Founding Finance Lead
BetterBrain is pioneering a new model of preventive neurology combining advanced diagnostics, a science‑backed protocol, and human coaching to help people prevent dementia, think better, and feel better. Our mission is personal: every teammate either carries APOE4 or has watched loved ones struggle with the disease.
About BetterBrain
BetterBrain Health is an AI-native health company on a mission to defeat dementia and empower people to
achieve the strongest brain health possible. We pair world-class AI with human coaches and clinicians to deliver
personalized, convenient insight, coaching, and care. We market directly to consumers but also work with, and
through, institutions. Our leadership team has built and exited from multiple billion-dollar companies.
We are well-capitalized, growing rapidly, and operating across multiple business lines: consumer coaching,
insurance-covered services, diagnostics and lab testing, e-commerce, subscriptions, and provider-based care. That
growth is exactly why we are hiring our first dedicated finance and accounting leader to help our CFO bring
structure, discipline, and visibility to the finance function as we scale.
Why this role, why now
This is a founding, hands-on finance seat. You will build the finance and accounting backbone of a fast-growing,
multi-entity health company from the ground up. Though you will own the day-to-day operating rhythm of
finance, you will work far beyond the close.
Reporting to the CFO, you’ll partner directly with our core leaders and their respective product, marketing, and
engineering teams. From pricing new services, to modeling channel and unit economics, to connecting operating
data to the general ledger, to helping leadership see what’s driving the business, the right candidate will have the
rare chance to build deep financial expertise while developing the cross-functional, commercial judgment that
defines great finance leaders.
BetterBrain is an early-stage company, which means we work hard and move fast. We have a blast doing it, and we
collaborate as owners, not as cogs in the wheel. If you want a seat where your judgment shapes the company and
your growth tracks ours, you will fit right in.
What you will own
You will own the core of the finance function from day one and build toward the broader set of responsibilities
below as the company and the team grow.
Core Finance and Accounting Responsibilities
Monthly close and financial reporting
Own the monthly close process across all entities, including coordination with the outsourced accounting firm,
review of workpapers, reconciliation of key accounts, and preparation of timely financial statements.
Multi-entity and intercompany accounting
Maintain clean accounting across the parent company and affiliated entities, including intercompany charges,
management-services fees, consolidations, and related documentation.
Revenue recognition
Develop, maintain, and apply a consistent revenue recognition approach across BetterBrain’s business lines,
including cash coaching, insurance-billed services, lab testing, e-commerce, subscriptions, and other revenue
models as they develop.
Treasury, cash management, and forecasting
Monitor cash across entities, manage bank accounts and transfers, support intercompany funding, and maintain a
short-term cash forecast that gives leadership clear visibility into liquidity.
Financial planning and analysis
Support budgeting, forecasting, actuals-to-plan analysis, and preparation of materials for leadership, board, and
investor reporting.
Management reporting
Build reporting that helps the company understand performance by product, market, customer segment, channel,
and business line, including margin and unit economics where applicable.
Accounting operations and systems
Improve the finance operating cadence, including close checklists, account reconciliations, approval workflows,
data flows from operating systems into the general ledger, and documentation of key accounting judgments.
Additional CFO-Office Responsibilities
Because this role supports the office of the CFO, you will also help coordinate several related administrative and
compliance functions, including:
- Payroll coordination and related accounting.
- Benefits, onboarding, and employee administration support.
- Entity maintenance, state registrations, foreign qualifications, and tax registrations.
- Coordination with outside legal counsel and the company’s tax advisors.
- Business insurance administration, renewals, and broker relationships.
- Audit readiness and eventual coordination with independent auditors.
- Other finance, legal, HR, compliance, or administrative projects as the company grows.
Tools and systems
Our accounting runs on a straightforward general ledger today (QuickBooks), and the day-to-day accounting work
itself is not complex, which is supported by an outsourced firm that will remain in place. The sophistication lives in
our self-developed tech stack, which is being built for the demands of a modern healthcare company. A
meaningful part of this role is connecting that operating data to the financial records and building the reporting on
top of it. As we scale, we expect to re-platform to a true ERP, and the person in this seat will help lead that
transition.
What success looks like
Success will mean that BetterBrain has or is developing:
- A reliable, timely monthly close process
- Clean entity-level and consolidated financial reporting.
- Better visibility into cash, burn, runway, and short-term funding needs.
- A documented and consistently applied revenue recognition approach.
- Better reporting on margins, business lines, and operating performance.
- Stronger coordination with outsourced accounting, payroll, tax, legal, and insurance partners.
- A finance function that supports faster, better decisions by the CFO and leadership team.
Required experience
We are more interested in relevant experience and judgment than pedigree. That said, the right candidate will
likely have:
- A strong accounting foundation, with a CPA or equivalent designation.
- Experience owning or materially supporting a monthly close process.
- Multi-entity accounting experience, including intercompany accounting and consolidation.
- A strong understanding of revenue recognition principles.
- Experience preparing, reviewing, or managing financial statements.
- Comfort working directly in the general ledger and in spreadsheets.
- The ability to manage outsourced accounting, payroll, tax, or other professional service providers.
- Strong organizational skills and the ability to follow through without heavy supervision.
- Good judgment, including the ability to identify when an issue needs to be escalated.
Helpful experience
The following is not required, but would be especially valuable:
- Healthcare, provider, or revenue-cycle management accounting.
- E-commerce, inventory, subscription, or marketplace accounting.
- Experience with an MSO, professional corporation, or other regulated multi-entity structure.
- Startup or early-stage company experience.
- Audit readiness or first-audit experience.
- Experience building finance processes from scratch.
- Familiarity with subledger accounting and reconciling operating data to the general ledger.
- Experience supporting board, investor, or lender reporting.
Compensation and benefits
- Competitive base salary $135,000 - $170,000 depending on candidate
- Meaningful equity participation pegged for relevant start-up stage and commensurate role
- Health benefits with option for % of monthly premium coverage or payment in-lieu thereof
- No set or capped PTO policy
- A complimentary BetterBrain Blueprint, plus two additional Blueprints to gift
- A collaborative, remote-first work environment
About BetterBrain
We’re making evidence‑based brain health accessible, personalized, and effective—bringing together advanced diagnostics, behavioral science, and compassionate coaching to help people act early and track meaningful change.