Top Senior Finance Jobs in St. Louis, MO

Manage daily accounting operations, prepare financial statements, oversee nonprofit fund accounting and grant compliance, coordinate audits (including Single Audit), develop controls and policies, support budgeting, forecasting, and financial analysis, and collaborate on fundraising and training for CDFI-focused programs.

Consult as an independent accounting and finance executive for growth-stage clients. Provide GAAP-based financial reporting, budgeting, tax/audit support, system design, cash-flow analysis, policy implementation, staff oversight, and mentoring to company teams.

Own end-to-end accounting operations and monthly close; manage AP/AR, payroll, reconciliations, revenue recognition (ASC 606), and audit-ready controls. Partner with outsourced bookkeeping and VP of Finance on treasury, forecasting, SaaS metrics, investor reporting, tax nexus, and finance systems improvements to scale the finance function.

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.

Prepare senior management financial presentations, provide global analytical support for monthly and quarterly close, lead planning and long-range forecasting updates, improve reporting processes, and manage additional finance projects as required.

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.

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 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.

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 finance for North America, partnering with regional leadership to drive forecasting, planning, commercial analysis, cash management, compliance, team development, and finance transformation including AI and systems adoption. Accountable for validated rolling forecasts, client profitability insight, working capital, statutory compliance, and representing NAmer finance to Group.

Serve as the finance partner to R&D (Engineering, Product, Strategy), owning budgeting, forecasting, variance analysis, financial modeling, and executive-level ad hoc analyses. Lead a small team, build management reporting, model growth initiatives and investment decisions, improve financial processes and tools, and translate product and GTM drivers into actionable financial insights to support strategic decision-making.

Manage and develop the Finance System Support team to maintain and improve core finance systems (SAP and related apps). Oversee day-to-day support, month-end readiness, access and controls, release cycles, change management, testing, and stakeholder communications. Partner with finance, IT, and vendors to resolve issues, deliver enhancements, and support AI-enabled finance initiatives while ensuring alignment with audit, compliance, and business requirements.

Support project financial management including budgeting, forecasting, variance analysis, reporting, audit readiness, cashflow and commitment tracking. Ensure accurate recording and safeguarding of financial documents, supervise petty cash and junior finance staff, strengthen partner capacity, manage procurement and fleet/office administration, and implement internal controls and risk mitigation to ensure donor and organizational compliance.