# Senior Vice President, Strategic Finance - Company: [Payzen Inc]() - Location: San Francisco HQ - Remote: Yes - Team: Finance - Employment type: Full Time - Salary: $285K – $310K - Posted: July 14, 2026 ## Job description ## **About PayZen** PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures. ## **About the Role** We are seeking a strategic, data-savvy, and execution-driven leader to serve as our **Senior Vice President, Strategic Finance**. This is a high-impact executive role for a proven finance leader who thrives in ambiguity, brings deep lending and balance sheet expertise to complex financial challenges, and has scaled finance functions at high-growth companies. You will own our financial strategy end to end — capital raising, capital allocation, short and long-term forecasting, pricing and unit economics. — ensuring our long-term growth is backed by rigorous planning and sound judgment. In this role, you will report to the **Chief Financial Officer** and own and scale the Strategic Finance team. You will collaborate closely with **Accounting, Capital Markets, Go-To-Market (Sales & Marketing), Product, and Human Resources** to drive company-wide alignment and performance. This position is based in our **San Francisco headquarters** with in-office days on Mondays, Tuesdays, and Thursdays. ## **Responsibilities** * Own company-wide financial planning and analysis (FP&A) strategy, including annual budgeting, long-range planning, liquidity forecasting, and management and board-level performance reporting. * Design and govern the company's financial operating cadence, giving the executive team and Board real-time visibility into business health, risk, and opportunity. * Partner with Go-To-Market and Product leaders to develop sophisticated pricing models, unit economic analyses, and impact sizing for new strategic initiatives. * Own lending economics (yield, spread income vs. fee income, portfolio performance, and loss trends), and partnering with Risk and Product to inform underwriting and pricing decisions. * Build and scale the Strategic Finance function, hiring and developing senior talent and implementing scalable financial systems, models and dashboards. ## **Requirements** * 15+ years of experience in a blend of strategic finance, investment banking, private equity or venture capital investing, consulting, or corporate strategy, with a track record of taking on progressively greater scope—ideally within high-growth fintech, lending, or healthcare finance environments. * Deep understanding of lending and balance sheet economics—credit risk, interest rate dynamics, spread income vs. fee income, and portfolio/loss performance—with the judgment to advise on pricing and underwriting tradeoffs. * Proven track record partnering directly with CEOs, CFOs, and Boards on capital allocation, capital raises, and high-stakes strategic decisions. * Exceptional analytical capabilities with the ability to translate large datasets into compelling strategic narratives and business cases. * Demonstrated ability to lead through influence, building trust and driving clarity across executive, technical, and operational teams in high-ambiguity environments. * Strong organizational skills with a focus on doing things the right way and maintaining a high personal standard of excellence. * Able to work out of our San Francisco HQ. ## **Why PayZen?** * An opportunity to positively affect the lives of thousands of patients * A chance to join a high-growth company at an early stage * Contribute to the development of a product that revolutionizes medical payments in ways never seen before * Become a key member of a collaborative, high performing team, shaping its growth and success * Competitive pay, benefits and stock options ## Apply [Apply on Payzen Inc]() Canonical job page: