Director of Finance

​Position Title: Director of Finance

Date: January 2026

Location: Kitchener, Ontario (Full-time, In-person)

​COMPANY OVERVIEW

​Vena Medical builds the world's smallest camera for use inside blood vessels, giving physicians a live view from inside the body when every second counts. With FDA Breakthrough Device Designation and devices already helping patients today, we're turning cutting-edge imaging technology into real-world impact in hospitals.

​We are a 12-person medical device startup transitioning from R&D to full commercial scale. We're beginning to grow sales into hospitals and building the operations needed to support that growth.

​We are hiring our first Director of Finance to own the financial engine of the business - everything from hospital contract economics and cashflow management/forecasting to payroll, vendor payments, and board reporting - while building the finance function that will support our next stage of growth.

​POSITION SUMMARY

​As Director of Finance, you will be the senior finance leader at Vena Medical and a key partner to the CEO and COO. You will combine strategic finance (models, KPIs, board reporting) with hands-on ownership of day-to-day financial operations.

​You will:

• ​Take over a broad set of finance responsibilities currently owned by the founders.
• ​Build simple, scalable systems and processes rather than just "keeping the lights on".
• ​Act as a true business partner to the CEO and COO, translating strategy into financial plans, trade-offs, and clear decision support (capital allocation, pricing, hiring, and growth priorities).
• Help non-finance teammates really understand the numbers and what they mean.

​KEY RESPONSIBILITIES

​1. Strategic Finance, Planning and KPIs

• ​Own and continuously update our financial model and projections (revenue, gross margin, operating expenses, headcount, cash runway).
• ​Track and communicate performance versus plan; proactively highlight risks, opportunities, and trade-offs.
• ​Build and maintain KPI dashboards (commercial, operational, cash) that the CEO, COO, and board can easily understand and act on.
• ​Prepare monthly financial and KPI updates for the board, including P&L, cash, metrics, and narrative commentary.
• ​Support the CEO in negotiations and commercial decision-making by providing clear financial analysis and scenarios.
• ​Translate financial data into clear, simple insights for non-finance stakeholders; act as an internal "finance coach" for the founders.
• ​Own accounts payable and vendor management: categorizing expenses, cleaning up unreconciled transactions, and ensuring timely payments
• ​Act as primary liaison with our bank, managing accounts, cash movements and debt facilities

​2. Revenue, Hospitals and Commercial Operations

• ​Support negotiation and review of hospital and customer contracts: pricing, payment terms, and overall financial structure.
• Interface with legal counsel where appropriate on contracts and manage all existing contracts (NDAs, supply agreements, employment agreements and stock option plan).
• ​Own the revenue cycle: invoicing hospitals, tracking accounts receivable, managing collections, and driving down days sales outstanding (DSO).
• Ensure timely customer payment, with clear processes for follow-up and escalation.
• ​Reconcile inbound payments with sales, including appropriate splitting and booking of commissions.
• Over time, learn and take increasing ownership of logistics-related processes (shipping, customs, documentation) supporting the design of simple, scalable workflows.

​3. Accounting, Tax, Compliance and Grants

In partnership with our external cloud bookkeeping, accounting, and tax providers:

• ​Own the relationship with external accountants and tax advisors; ensure we receive timely, accurate financial statements.
• ​Review monthly financial statements, resolve discrepancies, and ensure they reflect the real economics of the business.
• ​Oversee cashflow planning and liquidity; manage bank accounts, CAD/USD planning and FX conversions, and credit card payments.
• ​Ensure we meet obligations such as WSIB, EHT, T2 filings and any similar requirements in other jurisdictions, coordinating with external experts as needed.
• ​Lead the financial aspects of grants (tracking and reporting eligible expenses) and coordinate SR&ED processes with our technical partners.

​4. Payroll, People-Related Finance and Compensation

• ​Own payroll operations end-to-end in collaboration with our providers: salaries, bonuses, commissions, and expense reimbursements.
• ​Calculate and approve commissions and bonuses; ensure accuracy, transparency, and timely communication to the team.
• ​Ensure all expense reports are reviewed, approved, and correctly coded.
• ​Support onboarding of new employees from a finance/operations perspective (employment contracts, compensation setup, systems access).

​WHAT YOU BRING

• ​

CPA Designation:

A CPA designation is required.
- ​Experience:

Approximately 8-10 years of experience in finance roles such as FP&A, Finance Manager, or similar, ideally with some time in startups or high-growth environments.
- ​

Business Acumen:

Strong foundation in accounting, but comfortable moving beyond "pure accounting" to review financials and spot commercial issues before they become problems.
- ​Operational Hands-on:

Experience with accounts payable/receivable, payroll, cashflow management, and bank relationships - you can demonstrate that you can both do the work yourself and improve the process.
- ​Modeling:

Proven financial modeling skills and experience building and owning operating models and KPI dashboards.
- ​Contract Skills:

Comfort reviewing and negotiating commercial and vendor contracts, especially around pricing, terms, and financial risk.
- ​

Industry:

Ideally, exposure to healthcare, hospital contracts, or medical devices (or other regulated industries).
- ​Communication:

Excellent communication skills - you can explain complex financial concepts in clear, simple language to non-finance teammates.
- ​Builder's Mindset:

You like creating processes and systems from scratch and iterating on them as the company grows.

​

WHY THIS ROLE IS EXCITING

• ​You will be our first finance leader, working directly with the CEO, COO, and board.
• ​You will shape how we commercialize a Breakthrough-designated device that represents the world's smallest camera inside blood vessels, already helping patients today.
• ​You will design the finance function you would want to inherit and have a clear potential path to VP Finance or CFO as Vena scales.
• ​You will have a truly broad scope - both strategic and operational - while still being early enough to see your impact everywhere in the business.