Finance & Accounting Manager

About Viz.ai

Viz.ai is the leader in building and deploying AI-powered Care Pathways and helping doctors do their work. The Viz Platform is deployed in 2,000 hospitals across the United States and trusted by many of the leading life sciences companies. The platform uniquely combines real-time, multimodal clinical data with deep clinician engagement to detect disease earlier, coordinate care teams, and help ensure patients receive the right treatment faster. Viz.ai was the first company to be awarded CMS reimbursement for AI and is ranked the #1 Healthcare AI Platform by hospitals and health systems in the Black Book Research survey. For more information, visit Viz.ai.

We are seeking a Finance & Accounting Manager, 5-8 years of experience, to oversee our Israeli accounting operations and provide hands-on financial analysis, business partnering, and reporting support to our global finance team.

This is a manager role with substantial Individual Contributor (IC) responsibilities. You will directly manage and support our Israeli Staff Accountant while personally maintaining financial models, preparing internal reporting and external investor reporting, managing budgeting and forecasting, and performing analysis.

Success requires a willingness to understand the underlying transactions, work directly in spreadsheets and accounting systems, and follow deliverables through preparation, review, and completion. Strategic contributions will come from accurate analysis, a strong understanding of the business, and actionable recommendations.

The position is based in our Tel Aviv office.

What you will do

Own accounting review and support the Israeli accounting function

• Directly manage the Israeli Staff Accountant, providing regular guidance, timely reviews, clear priorities, and practical help resolving issues.

• Review accounts payable, payroll, journal entries, accruals, reconciliations, corporate allocations, equity, and other close activities for accuracy, completeness, and appropriate supporting documentation.

• Investigate discrepancies, resolve open questions, and ensure corrections are completed.

• Develop a detailed working knowledge of the Staff Accountant’s recurring responsibilities, systems, and workflows.

• Document critical processes and become capable of personally covering essential activities during absences or transitions.

• Coordinate with external accounting, payroll, audit, and tax providers, maintaining clear internal ownership of deliverables.

• Improve close procedures and financial controls while preserving appropriate approval and review responsibilities.

Personally execute financial planning, analysis, and reporting

• Work directly with our U.S. finance leadership to prepare analysis and complete recurring finance deliverables.

• Maintain and update the financial model, including actual results, forecasts, assumptions, and supporting schedules.

• Own all financial planning and forecasting for R&D, including headcount planning, operational expenses, long-range planning.

• Analyze actual results against budget and forecast, identify business drivers, and communicate clear explanations.

• Manage quarterly reviews of all our Product P&Ls that will help leadership evaluate spending, resource allocation, and business performance.

• Own the end-to-end management and analysis of AWS cloud spend, including tracking actuals against budget, dissecting key cost drivers and usage trends to provide context, partnering with engineering leadership to align on priorities and tradeoffs, and recommending cost optimization opportunities based on findings.

• Translate analytical findings into practical recommendations, supported by clear assumptions and reliable data.

Take ownership of execution

• Personally prepare deliverables and perform a thorough self-review before submitting them.

• Maintain a calendar of recurring responsibilities, meet deadlines, and flag risks early.

• Work through unfamiliar tasks by researching, asking focused questions, and following issues to resolution.

• Collaborate effectively across Israel and the U.S., including agreed working-hour overlap.

• Improve recurring processes while continuing to deliver the underlying work reliably.

What you bring

• Demonstrated experience in both accounting operations and financial planning and analysis.

• Strong practical accounting knowledge and experience reviewing close activities, AP, payroll, journal entries, and balance sheet reconciliations.

• Experience with Israeli accounting and payroll processes and coordinating with local external advisers.

• Advanced Excel and Google Sheets skills, including maintaining financial models, troubleshooting formulas, and reconciling data across sources.

• Experience preparing budgets, forecasts, management reporting, and variance analyses.

• The ability to support and develop a Staff Accountant through detailed review, clear feedback, and hands-on problem-solving.

• Strong attention to detail, sound judgment, and reliable follow-through.

• Strong written and verbal communication skills in English and Hebrew.

Preferred: Israeli CPA qualification; experience in a technology or SaaS company; experience supporting a global finance team and preparing investor reporting.

Who will thrive in this role

You enjoy being close to the details and take pride in producing accurate work yourself. You are equally comfortable reviewing a reconciliation, troubleshooting a budgeting spreadsheet, preparing an investor report, and explaining what the numbers mean.

You want a role that combines people management with ongoing execution, and you see detailed accounting and analysis as an essential part of helping the business make better decisions.

Why should you join us?

• If you are looking to make an impact, we are mission-driven and are making a difference in peoples’ lives every day.

• If you want to be a part of an amazing team , our people are the heart of everything we do.

• If you are a self-starter and naturally motivated, our work is driven by curiosity, innovation and team collaboration which allows us to leverage our skills immeasurably.

We are a remote-first company across the U.S. and EU, with a team in Tel Aviv operating in a flexible hybrid model, conveniently located near a train line.

Viz.ai is committed to providing highly competitive cash compensation, equity, and benefits. The compensation offered for this role will be based on multiple factors such as location, the role’s scope and complexity, and the candidate’s experience and expertise, and may vary from the range provided.

In the U.S., Viz offers competitive benefits, including medical, dental, vision, 401(k), generous vacation, and additional benefits to full-time employees. Viz.ai is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics, or any other basis prohibited by federal, state, or local law.

Employees in Israel are offered a comprehensive benefits package, including, among others: dental insurance, performance-based bonuses, a Cibus meal allowance, meals at the office, and more.

If you’re applying for a position in San Francisco, please review the San Francisco Fair Chance Ordinance guidelines applicable in your area.

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