---
title: 'Vice President, Strategic Finance at PayZen'
canonical: 'https://feeny.ai/job/vice-president-strategic-finance-payzen-san-francisco-n2vnky6h4f40'
type: 'job'
last_seen: '2026-09-12'
---

# Vice President, Strategic Finance at PayZen

- **Company:** PayZen
- **Location:** San Francisco, CA
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-07-14
- **Last confirmed live:** 2026-09-12
- **Apply:** https://jobs.ashbyhq.com/payzen-inc/801a5f36-da2a-4901-a898-91eb32dc5c66

## Job description

## About PayZen

PayZen is on a mission to bring financial health to healthcare. Our products improve both access and affordability for patients and cash flow & administrative complexity for medical providers. We are trusted by a rapidly growing number of health systems, hospitals, and physician groups and are backed by leading venture capital investors, including NEA, SignalFire, Viola Group, and 7Wire Ventures.

## About the Role

We are seeking a strategic, data-savvy, and execution-driven leader to serve as our Vice President, Strategic Finance. This is a high-impact executive role for a proven finance leader who thrives in ambiguity, brings deep lending and balance sheet expertise to complex financial challenges, and has scaled finance functions at high-growth companies. You will own our financial strategy end to end — capital raising, capital allocation, short and long-term forecasting, pricing and unit economics. — ensuring our long-term growth is backed by rigorous planning and sound judgment. In this role, you will report to the Chief Financial Officer and own and scale the Strategic Finance team. You will collaborate closely with Accounting, Capital Markets, Go-To-Market (Sales & Marketing), Product, and Human Resources to drive company-wide alignment and performance. This position is based in our San Francisco headquarters with in-office days on Mondays, Tuesdays, and Thursdays.

## Responsibilities

- Own company-wide financial planning and analysis (FP&A) strategy, including annual budgeting, long-range planning, liquidity forecasting, and management and board-level performance reporting.
- Design and govern the company's financial operating cadence, giving the executive team and Board real-time visibility into business health, risk, and opportunity.
- Partner with Go-To-Market and Product leaders to develop sophisticated pricing models, unit economic analyses, and impact sizing for new strategic initiatives.
- Own lending economics (yield, spread income vs. fee income, portfolio performance, and loss trends), and partnering with Risk and Product to inform underwriting and pricing decisions.
- Build and scale the Strategic Finance function, hiring and developing senior talent and implementing scalable financial systems, models and dashboards.

## Requirements

- 15+ years of experience in a blend of strategic finance, investment banking, private equity or venture capital investing, consulting, or corporate strategy, with a track record of taking on progressively greater scope—ideally within high-growth fintech, lending, or healthcare finance environments.
- Deep understanding of lending and balance sheet economics—credit risk, interest rate dynamics, spread income vs. fee income, and portfolio/loss performance—with the judgment to advise on pricing and underwriting tradeoffs.
- Proven track record partnering directly with CEOs, CFOs, and Boards on capital allocation, capital raises, and high-stakes strategic decisions.
- Exceptional analytical capabilities with the ability to translate large datasets into compelling strategic narratives and business cases.
- Demonstrated ability to lead through influence, building trust and driving clarity across executive, technical, and operational teams in high-ambiguity environments.
- Strong organizational skills with a focus on doing things the right way and maintaining a high personal standard of excellence.
- Able to work out of our San Francisco HQ.

Why PayZen?

- An opportunity to positively affect the lives of thousands of patients
- A chance to join a high-growth company at an early stage
- Contribute to the development of a product that revolutionizes medical payments in ways never seen before
- Become a key member of a collaborative, high performing team, shaping its growth and success
- Competitive pay, benefits and stock options

## About PayZen

## Company Overview
- **One-liner**: PayZen provides AI-powered, interest-free patient financing solutions for healthcare providers to improve affordability and cash flow.
- **Entity Type**: Private (Venture-backed by NEA, SignalFire, Viola Group, 7Wire Ventures)
- **Headquarters**: San Francisco, California, USA (near Oracle Park) and Tel Aviv, Israel
- **Founded**: 2019
- **Founders**: Itzik Cohen (CEO) and Tobias Mezger (CRO)

