Element Science, Inc. is a medical device and digital health company focused on developing solutions at the intersection of clinical-grade wearables, machine learning algorithms, and lifesaving therapies in order to address leading causes of death and hospitalization in patients with heart disease, primarily as they transition from the hospital-to-home. By putting the needs of patients and physicians first, our personalized digital devices, which are designed for function, comfort, and ease-of-use, aim to redefine the paradigm of care for these patients.  Our first product, a wearable patch defibrillator, is initially targeted at treating the more than 500,000 patients in the US with an elevated temporary risk of potentially experiencing a lethal heart rhythm.  Headquartered in San Francisco, our funders include Third Rock Ventures, Google Ventures, Deerfield Healthcare, Qiming Venture Partners USA, Cormorant Asset Management, and Invus Opportunities.

SUMMARY OF ROLE:

We are seeking a results-oriented Senior Manager, FP&A to join our growing team as we enter a critical commercial stage. Reporting to the VP, Finance & Accounting, this role will work closely with the CEO and executive leadership to deliver financial insights, drive operating rigor, and support key strategic decisions. The ideal candidate will bring deep experience in cost accounting, COGS modeling, overhead allocations, and capital planning in a commercial-stage MedTech environment, with a strong understanding of Durable Medical Equipment (DME) and CHAP-relevant compliance standards.

This is a unique opportunity to join a mission-driven team with a market-ready product and play a pivotal role in shaping our commercial success. If you thrive in high-growth environments and want your work to have measurable impact—we’d love to hear from you.

This position is hybrid and based in our San Francisco office.

RESPONSIBILITIES:

Business Partnership & Financial Strategy

• Partner with the VP, Finance & Accounting and CEO to drive financial planning processes, including annual operating plan, rolling forecasts, and long-range planning.
• Serve as a thought partner to business leaders on headcount planning, capital allocation, and commercial readiness initiatives.
• Develop models to support strategic decisions such as pricing, territory expansion, and operational scale-up.

Cost Accounting & Operational Finance

• Own and refine COGS modeling, inventory tracking, and margin analysis across product lines.
• Lead direct and indirect labor cost allocation across manufacturing, field operations, and customer support functions.
• Support gross margin optimization through cost modeling, vendor analysis, and process efficiency.
• Ensure accounting practices align with DME billing and regulatory standards (e.g., CHAP, CMS).

Forecasting, Reporting & Analytics

• Deliver timely, accurate, and insightful management reporting packages to senior leadership.
• Responsible for Budget to Actuals variance analysis and deliver explanations with clear business context.
• Build and maintain dashboards/KPIs that drive performance and transparency across the company.
• Prepare board-level presentations and investor materials.

Cross-Functional Leadership

• Collaborate with Clinical, R&D, Supply Chain, Manufacturing, Commercial teams to ensure integrated financial planning.
• Influence operational leaders through data-driven insights and scenario analysis.
• Establish scalable processes to support rapid growth and commercial expansion.

QUALIFICATIONS:

• Bachelor’s degree in Accounting, Finance, or a related field.
• Minimum 5 years of experience in month-end/year-end close activities and general ledger accounting. 
• Prior experience in one of the Big 4 audit firms and CPA or ACCA certification is required.
• Experience with larger ERP systems such as NetSuite.
• Experience with Sunshine Act Compliance preferred.
• Excellent oral and written communication skills.
• Strong knowledge of Generally Accepted Accounting Principles (GAAP).
• Demonstrated proficiency with Microsoft Office Suite, including advanced Excel, Word and PowerPoint.
• Proven ability to work both independently and collaboratively with various levels of the organization.
• Experience in managing audits and tax filing preparation.
• Highly detail-oriented, organized and a team player.

BENEFITS:

Element Science offers a very competitive salary and benefits package including, but not limited to:

• Stock Options
• 90% employer-paid medical, dental, and vision insurance
• Company-paid Basic Life Insurance
• 401(k) retirement plan (Traditional and Roth)
• Competitive Paid Time Off
• Paid Holidays
• FSA (Flexible Spending Accounts)
• HSA (Health Savings Account)
• Employee Assistance Program through PEO

The salary for this exempt-level position will be based on experience and qualifications within an established pay range. 

• Salary Range: $165,000 - $178,000

Element Science is an Equal Opportunity Employer.  All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law.