Top Finance Jobs in Rochester, NY

Serve as a strategic commercial finance partner across cash-pay and insurance-covered businesses. Own driver-based forecasting, financial modeling, performance analysis, business cases, KPI reporting, and executive communications. Analyze payer dynamics, reimbursement, revenue cycle, unit economics, marketing ROI, and customer cohorts to inform senior leadership and drive strategic decisions. Collaborate with Revenue Cycle, Analytics, Operations, Accounting, and FP&A on scalable models and processes.

Lead GTM finance owning the end-to-end P&L for Sales, Marketing, and Customer Success. Build first-principles financial models, drive unit economics and ARR forecasting, deliver exec/board reporting, partner on capacity/pricing, champion AI-enabled finance workflows, and hire and develop the GTM finance team as the company scales.

Create practical Excel templates, demo files, and use-case scenarios for accounting, FP&A, finance, operations, and marketing. Improve onboarding with clear demos, produce short guides and walkthroughs, and complete a sample Excel task and paid trial as part of the interview process.

Lead FP&A, budgeting, forecasting, and reporting; manage cash flow, ABL lender compliance, project-level profitability, and financial modeling. Advise executive team and private equity sponsor, build a high-performing finance team, and drive strategic planning, M&A modeling, and operational KPI analysis across a multi-site contract-based business.

The VP of Finance will build financial foundations, own FP&A, provide decision support, upgrade reporting, and develop the finance team.

Contribute financial expertise to train and evaluate AI language models: design finance tasks, produce reference solutions, evaluate AI outputs with rubrics, collaborate with SMEs, and identify knowledge gaps to improve AI reasoning in finance. Independent contractor role requiring at least 10 hours/week.

Assess finance tasks and workflows for professional realism, clarity, and completeness. Identify missing assumptions, ambiguities, edge cases, and impractical constraints. Validate workflow logic, evaluate whether tasks measure professional finance capabilities, and provide concise, structured written feedback and improvement recommendations while collaborating with other finance experts during a high-engagement remote sprint.

Partner with Sales, Credit Risk, Legal, Product, and Capital Markets to model credit deal economics, build portfolio and vintage projections, structure multi-party revenue shares, run scenario analyses, lead deal reviews, develop credit pricing tools and dashboards, and use automation/AI to scale modeling and decision support.

Partner with executive leadership, clinical operations, and growth teams to lead FP&A across clinics and service lines. Build financial models, perform scenario analysis, evaluate new clinic openings and M&A, develop KPIs and dashboards, deliver executive-ready analyses, and lead a team of financial analysts to improve scalability, efficiency, and profitability in a high-growth healthcare services organization.

Galaxy Ventures connects top talent with portfolio companies in the crypto sector, offering a talent network for finance and legal professionals.

Lead finance transformation projects, advising CFOs on operational improvements, managing client relationships, and mentoring team members.

The Finance Transformation Manager leads finance projects, improves finance processes, enables technology, and supports change for clients' financial transformations.

The Finance Analyst will maintain financial models, prepare forecasts, analyze variances, and support leadership in decision-making and financial visibility.

The role involves guiding customers through onboarding, building financial models, conducting customer training sessions, and improving user experiences.

Serve as the first GTM finance business partner, building forecasting, KPIs (CAC, LTV, payback), pricing and P&L models, headcount and commission modeling, monthly and annual planning, and systems/tooling to support Sales and Marketing decision-making and ROI-driven growth.

Manage and expand existing equipment finance relationships in the construction vertical across a multi-state territory. Originate new financing opportunities, assess borrower credit and collateral, provide industry intelligence, support senior management with sales training, and ensure adherence to risk, regulatory, and internal control standards.

Lead strategic financial analysis and the integrated 3-statement Long Range Plan. Build investor-grade models, valuations, and cash/liquidity forecasts. Support fundraising and M&A diligence, benchmark competitors, and partner with leadership and FP&A to align short- and long-term financial planning.

Lead operations finance for the PES segment as a strategic business partner to operations leadership. Build standardized, automated finance processes, drive costing, intercompany pricing, budgeting, forecasting, KPI reporting, and value realization. Ensure SOX/US GAAP compliance, conduct control audits, quantify operational risks, and support global consistency across plants. Coach finance talent, champion LEAN and AI-enabled productivity, and evaluate major decisions like footprint, make-versus-buy, and sourcing. Role requires frequent regional travel and bilingual (English/Spanish) collaboration.

Own budgeting, forecasting, and long-range planning; prepare monthly/quarterly/annual financial reports and variance analyses; manage cash flow forecasting and month/year-end close with external accountants; build financial models, KPIs, dashboards, and business cases; support audits, tax filings, fundraising, board reporting, and automation of reporting processes.

Serve as a strategic finance business partner for regional operations, leading budgeting, forecasting, month-end close, variance analysis, contract compliance, and financial reporting. Provide actionable analytics, support decision-making, identify risks and growth opportunities, improve processes and controls, and collaborate with operations, client services, legal, and corporate finance. Occasional travel to customer sites.

Partner with Sales, Marketing, and Customer Success to lead GTM FP&A: forecasting, headcount and Opex management, bookings/ARR metrics, quota and pipeline modeling, ROI/unit-economics analysis, compensation modeling, automation and AI-driven reporting, and board-level reporting. Build scalable analytics, AI-powered workflows, and drive monthly/quarterly planning and business reviews.

Serve as outsourced accountant and financial advisor for a portfolio of schools. Manage full-cycle accounting (AP, payroll, grants), close books, prepare monthly financial statements, support annual audits and 990 preparation, liaise with authorizers/SEAs, analyze and model financial issues, and provide high-quality client service while supporting internal team growth.

Act as an outsourced CFO for a portfolio of 5-8 schools: build budgets and multi-year forecasts, advise school leaders and boards on strategic financial decisions, analyze and model financial issues, provide client-facing guidance, mentor finance specialists/analysts, lead audits, and contribute to internal finance product development and best practices.

Lead the finance function at Hadley Designs by building scalable systems, managing cash flow, and driving profitability to support growth.

Manage finance and accounting operations for the hospital-based division, lead month-end close with accounting teams, prepare subsidy reconciliations, analyze wRVU/clinical compensation and GL variances, produce monthly MOR presentations, support annual budgets and quarterly forecasts, build reports and dashboards, prepare proformas for contracts and physician hires, and support ad hoc reporting and process improvements.