Director of Finance, Guaranteed
End-of-life care provider
Be an early applicant
End-of-life care provider
1-20 employees
Be an early applicant
1-20 employees
Company mission
To become a household name as a premium provider of end-of-life care.
Role
Who you are
- 10+ years of progressive finance/accounting experience, ideally with exposure to healthcare services and/or MSO/CPOM models
- Hands-on experience in both strategic finance (FP&A, modeling, fundraising) and operational finance (GL, controls, compliance)
- Strong knowledge of healthcare reimbursement and revenue cycle
- Demonstrated ability to build finance processes and teams from scratch in a high-growth environment
- Excellent communication and leadership skills; comfortable presenting to executives, physicians, and board members
What the job involves
- The Director of Finance will oversee all financial operations across both the MSO and PC entities, ensuring clean separation, regulatory compliance, and accurate reporting
- This role requires a mix of strategic financial leadership and hands-on execution, especially in setting up processes, systems, and controls where none currently exist
- The Director of Finance will partner closely with the CEO, legal counsel, and outsourced finance providers (CFO advisors, accountants, RCM vendors) while building the foundation for an eventual in-house finance team
- Financial Management & Reporting
- Own the accounting and finance operations for both the MSO and PC
- Ensure strict separation of entities, books, and accounts, in compliance with CPOM regulations
- Manage outsourced bookkeeping and accounting partners, transitioning processes in-house where appropriate
- Prepare monthly, quarterly, and annual financial statements (PC + MSO), plus consolidated management reports
- Lead budgeting, forecasting, and financial planning, including scenario modeling for revenue and operating costs
- Revenue & Cash Flow Oversight
- Oversee revenue cycle processes (working with RCM vendors) to ensure accurate billing, collections, and reconciliation into the PC
- Manage management fee transfers from PC to MSO per Management Services Agreement
- Track physician compensation and distributions, ensuring alignment with fair market value and compliance rules
- Maintain cash flow visibility across entities, ensuring liquidity and financial health
- Controls, Compliance & Risk Management
- Establish internal controls to prevent co-mingling of PC and MSO funds
- Work with legal counsel to ensure compliance with fee-splitting, anti-kickback, and CPOM requirements
- Manage tax strategy and filings in collaboration with external CPA firms
- Prepare for audit readiness as the company scales
- Strategic Finance & Leadership
- Partner with the CEO and Head of Strategic Initiatives on growth strategy, fundraising readiness, and board reporting
- Build financial models to support strategic decisions, including provider expansion, payer negotiations, and new market launches
- Design finance KPIs and dashboards to track clinical (PC) and operational (MSO) performance
Our take
In the US, the hospice care industry represents a substantial market, with an estimated worth of approximately $35 billion, with projections suggesting that this market is poised to nearly double in size by 2030. However, for-profit hospices and other similar end-of-life care providers are all too often linked to sub-par standards of care and customer service.
Jessica McGlorly, Founder and CEO of Guaranteed, personally experienced the shortcomings of end-of-life care when her father was in critical condition. Motivated by this firsthand experience and driven to provide a superior alternative, she embarked on a mission by launching Guaranteed. The startup has pioneered a novel approach, blending in-person visits by certified caregivers with round-the-clock telehealthcare services. Furthermore, Guaranteed goes beyond this, by offering a wealth of educational and grief-management resources to support families during this emotionally challenging period.
It's making significant strides too, fueled by substantial funding to sustain its rapid growth. Notably, within the expansive healthtech market, end-of-life care has remained largely overlooked. This sector, traditionally institutional and lacking distinct brands, presents an intriguing opportunity for Guaranteed to flourish. Positioned as a frontrunner in the relatively untapped space, the company is ready to fill a critical gap and bring much-needed innovation and customer-centric care to the world of end-of-life services.
Kirsty
Company Specialist at Welcome to the Jungle
Company
Funding (2 rounds)
Nov 2022
$6.5m
SEED
May 2022
$2.7m
SEED
Total funding: $9.2m
Company benefits
- 12 paid holidays (one is flexible for Election Day)
- Unlimited vacation days
- Medical, Dental, Vision Benefits: With day 1 coverage of care available fro all full-time employees
Company HQ
Midtown East, New York, NY
Leadership
Jessica McGlory
(Founder & CEO)Former Head of Growth at Verb Energy and Director of Paid Social for Bombas, Jellyfish Online Marketing, and The Engine Group. They are also currently a Consultant for the growth firm Interim.
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