Remote Remote (Global) Employment $152,000 - $160,000

Plume Clinic is hiring a Director of Finance and Accounting

About the Role

Lead the end-to-end financial function for a purpose-driven healthcare organization, overseeing planning, accounting, treasury, and tax operations. Reporting to the Chief Operating Officer, you will play a central role in shaping financial strategy, ensuring compliance, and delivering actionable insights that support both operational efficiency and long-term growth.

What You'll Do

  • Direct financial planning, forecasting, and budgeting in partnership with executive leadership, aligning financial strategy with organizational goals.
  • Oversee monthly close, financial reporting, and performance analysis, ensuring accuracy and timeliness of financial statements.
  • Provide strategic input on cash flow management, capital allocation, and multi-entity financial structures to support sustainable growth.
  • Lead tax compliance and planning efforts, serving as the primary contact for complex tax matters across jurisdictions.
  • Manage and mentor the Accounting Manager, enabling strong performance across onshore and offshore accounting teams.
  • Develop and enforce standardized financial processes and controls to enhance efficiency, transparency, and compliance.
  • Support executive decision-making by translating financial data into clear, strategic narratives for internal and external stakeholders.
  • Ensure seamless handling of invoicing, expense reporting, and vendor payments, resolving escalated issues promptly.
  • Collaborate across departments to streamline financial operations and support organizational maturity through scalable frameworks.

Requirements

  • Bachelor’s degree in accounting, finance, or a related field.
  • Minimum of 10 years of progressive leadership experience in finance or accounting, preferably within high-growth or healthcare environments.
  • Deep understanding of GAAP and financial reporting standards.
  • Proven experience with Netsuite for financial operations and reporting.
  • Strong modeling skills using spreadsheets and familiarity with Google Workspace.
  • Experience managing remote or distributed teams in a fully remote setting.
  • Demonstrated commitment to equity, inclusion, and mission-aligned healthcare, particularly in support of transgender and gender-diverse communities.

Preferred Qualifications

  • CPA certification.
  • Experience with Ramp, Bill.com, or similar financial platforms.
  • Background operating in multi-entity corporate structures.

Benefits

  • Equity in a Series B company with growth potential.
  • Comprehensive medical, dental, and vision coverage effective the first of the month after start date.
  • Unlimited paid time off and 11 company-recognized holidays, plus a week-long shutdown in December.
  • 401(k) plan for retirement savings.
  • Free subscriptions to mental health and wellness services.
  • Inclusive, values-driven culture with a team of intelligent, compassionate, and mission-focused professionals.

Work Mode

This is a fully remote position with team members distributed globally. The organization supports flexible work arrangements and prioritizes asynchronous collaboration.

Required Skills
NetsuiteGAAPfinancial reportingaccounting principlesfinance leadershipspreadsheetsGoogle WorkspaceRampBill.comdigital healthtelehealthfinancial operations scaling NetsuiteGAAPfinancial reportingaccounting principlesfinance leadershipspreadsheetsGoogle WorkspaceRampBill.comdigital healthtelehealthfinancial operations scaling
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About company
Plume Clinic
Plume is a passion-fueled, mission-driven company that is trans-founded with a vision to transform healthcare for every trans life. We hope to make gender-affirming hormone therapy easily accessible at the touch of a button in every state of the US. This work is deeply personal and heart-driven, and we want teammates who care about the mission and the people we serve. For the right candidates, we present a rare opportunity to do well by doing good. Plume offers an affirming, trans-centered, culturally inclusive, and fun work environment filled with purpose.
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Job Details
Department Strategy & Operations
Category management
Posted 8 days ago