## Core Business
- Primary industry: Healthcare financial technology (patient financing, revenue cycle management)
- Target customers: Hospitals and health systems of all sizes (community hospitals to large IDNs), B2B
- Mission: "Bring financial health to healthcare" and "make care accessible and affordable for every patient"

## Products & Services
- **Post-Service Payment Plans**: Interest-free, personalized payment options based on patient's ability to pay, tailored via AI using 30,000+ data points. Enroll in under a minute. (Service / SaaS)
- **Pre-Service Care Card**: Enables patient financing for pre-service and recurring use, removing financial barriers and increasing point-of-service collections. (Service)
- **Financial Assistance Automation**: AI-powered presumptive screening and workflow automation for patient applications. (SaaS)
- **Balance Sheet Boost**: Transition existing payment plans to PayZen to unlock immediate cash flow for providers. (Service)

## Market Standing
- **Valuation / Market Cap**: Not publicly disclosed
- **Key Metrics**: 111 total employees (39 product + tech) – per Built In; providers see an average ~30% collection lift; 78% patient enrollment success rate; patient NPS 50% higher than industry average
- **Notable Investors / Partners**: NEA, SignalFire, Viola Group, 7Wire Ventures
- **Growth Signals**: Pre-built integrations with Epic, Cerner, and other major EHRs; four-week go-live timeline; expanding from post-service plans into a holistic affordability platform

## Competitive Advantages
- **AI-driven personalization**: Uses 30,000+ data points to create customized, interest- and fee-free plans that improve patient enrollment and provider revenue
- **Zero-interest, zero-fee model**: Patient-friendly terms that reduce bad debt and improve satisfaction
- **Seamless integration**: Pre-built EHR integrations with Epic and Cerner, zero IT investment required, four-week implementation
- **Automated workflows**: Reduces administrative burden for healthcare staff
- **End-to-end platform**: Covers pre-service, post-service, financial assistance, and balance sheet solutions

## Strategic Focus
- Expanding from patient financing into a comprehensive, data-driven affordability platform that automates manual processes and improves revenue cycle outcomes for providers.
- Deepening AI/ML capabilities to further personalize patient engagement and optimize collection lift.
- Scaling sales across all segments of U.S. hospitals and health systems.

## Why Work Here
- **Hybrid schedule**: In-office Monday, Tuesday, Thursday; remote Wednesday and Friday
- **Benefits**: Discretionary time-off, 16 weeks parental leave, fully paid healthcare plans for US employees
- **Culture**: Collaboration and transparency emphasized – open Q&A at all-hands, engagement surveys, team meals, global events
- **Career growth**: Bi-annual feedback and compensation reviews, career planning, ownership of high-impact projects
- **Mission-driven**: Solving the U.S. healthcare affordability crisis, directly impacting patients and providers
- **Offices**: San Francisco (Oracle Park area) and Tel Aviv; remote options available for some roles

## Sources
1. [payzen.com](https://payzen.com/)
2. [payzen.com/careers](https://payzen.com/careers/)
3. [payzen.com/about-us](https://payzen.com/about-us/)
4. [builtin.com](https://builtin.com/company/payzen)
5. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/payzen-inc)

## Other roles at PayZen

- [Staff Software Engineer](https://feeny.ai/job/staff-software-engineer-payzen-san-francisco-nfat84kev1f5) — San Francisco, CA
- [Senior Software Engineer](https://feeny.ai/job/senior-software-engineer-payzen-san-francisco-wwfs155hekqc) — San Francisco, CA
- [Strategic Account Executive - Northeast](https://feeny.ai/job/strategic-account-executive-northeast-payzen-united-states-fpt6ghfmqt7p) — United States
- [Strategic Account Executive - West](https://feeny.ai/job/strategic-account-executive-west-payzen-united-states-0kgczk332682) — United States
- [Strategic Account Executive - South](https://feeny.ai/job/strategic-account-executive-south-payzen-united-states-6tafmr358ky1) — United States
- [Sales Development Representative](https://feeny.ai/job/sales-development-representative-payzen-united-states-9twywmth9c57) — United States
- [Strategic Account Executive - Central](https://feeny.ai/job/strategic-account-executive-central-payzen-united-states-v9x705m5x63b) — United States