Finance Manager, US& Europe

First Regional Finance Hire | Fully Remote | High-Growth Startup with 100+ Global Teammates and a Growing US Team We are looking for our first dedicated finance hire in the United States to build and own the finance infrastructure supporting Pulnovo's finance operations. This is a remote, hands-on role with an unusually broad mandate. You will inherit the resources and support of an established international finance organization, while having significant autonomy to decide how finance should operate in the US and Europe. As Pulnovo grows, you will be able to point to the finance function and say: I built that. You will work directly with colleagues across clinical development, commercial, regulatory, medical, HR, legal, and management. The position therefore suits someone who enjoys both the technical side of finance and the practical challenge of building a function inside a growing company. About Pulnovo Medical Pulnovo Medical is pioneering breakthrough medtech solutions in the treatment of heart failure, one of the most pressing unmet needs in modern medicine. Our innovation represents the largest advancement in medtech history in this space, with results published in the New England Journal of Medicine. We are a rapidly growing international organization with teams across the US, Europe, and Asia, creating a truly global platform for transformative patient care. Position Summary We are seeking a hands-on Finance Manager based in the United States to support finance operations across the United States and Europe. This will be our first dedicated finance hire in the US, offering the opportunity to build the regional finance foundation from an early stage while working with and receiving support from Pulnovo's wider international finance and functional teams. The role will combine ownership of day-to-day finance operations with close partnership across our clinical, commercial, regulatory, medical, HR, legal, and business teams. The successful candidate will combine strong accounting and control fundamentals with a practical, business-oriented approach. The role requires someone who is comfortable operating independently, building fit-for-purpose processes, navigating cross-border requirements, and partnering closely with cross-functional colleagues and the wider international finance team.

Key Responsibilities

US and European Finance Operations · Own and coordinate day-to-day finance activities across US and European operations, including accounts payable, employee expense review, vendor payments, cash management, and accounting close coordination. · Manage and coordinate monthly, quarterly, and annual close activities across relevant US and European entities or operations and deliver accurate, timely reporting packages to the wider international finance team. · Maintain complete and accurate books and records, account reconciliations, accruals, prepayments, fixed assets, intercompany balances, and supporting documentation. · Coordinate payroll inputs and related accounting with HR and external payroll providers, including benefits, employee changes, and payroll-related reconciliations. Clinical and Business Support · Partner with clinical, regulatory, medical, and business teams to support budgeting, forecasting, purchase commitments, vendor contracting, and financial tracking for clinical programs. · Monitor clinical trial and site-related spending, investigate variances, and improve visibility over committed costs, accruals, and expected cash requirements. · Support financial evaluation and control of investigator payments, CRO and consultant costs, travel, conferences, and other program-related expenditures. · Provide timely financial analysis to support business decisions and communicate key trends, risks, and required actions to management. Planning Reporting and Controls · Lead budgeting and rolling forecasts for US and European operations in alignment with the company's annual operating plan and global reporting timetable. · Prepare management reporting and variance analysis covering actual results, forecast, budget, headcount, cash flow, and major spending commitments. · Establish and maintain practical finance policies, approval workflows, documentation standards, and internal controls appropriate for a growing organization. · Support implementation and improvement of finance systems, expense tools, purchasing processes, and reporting capabilities. · Support external audit, internal control reviews when needed. Tax Compliance and Treasury · Coordinate US federal, state, and local tax compliance and relevant Swiss and European tax and statutory requirements with external advisors, including income tax, sales and use tax, VAT, payroll tax, and other applicable filings. · Support statutory, regulatory, and corporate compliance requirements and maintain an organized calendar of filing and payment deadlines. · Prepare cash forecasts, monitor liquidity needs, manage multi-currency considerations, and support banking and treasury activities in coordination with the wider international finance team. · Coordinate intercompany charges, settlements, and supporting documentation in line with group policies and transfer pricing arrangements. Cross-Border Finance and Compliance · Act as a key finance point of contact for US and European operations while working closely with, and receiving support from, the wider international finance team. · Coordinate with external service providers, including public accounting, tax, payroll, and other advisors, to monitor and meet local compliance requirements across relevant jurisdictions. · Coordinate monthly close, payment processing, expense review, payroll accounting, statutory reporting, and account reconciliations for relevant US and European entities or operations. · Support the financial management of European commercial activities and clinical programs and sites across the United States and Europe. · Help standardize finance processes, controls, and reporting across the United States and Europe while accommodating local legal, tax, accounting, and operational requirements. Required Qualifications · Bachelor's degree in Accounting, Finance, or a related field. · At least seven years of progressive experience in accounting or finance, including responsibility for financial close, reporting, budgeting, and operational finance. · Strong working knowledge of US GAAP and practical experience with US accounting, tax, payroll, and compliance practices; ability to work effectively with Swiss and European advisors on local statutory requirements. · Demonstrated ability to work independently and manage a broad range of responsibilities in a lean or growing organization. · Experience working with external accounting, tax, payroll, and other professional service providers. · Strong analytical, organizational, and project management skills, with close attention to accuracy and deadlines and the ability to manage multiple jurisdictions and workstreams. · Clear written and verbal communication skills and the ability to work effectively across functions, cultures, and time zones. · Advanced proficiency in Microsoft Excel and experience using accounting or ERP systems; strong financial modeling, data analysis, and process-improvement capabilities. Preferred Qualifications · CPA or equivalent professional accounting qualification. · Experience in medical technology, life sciences, biotechnology, pharmaceuticals, or another regulated industry. · Experience supporting clinical-stage operations, clinical trial budgeting, or research and development activities. · Experience with international operations, particularly Switzerland and other European jurisdictions, and familiarity with IFRS or group reporting under IFRS. · Experience in a high-growth, cross-border environment with exposure to multi-entity reporting, foreign currencies, VAT, transfer pricing, or international treasury. · Experience improving finance processes, implementing systems, or building a finance function from an early stage; experience establishing a new regional finance capability is particularly valuable. Success Profile · Hands-on and accountable, with the willingness to manage both detailed execution and higher-level analysis. · Comfortable creating structure where processes are still developing, able to prioritize based on risk and business impact, and motivated by the opportunity to become Pulnovo's first dedicated finance hire in Europe. · Collaborative and service-oriented while maintaining sound financial discipline and professional judgment. · Proactive in identifying issues, recommending practical solutions, and following through to completion. · Able to handle confidential information with discretion and integrity.

Benefits

Comp structure: $120,000-$160,000 annual base + 20% Target Annual Bonus Health Insurance 401(K) 401(K) Matching Home Office Benefit Reimbursement Paid Time off Company Holiday Work From Home