver-based models, scenario analysis, and AI-enabled automation in FP&A. Manage a small team, partner with Accounting/Tax/Legal for SOX and IPO readiness, and produce board and investor materials.

Lead Moxie’s strategic finance function: own forecasting, GMV modeling, budget-vs-actual and variance analysis, build dashboards and processes, partner with cross-functional leaders, and support strategic initiatives including tech rollouts and M&A.

Manage accounts payable, vendor payments, customer refunds, account reconciliations, internal controls, and month-end close. Partner with IT and accounting teams to ensure GAAP compliance, automate processes, perform accounting research, and drive process improvements.

Lead financial strategy for a fast-growing defense tech hardware business with government contracts. Build and own financial models against the contract backlog, drive long-range planning, budgeting and pricing, manage working capital across long lead times and government payment timing, direct outsourced accounting and CPA relationship, and act as a strategic thought partner to the founders.

Serve as strategic finance partner for GTM, OQ product line, and G&A/COGS. Own monthly billings and expense processes, maintain driver-based operating model, lead Product P&L and billings analytics, produce executive and board reporting, and partner with leaders on budgeting, headcount, and SaaS metric tracking to drive margin and growth.

Lead financial analysis, modeling, budgeting, forecasting, and month-end review to support ministry/entity leadership. Develop analytical reports, recommend process improvements, support strategic planning, and supervise finance staff. Serve as a resource to clinical service line leaders and participate on local leadership committees as assigned.

Lead NetSuite ERP architecture, configuration, integrations, and roadmap. Improve Order-to-Cash and Procure-to-Pay processes, implement automation (including AI/LLM agents), enforce data governance and SOX-ready controls, partner with cross-functional teams, manage upgrades and third-party integrations, and provide documentation, training, and user support to ensure financial system stability and accuracy.

Lead credit underwriting, monitoring, and portfolio management for complex Data Center (digital infrastructure) credits. Perform financial analysis/modeling, risk evaluation, structuring, documentation, covenant monitoring, and client engagement. Oversee portfolio compliance, track lease metrics and contractual requirements, drive process improvements, and mentor junior staff while supporting credit, relationship coverage, and capital markets teams.

Lead finance partnership for global operations and manufacturing, owning cost structure, standard costing, inventory accounting, and operational P&L. Drive variance analysis, margin improvement, controls (SOX), forecasting, capital analysis, productivity and footprint initiatives. Mentor FP&A staff, partner cross-functionally with operations, supply chain, procurement, and accounting, and lead projects to improve processes and financial performance.

The Finance and Accounting Manager will manage day-to-day accounting operations, ensuring accuracy in financial data, payments, and compliance while supporting growth initiatives in a remote environment.

Lead the companys finance function: build forecasting and financial models, manage month-end close and GAAP compliance, reconcile inventory and COGS, implement controls and ERP tooling, support budgeting, headcount planning, and investor-ready reporting while partnering with leadership to guide financial strategy and contingency planning.

Partner with GTM leadership to own subscription revenue and ARR forecasting, lead sales capacity and expense planning, provide deal economics and ROI analysis, support strategic planning and board reporting, and drive automation/AI-enabled finance processes to optimize growth.

Partner with the CFO to lead global budgeting, forecasting, long-range planning, and ad hoc financial analytics. Build scalable finance systems, embed AI/automation, support cross-functional resource-allocation decisions, and deliver high-impact analyses to improve forecasting accuracy and leadership decision-making.

Lead marketing finance for Nutrafol's .COM and Amazon channels. Own revenue and marketing forecasting, drive scenario planning and investment prioritization, partner with CMO and SVP on strategic insights, build and manage a high-performing finance team, and improve planning tools and AI-enabled workflows to support DTC and e-commerce decision making.

Oversee financial operations across multiple properties, manage budgets, audits, and compliance, and enhance financial acumen among teams.

Own and build the company's full finance function: set up accounting systems and controls, manage bookkeeping, payroll, VAT and corporation tax filings, prepare management accounts, forecasts and budgets, support year-end and audits, and provide financial analysis and modelling to guide leadership decisions.

The Senior Analyst, Pharmacy Finance, will support financial processes at client sites, collaborate with leaders, perform data analysis, and contribute to strategic initiatives.

Lead financial strategy and performance for GTM, owning planning, forecasting, unit economics, and growth efficiency. Partner with Marketing, Product, Sales, and external partners to evaluate new opportunities, drive acquisition and profitability, build metrics and reporting, and provide data-driven insights to executive leadership.