Thalamus is the market leader in graduate medical education recruitment technology, empowering over 8,000 residency and fellowship programs at 800+ health systems and all new physicians throughout the US annually. As we expand beyond GME into broader physician recruitment, our unique dataset—spanning the full profiles of residency/fellowship applicants and programs—positions us to revolutionize hiring in healthcare through AI/ML and data-driven insights. This furthers our mission to ensure the right doctor ends up at the right hospital to treat the right patients.
About the Role
The Vice President of Finance will lead Thalamus’ financial strategy and operations through its next phase of growth. Reporting to the COO, this leader will oversee strategic planning, forecasting, investor reporting, and financial infrastructure, while partnering cross-functionally to align resources with company priorities. The VP will also provide executive coverage across accounting and compliance, ensuring financial continuity and resiliency. This is a foundational leadership role in building a scalable, disciplined, and insight-driven finance function.
What You Will Achieve
Lead strategic financial planning, including long-range forecasts and integrated SaaS modeling. Partner with People and GTM leaders on headcount, pipeline, and revenue scenarios.
Own the budgeting and operating plan, aligning spend to strategy and presenting recommendations to the Board.
Develop and articulate Thalamus’s investor narrative, synthesizing insights into Board materials and strategic updates.
Oversee financial reporting and analytics; prepare dashboards for internal stakeholders and investors.
Supervise financial governance: chair monthly Finance Review meetings and own reporting cadence.
Lead cash and treasury management, including capital planning and banking relationships.
Guide audit, tax, and compliance strategy.
Define and enforce revenue recognition policy (ASC 606) and ensure alignment with FP&A.
Architect and implement ERP, FP&A, BI, & AI tooling in alignment with scale and automation needs.
Lead financial due diligence and post-close integration for M&A.
Build and mentor a high-performing finance team.
Provide operational coverage for Controller-level responsibilities when needed.
You Should Have
Strategic FP&A leadership in a B2B SaaS environment, including forecasting, planning, and Board engagement.
Strong accounting fluency and familiarity with ASC 606, GAAP, and audit processes; able to step into Controller-level functions.
Track record presenting to Boards and investors, with the ability to translate data into strategic insights.
Hands-on SaaS modeling capability (e.g., CAC/LTV, bookings waterfalls, cohort analysis).
Experience building and leading finance teams, including hiring and mentoring.
Proven success implementing finance systems and infrastructure (ERP, FP&A, BI).
Cross-functional collaboration with Product, GTM, and People teams.
Comfort managing outsourced accounting functions and transitioning them in-house.
A resilience mindset and a player-coach orientation, able to flex across strategic and tactical levels.
Familiarity with marketplace models or multi-sided monetization.
M&A integration experience.
SaaS DSO, cash flow optimization, or treasury management expertise.
Exposure to cost modeling for AI/data infrastructure.
Nice to Have
Experience in healthcare or physician workforce platforms.
The salary range for this position is $210,000 - $250,000 and a grant of stock options. Final compensation will be determined based on experience, skills, and geographic location.
Thalamus is a mission-driven organization centered on the belief that our company should model what we want of the US healthcare system, that the diversity of providers aligns with patient populations. We believe this is best achieved by building a team with a diversity of backgrounds, cultures, and experiences, including “distance traveled.” Thalamus is an equal opportunity employer. We do not discriminate based upon race, religious creed, color, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status (including registered domestic partnership status), sex and gender (including pregnancy, childbirth, lactation, and related medical conditions), gender identity and gender expression (including transgender individuals who are transitioning, have transitioned, or are perceived to be transitioning to the gender with which they identify), age, sexual orientation, Civil Air Patrol status, military and veteran status, and any other consideration protected by federal, state, or local law. We encourage those who really want to make an impact and who exemplify our core values to apply for our open positions.
Actual base salary offered will be determined by: experience, skills, and work location. This range is for base salary, our total compensation includes equity and benefits. We welcome you to apply even if your expectations are outside our listed range.
Thalamus is committed to providing reasonable accommodations for qualified individuals with disabilities in our job application procedures and throughout employment. If you need assistance or any accommodation, please let us know.
Thalamus does not accept unsolicited resumes from recruiters or employment agencies without a fully executed recruitment agreement in place. In the absence of such agreement, Thalamus reserves the right to pursue and hire any candidates without an obligation to pay fees. Agencies are requested not to contact Thalamus hiring managers or employees regarding recruiting services.
*This position is based in the United States, and you must be legally authorized to work in the United States.
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