VP of Finance

About Tiny Health

Tiny Health is advancing lifelong health, from the first 1,000 days to the last, and addressing chronic disease through precision microbiome science. Founded in 2020 and built by microbiome scientists and physicians, our testing platform reveals whether your microbiome is trending toward resilience or imbalances using shotgun metagenomics, proprietary AI, and one of the world's largest longitudinal datasets. Trusted by families and health practitioners alike, our research-backed gut and vaginal tests are redefining the microbiome as a cornerstone of personalized health through every life stage. Learn more at tinyhealth.com and poweredbytiny.com.

The Opportunity

As our VP of Finance, you will own and bring discipline to Tiny Health's finance function at a pivotal moment in our growth. You will build the operating rhythm that keeps the business steered month to month, from a reliable forecast that reconciles against actuals to a monthly business review where every meaningful variance gets a real decision. You will also supply the financial rigor behind how we allocate capital and raise it as we scale through our Series B and beyond.

This is a builder's role. You will start hands-on across the full scope of finance and, over your first year, hire and ramp the team beneath you so you can move from day-to-day execution into true financial partnership with the leadership team. This position reports to our Chief Growth Officer.

What You’ll Do

• Own a monthly forecast-to-actuals reconciliation and a driver-based rolling forecast, and tighten the close over the year so re-forecasting is fast

• Run a monthly business review where every meaningful variance gets a documented call to hold, reallocate, or cut

• Evaluate, select, and implement the financial systems stack, then run the next annual planning cycle on it

• Inform business decision making to executive leadership through provision of timely, accurate and succinct financial health information

• Regularly collaborate in async and live discussions with Leadership, informing strategic growth of the company

• Hire and ramp a controller and an FP&A analyst, and move from execution into financial partnership

Qualifications

Required

• 10+ years in finance, including a senior FP&A or finance-leadership role

• Have personally owned a monthly close end-to-end and know where closes break

• Can build a driver-based forecast where a change in a current-month actual flows through to full-year guidance and operational inputs like inventory

• Have evaluated and implemented a financial systems stack, including the judgment to call whether new systems were warranted at all

• Comfortable owning a broad, under-resourced scope solo, triaging deliberately, before the team is built beneath you

• Experience operating in a venture-backed, high-growth environment

• Strong written communication: can explain a complex financial decision so someone outside finance can act without a follow-up call

Preferred

• Have hired and built a small finance team (controller, FP&A)

• Comfortable with revenue-timing and cash-flow nuances like deferred revenue, or quick to get up to speed on them

• DTC / consumer or healthcare / diagnostics domain experience

• Can move a skeptical decision-maker on the strength of the argument, not the title

• CPA or equivalent

• Have been through a priced equity round (Series A/B) on the company side

How we work

• Remote-First Company: our working hours follow a 2 hour window from 9 am - 6 pm CST

• Driven by an ambitious mission: we're reinventing how we should think about wellness from the first 1,000 days to the last

• Shape what we build, not just how we build it: we prioritize experimentation with taking ownership, and moving fast

• No hidden agendas: we operate with full transparency because when everyone's working from the same honest picture, you spend less time on politics and more time on impact

• High standards, human culture: we hold ourselves to a high bar and do it alongside a team who can laugh at themselves and make the hard days genuinely enjoyable

Our Values

1. Learn fast, be better (root cause analysis)

   What that looks like: When a stakeholder gives constructive criticism to a test result, instead of just apologizing and moving on, you dig into why it happened and update the process so the feedback is not received again.

2. Be relentlessly resourceful (be scrappy)

   What that looks like: When a customer asks a question about our science, you you spend time digging through our docs and filtering through Slack for previous replies before pinging the team. You also know not to burn a whole day stuck, so you ask for help with a clear summary of what you've already tried.

3. Think like an owner (ownership)

   What that looks like: When you notice customer engagement is dropping, you don't shrug it off as another team's problem - you flag it, dig into the numbers, and bring a fix, because you're hungry to see the whole company win, not just your own tasks hit their targets.

4. Act with honesty and empathy (radical candor)

   What that looks like: When a colleague shares an idea that carries real risk, challenge in the moment and do it with kindness - don’t vent about it afterward in a side conversation.

5. Delight people by anticipating their needs (create raving experiences)

   What that looks like: You put yourselves in the shoes of the customer or collaborator before presenting an idea, process, or proposal. Think ahead about what their pain and gain points are, and curate your communication to address their needs.