# GTM Finance Senior Manager / Director

**Company:** [SmithRx](https://hotfix.jobs/companies/smithrx)
**Location:** Remote
**Role:** Finance & Accounting
**Salary:** $162k – $264k/yr
**Experience:** 8+ years
**Skills:** Financial Modeling, Forecasting, gtm kpis, roi frameworks, cac, ltv, payback, p&l modeling, Variance Analysis, headcount planning, commission modeling, quota development, strategic finance, FP&A, Unit Economics
**Posted:** 2026-07-29

> Senior finance leader partnering with Sales and Marketing to provide strategic decision support, own revenue forecasting and GTM KPIs/ROI models, develop P&L and pricing strategies, and drive headcount/incentive planning in a high-growth health tech environment. Requires 8+ years FP&A or GTM finance experience, strong modeling skills, and executive presence.

## Job Description

## What you will do

- Build deep partnerships with Sales and Marketing (S&M) leadership by providing strategic decision support across all areas of investment, delivering high-level financial results, and identifying emerging market trends.
- Own and continuously improve forecasting models for members and revenue, ensuring alignment with pipeline, targets and long-range planning.
- Own and evolve GTM KPIs and ROI frameworks (CAC, LTV, Payback) to guide decision making that aligns with the Company’s long-term objectives.
- Partner with GTM teams on pricing strategy and proposals, developing robust P&L models for new customers and contracts.
- Own the monthly forecasts, executive-level variance analysis, annual planning, and spend management for the S&M organization.
- Partner with Sales, Rev Ops and HR to align headcount planning, capacity models, and incentive structures including commission modeling and quota development.
- Stand up the systems, tooling, and frameworks needed to influence the business, including automation, reporting, and operational rhythms.

## What you will bring to SmithRx

- 8+ years of experience in FP&A, GTM Finance, Strategic Finance, or related fields, preferably in a high-growth environment.
- Proven experience supporting Sales or Marketing leadership, with strong understanding of revenue models and GTM unit economics.
- Experience in healthcare or health tech is preferred.
- Capable of managing executive relationships, high-stakes deliverables, and complex expectations with your business partners.
- Expert in financial modeling and quantitative analysis who thrives on solving unstructured problems and influencing senior business partners.
- Strong communication skills and executive presence, with the judgment to challenge assumptions while maintaining strong relationships.
- High level of ownership, curiosity, and urgency, with the ability to operate independently and navigate ambiguity.
- Bachelor’s degree required.

## What SmithRx Offers You

Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
Flexible Spending Benefits
401(k) Retirement Savings Program
Short-term and long-term disability
Discretionary Paid Time Off
Paid Company Holidays
Wellness Benefits
Commuter Benefits
Paid Parental Leave benefits
Employee Assistance Program (EAP)
Well-stocked kitchen in office locations
Professional development and training opportunities

**Compensation**

Zone A Pay Range $193,800—$264,000 USD (San Francisco Bay Area - California; Metro New York City - Connecticut, New Jersey, New York and Pennsylvania)

Zone B Pay Range $177,700—$242,000 USD (California - outside of San Francisco Bay Area; Metro Denver / Boulder - Colorado; Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia; Metro Boston / Cambridge - Massachusetts and New Hampshire; Metro Austin - Texas; Metro Seattle - Washington)

Zone C Pay Range $161,500—$220,000 USD (all other locations)

Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.

Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).

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