VP of Finance at Tiny Health

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 Founder/CEO and Co-Founder/COO.

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

A mission that actually pulls people in

We make the microbiome measurable and actionable at every life stage, and real people write in to say it's life-changing.

Remote-first, real overlap

Our FTEs are based in North America and work core hours from 9am–6pm CST, shiftable by up to two hours either way — start at 7am or 11am, wrap at 4pm or 8pm.

Written first, huddle second, meet last

Default to a clear Slack post, huddle when a thread stalls, and meet only to make a real decision.

Fast, but never sloppy

Do the two-month thing in two weeks, then check the work—shipping errors is rework, not speed.