About 100ms

100ms is building AI agents that automate complex patient access workflows in U.S. healthcare — starting with benefits verification, prior authorization, and referral intake in specialty pharmacy.

We help care teams reduce delays and administrative burden so that patients can start treatment faster. Our automation platform combines deep healthcare knowledge with LLM-based agents and robust ops infrastructure.

About the Role

We're looking for a Finance Manager based in India to support our financial operations, work with external accounting partners, and help drive budgeting, forecasting, cash management, and reporting across our multi-entity operations (US, India)

Key Responsibilities - Financial Reporting & Oversight

Review monthly financial reports from external accounting firms across all entities

Check for accuracy and completeness of financials

Flag discrepancies and coordinate with firms to resolve issues

Prepare summary financial updates for leadership

Accounts Payable Management

Process and approve vendor payments across entities

Manage vendor relationships and track payment terms

Ensure timely processing of invoices and expense reimbursements

Coordinate with accounting firms on AP recording

Cash Management

Monitor weekly cash positions across US, India, and UAE entities

Prepare weekly and monthly cash flow forecasts

Track cash burn and runway projections

Alert leadership to cash needs

Budgeting & Forecasting

Support annual budgeting process - gather inputs from department heads

Help build annual budget (revenue, expenses, headcount, cash)

Update monthly/quarterly rolling forecasts

Track budget vs. actual and prepare variance reports

MIS Reporting & Analytics

Prepare monthly MIS reports for leadership team

Create dashboards with key metrics (ARR, burn rate, runway)

Track department-level expenses

Calculate SaaS metrics: CAC, LTV, gross margin, etc.

Build ad-hoc analyses as requested

Investor Reporting

Help prepare monthly/quarterly board decks and investor updates

Compile financial data for investor presentations

Maintain investor data room with current financials

Support fundraising processes with financial materials

Equity Compensation & ESOP

Manage ESOP administration - track grants, exercises, vesting

Work with HR on equity components of offers

Maintain cap table accuracy

Required Qualifications

Bachelor's degree in Commerce (B.Com), Finance, Accounting, or related field

MBA in Finance or CA Inter pursuing/completed is a plus

Experience

2-4 years of experience in finance roles (FP&A, financial analysis, or finance operations)

Experience with financial modeling and budgeting

Prior exposure to startups or technology companies preferred

Experience with Excel-based financial modeling

Technical Skills

Strong Excel/Google Sheets skills: Formulas (VLOOKUP, SUMIFS, pivot tables), basic financial modeling

Understanding of financial statements (P&L, Balance Sheet, Cash Flow)

Basic knowledge of accounting terminology and concepts

Familiarity with SaaS business models is a plus

Comfortable learning new tools and systems

Tax & Compliance Coordination

Track tax filing deadlines across US, India, and UAE entities

Coordinate with external tax advisors and accounting firms for timely filings

Gather required documentation and information for tax returns

Ensure compliance calendars are maintained and deadlines are met

Finance Controller

Job Description