The Director of Finance will serve as Alchemy’s hands-on financial architect (and officially Finance Hire #1) building from the ground up the tools, processes, and discipline to manage both corporate and client-level financials. This role is what we refer to as “full-stack finance” equal parts FP&A, strategic finance, accounting. controller, treasury management.

You’ll manage forecasting, month-end close coordination, cash transfers from FBO accounts, and financial reporting across QuickBooks, McKesson Connect, ProviderPay, and Banc of California and be client-facing in partnership with our Customer Success team in delivering financial performance details and cash management for each of our customer accounts. This is a “player-coach” role. This role is ideal for someone who loves both the spreadsheet and the strategy and is eager to roll up their sleeves and jump right in to drive our Finance function forward.

‍Key Responsibilities

Full ownership of financial model and monthly/quarterly/annual forecasting for internal and external stakeholders including Alchemy leadership team, investors, banking partners.
Direct responsibility for generating client-level invoices, financial statements, and cash-flow reports.
Cash flow management across the entire business (AR and AP).
Execute and track cash distributions from FBO accounts.
Reconcile accounting across McKesson, PBM, and banking systems.
Partner with a fractional accounting manager for GAAP compliance and month-end close processes.
Support internal and client-level work in partnership with Operations and Customer Success teams, working closely with our customers as a trusted “source of financial truth.”

A Day in the Life

Begin the day reviewing prior-day FBO account activity, which accounts are pacing ahead of forecast and which accounts are lagging behind and will need a push
Creating and approving wire transfers to Clients and Alchemy accounts.
Reconcile McKesson and PBM data feeds against QuickBooks entries to confirm inventory and claims match cash.
Draft monthly invoices and P&L statements for three Client partners and email summaries to their CFOs for review.
Join a Customer success call with 2 clients to review their monthly financials and answers any questions in real time about the account
Join the Executive Team for a partner call to walk through quarterly financials and discuss growth and expansion strategies.
Help prepare a few Cohort graphs to go into our latest Investor update deck to better understand and forecast the performance of the business.
End the day refining the 12-month financial model with updated ramp and margin assumptions reflecting the latest and greatest info from our business operations.
All the while, having a keen eye each and every day towards our monthly performance across all key financial metrics including cash flow, operating profit, and Opex, ensuring we are in line or exceeding our monthly forecasts.

Minimum Experience

4-6 years of FP&A, accounting, or treasury experience in healthcare, SaaS, or operationally complex business.
Bachelor’s degree or equivalent in Finance or related field
Deep financial modeling fluency.
Comfort with cash management and direct reconciliation work (AR/AP).

Salary and Benefits

We offer a competitive compensation package, including a base salary, equity award, and other benefits outlined below. This is a remote role and the base salary range for this role is USD $160,000 per year - USD $220,000 per year.

‍Our Benefits

Remote-first culture
401(k) savings plan with a 4% company match
Comprehensive medical, vision, and dental coverage through a select plan option
Unlimited Paid Time Off ("PTO") and Discretionary Time Off (“DTO") with manager approval
Participation in any company-wide bonus program based on individual and company performance

About Alchemy

Alchemy builds and operates in-house pharmacies for safety net clinics, with a focus on STD clinics, Ryan White Grantees, and FQHCs serving patients living with HIV and Hepatitis C. We provide the physical, clinical, and digital pharmacy infrastructure that enables clinics to reclaim control of their 340B programs, ensure access to essential medicines for their patients, and integrate wrap-around services that strengthen community health.

Alchemy is the fastest growing company building in-house pharmacies for safety-net clinics. We’ve raised $31M from Andreessen Horowitz, Magic Johnson, and The Banc of California, and we’re scaling fast. Our team has deep clinical pharmacy, technology, and operations experience. Collectively, we have spent 18 years in Africa building the largest HIV access program in the world, and we have set up, operated and scaled pharmacies that have dispensed over 25M+ prescriptions to patients across all 50 states in the US. After setting up a clinic’s in-house pharmacy, we design and implement clinical pharmacy programs and deploy technology products that leverage the pharmacy to expand patient reach, improve clinical outcomes, and increase the financial impact of their 340B program.

If you're a mission-driven Finance leader looking for a rare corner of U.S. healthcare where better patient outcomes and better financial results go hand in hand, this is your opportunity.

Here are a few recent videos that speak to what we’re all about at Alchemy:

Our Founding Principles

As Founders, Alchemy is the culmination of everything we have worked on and dedicated ourselves to throughout our careers, and its mission is woven into the fabric of our lives and why we do what we do. Together, we have spent 18 years in Africa building the largest HIV access program in the world, set up, operated, and scaled pharmacies that have dispensed over 25M+ prescriptions to patients across all 50 states in the US, and deployed consumer product experiences improving pharmacy access for millions of patient lives globally. Read our Founder Letter.

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Send your resume to jobs@alchemyhealth.com with a short note about your experience and why you're excited about this role.

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