Top Finance Jobs in St. Louis, MO

Senior finance leader accountable for financial strategy, budgeting, forecasting, reporting, risk management, controls, and capital allocation. Partners with executives to drive growth, support M&A/capital raises, optimize operations, and build high-performing finance teams in a healthcare/PBM context.

Lead financial and analytical oversight of PBM performance focusing on Net PMPM, rebate forecasting/reconciliation, network and claims analytics, and cross-functional strategic insights to drive cost containment, pricing support, and operational improvements.

In this role, you will analyze performance across revenue and finance, create models, support forecasts, and generate insights to inform strategic decisions.

Lead finance operations for provider risk-sharing and reinsurance arrangements: own settlement, accounting, forecasting, reserves and reporting; partner cross-functionally (actuarial, claims, network, data, engineering, legal) to design controls, policies, reconciliation, dispute resolution, and regulatory/audit responses; support provider relationships and analytic tooling to monitor performance and payments.

As a Project Finance Manager, you will manage financial aspects, ensure accounting accuracy, communicate with stakeholders, and advise the project team on financial laws.

Support and maintain critical financial applications and reporting tools. Optimize processes and system integrations, identify automation opportunities, design solutions for complex business needs, create operational documentation, collaborate with business and technical teams, and coordinate with internal departments and external auditors.

The VP of Finance will manage the company's operating model, unit economics, AI cost management, and collaborate with the CEO on financial decisions. They will also define KPIs, perform strategic finance projects, and oversee GTM finance while utilizing vendors for lower leverage tasks.

Manage full accounting cycle and financial reporting for a fast‑growing DTC ecommerce brand. Oversee bookkeeping and AP, improve month‑end close, apply landed costs, build scalable processes, and provide financial analysis to support operations.

The Sr. Manager of Finance will partner with leadership to manage financial goals, P&L ownership, mentorship, and drive profitable growth while ensuring compliance and enhancing controls within a manufacturing business unit.

Lead financial planning and analysis, manage budgeting and forecasting, conduct variance analysis, support month-end and year-end close, strengthen controls, optimize profitability, partner with senior leadership on commercial decisions, drive NetSuite and finance systems improvements, supervise and mentor accounting staff.

Work with the VP of Accounting, Finance and Treasurer and cross-functional teams to build and maintain financial models, budgets, forecasts, and consolidated cash flows. Provide monthly KPI and variance analysis, develop KPI frameworks, analyze product-line performance, support strategic initiatives (go-to-market, partnerships, M&A), and create clear presentations for stakeholders to inform financial decision-making.

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.

Support monthly project accounting and month-end close tasks: set up and update projects in time & expense systems, manage invoicing and accruals, reconcile GL accounts, track project costs and billable hours, assist audits and ad hoc financial reporting.

Lead end-to-end billing, invoicing, collections, and NetSuite-based revenue operations for a large, complex SaaS and services business. Design quote-to-cash processes, improve automation and data quality, partner with Sales/RevOps/Engineering, manage reporting (ARR/MRR/deferred revenue), and drive collections, tax compliance, and operational scalability.

Support monthly project accounting and client financial management: set up projects, update trackers, reconcile GL accounts, prepare invoicing and accruals, investigate hours/expenses, assist month-end close, and provide audit support.

Lead financial modelling and analytics for pricing, monetization, and strategic finance. Build scenario and profitability models, apply AI/ML (LLMs, predictive models) to accelerate modelling and reporting, deliver executive-ready profitability reporting, and partner with FP&A, Sales Ops, and GTM leaders to support strategic decisions.

Lead revenue forecasting, capacity planning, and financial modeling for Price Optimization. Drive data-informed decision-making while managing budgets and operational efficiency.

The Director of Financial Planning & Analysis leads financial planning, budgeting, forecasting, and provides strategic insights, partnering with top executives to enhance financial performance and capabilities.

Serve as finance liaison for client-facing teams managing invoicing and payment operations. Oversee timesheet/milestone outreach, VMS/SOW updates, dashboarding, dispute resolution, PO monitoring, and audit-ready controls. Lead 2–4 AR analysts, write SOPs, drive process improvements and automation, and present billing insights to stakeholders while supporting supplier onboarding and integration testing.

The School Finance Specialist will manage accounting and compliance for schools, analyze financial data, and support strategic decision-making to improve operations and student outcomes.

The Head of Finance will architect Offchain's financial strategy and lead capital management while ensuring financial governance and reporting standards are met.

Lead Origin's strategic finance function: own company P&L, forecasting, unit economics, commercial deals, and vendor negotiations. Build financial models, run FP&A and analytics, partner with execs on capital strategy, and grow a high-functioning finance and analytics org to support rapid product and business expansion.

Lead corporate development and strategic finance initiatives including M&A valuation and diligence, investor and capital-raising materials, and cross-platform growth programs. Build financial models and business cases, track acquisition targets and market benchmarks, manage multi-workstream due diligence, execute cross-sell initiatives with dashboards, and report performance and recommendations to the executive team.

Lead balance sheet forecasting, maintain long-term integrated financial model, and own the thirteen-week direct cash flow forecast. Produce monthly/quarterly/annual reporting for management and ownership, monitor covenant compliance, translate P&L drivers into GAAP-compliant balance sheet and cash flow projections, and partner cross-functionally to improve forecasting accuracy and reporting efficiency.

The fractional Head of Finance will lead the finance function, automate financial data processes, build reporting infrastructure, and prepare for Series A fundraising.